Care Manager

THE BRIDGE INC.; New York (NY); On-site; USD 52,000 - 76,000; Full time

Job summary

THE BRIDGE INC. seeks an Experienced Case Manager to join a newly funded Care Transition team guiding participants from higher levels of care back to the community.

Under the supervision of the Program Director, you will coordinate transitions, assess needs, and develop living skills and coping strategies. The role involves community outreach, on-call crisis coverage, and travel across New York City to connect participants with housing, behavioral health, and social services, using the SOS model

Job description

Job summary: Experienced Case Manager to work on a newly funded innovative Care Transition team that serves participants transitioning to the community from a higher level of care or those who remain unconnected to care due to their primary social and/or dwelling that is outside of shelter or permanent housing. As a member of the SOS multi-disciplinary team the case manager position will work under the supervision of the Program Director. The role will involve facilitating transition from one level of care to the community by addressing the preparatory needs of participants in the early stages of recovery, discharge planning, development of daily living skills, and coping mechanisms through individual work in the community. The team will follow participants into the community using the SOS model of care (Critical Time Intervention) to ensure that they become both linked and engaged with identified community providers and that their support network is sufficient to meet their needs. The role will require some on-call coverage and a willingness to work flexible hours if needed. The role also requires outreach in the community (both above and below ground) to engage individuals experiencing homelessness.Job Responsibilities:Engagement beginning from referring location with involvement in transition planning, including a needs assessment of community transition supports essential to stabilizing the participant;Individual sessions with participants emphasizing prevention and preparing for independent community living and the promotion of optimum mental and emotional health. May require helping participants deal with issues associated with but not limited to family and social relationships; stress and symptom management; activities of daily living; medication management; and housing readiness;Work with participants and their housing providers to resolve clinical issues that are impacting on the participant’s ability to obtain, manage, and maintain supportive housing;Community navigation including accompanying to first behavioral health and medical appointment, travel training, reengagement in community care, referral to services with ability to identify and address potential services and barriers to obtain and maintain such services;Establish collaborative working relationships with referring treatment teams and other partners and plan with them for appropriate discharges for participants;Provide intensive emotional and practical support to participants as they transition back into their communities;Provide on-call after hour crisis intervention services (when assigned) to participants and their support network, including respite referrals and other diversion and stabilization services;Attend and participate in team meetings and supervisory sessions;Review documentation and conduct comprehensive psychosocial assessments to determine the medical, psychiatric, housing and other social needs in the community;Develop short-term person-centered care plans to assist participant towards achieving their goals;In collaboration with credentialed colleagues, assesses and monitors participant behavior in accordance with 9.58 regulations;Participate in identifying available shelter/Safe Haven bed during canvassing activities;Monitor and record participant’s progress and modify plan according to needs and preferences;Timely and accurate documentation of participant information within the electronic platformAssist and instruct Participants in attending to daily living skills such as personal hygiene, grooming and laundry, nutrition/meal preparation, budgeting, and socialization tasks and skills needed to successfully live and work in the community environments of their choice and also in maintaining a safe living environment;Comply with all required in-service training and staff development;Perform other related duties as assigned;This job description in no way states or implies that these are the only job related duties to be performed by the employee. You will be required to follow any other job-related instructions and perform any other job-related duties requested by your supervisor.*Note: this is not a hybrid or remote job and requires the ability to canvass in subway stations, take and manage public transportation and travel/visit shelters, safe havens, and all other temporary and permanent style dwellings.This position will require travel throughout New York City.Education and Experience Requirements: Bachelor’s degree required (minimum 5 years’ experience can replace degree). Preferred in psychology, social work, sociology, or related field. 2 years of case management work experience in a social service agency, preferably serving a behavioral health population. Knowledge of mental illness and the needs of individual living with severe and persistent mental illness. Demonstrated competency in written, verbal and computational skills to present and document records in accordance with program standards.