Care Manager - Community Support Program

The Bridge; New York (NY); On-site; USD 41,000 - 50,000; Full time

Job summary

The Bridge Bronx is seeking a Care Manager on the Critical Time Intervention (CTI) Team to provide short-term, intensive support during life transitions and assist with discharge planning.

You will connect clients to behavioral health services, housing, benefits, and community resources, working with hospitals and community providers to promote stability, equity, and recovery.

Qualifications

• Bachelor's degree or higher, preferably in psychology, social work, sociology, or a related field.
• Case Management work experience in a social service agency, preferably serving a behavioral health population.
• Four years of past work case management work experience may be considered in lieu of a Bachelor's degree.
• Experience with SMI, co-occurring SUD, and homeless or precariously housed populations is preferred but not required.
• Knowledge of community and homeless resources is a plus.
• Familiarity with counseling principles for mental illness and substance use disorders.
• Understanding of treatment, rehabilitation, and community support programs for participants and their families.
• Ability to develop, implement, and adjust treatment interventions to meet individual needs.
• Strong report-writing and documentation skills.
• Computer proficiency and good documentation skills.
• Bilingual in Spanish preferred.

Responsibilities

• Conduct persistent, assertive outreach using strength-based approaches, starting during inpatient or emergency department visits; engage in community outreach and assess participants' health and social needs using CTI's assessments and risk tools for high-risk individuals.
• Participate in after-hours (24-hour) coverage on a rotating basis; join hospital discharge planning meetings to connect participants with appropriate community resources; collect and report data to inform future care, working with team leaders and data analysts.
• Support participants post-discharge by resolving clinical issues and maintaining access to services; build relationships with community providers to ensure service continuity during transitions; assist with appointment navigation, travel training, and overcoming care barriers.
• Conduct psychosocial assessments to evaluate medical, psychiatric, housing, and social needs; gather collateral information to support participants' behavioral and health needs; monitor and document participants' progress toward care plan goals.
• Attend team meetings and supervisory sessions; perform other related duties as assigned.

Skills

Report writing

Documentation

Computer literacy

Spanish bilingual

Education

Bachelor's degree or higher

Job description

Job DetailsJob Location: Bronx, NY 10455Position Type: Full-TimeEducation Level: BA/BS Salary Range: $45,000.00 - $45,000.00 HourlyJob Shift: Monday - Friday 9 AM - 5 PM

The Bridge offers supportive housing and behavioral health services to vulnerable New Yorkers facing behavioral health and substance use challenges. We provide individuals with the tools they need to pursue their dreams and live meaningful lives. The Bridge envisions a world where adults experiencing serious mental illness can live and thrive within their communities. As a recognized leader in developing and operating supportive housing and community-based programs, The Bridge has 70 years of experience helping New Yorkers with mental illness, including those affected by homelessness, incarceration, and institutionalization.

Scope of Position:

The Care Manager on the Critical Time Intervention (CTI) Team provides short-term, intensive, and evidence-based support to individuals experiencing critical life transitions. The Care Manager works collaboratively with hospitals, community providers, and support networks to ensure a smooth transition from inpatient or emergency settings to stable community living. This includes assisting clients with discharge planning and connecting them to essential services such as behavioral health care, housing, benefits, and community resources that promote long‑term stability and independence. The position serves individuals with complex needs, including histories of trauma, homelessness, incarceration, and long‑term hospitalization. Guided by Harm Reduction and Trauma‑Informed principles, the Care Manager acknowledges and actively addresses the impact of systemic racism on the predominantly people‑of‑color communities served, fostering empowerment, equity, and self‑advocacy throughout the recovery process.

Essential Position Functions:

• Conduct persistent, assertive outreach using strength‑based approaches, starting during inpatient or emergency department visits; engage in community outreach and assess participants' health and social needs using CTI's assessments and risk tools for high‑risk individuals.
• Participate in after‑hours (24‑hour) coverage on a rotating basis; join hospital discharge planning meetings to connect participants with appropriate community resources; collect and report data to inform future care, working with team leaders and data analysts.
• Support participants post‑discharge by resolving clinical issues and maintaining access to services; build relationships with community providers to ensure service continuity during transitions; assist with appointment navigation, travel training, and overcoming care barriers.
• Conduct psychosocial assessments to evaluate medical, psychiatric, housing, and social needs; gather collateral information to support participants' behavioral and health needs; monitor and document participants' progress toward care plan goals.
• Attend team meetings and supervisory sessions; perform other related duties as assigned.

Qualifications:

• Bachelor's degree or higher, preferably in psychology, social work, sociology, or a related field.
• Case Management work experience in a social service agency, preferably serving a behavioral health population.
• Four years of past work case management work experience may be considered in lieu of a Bachelor's degree.
• Experience with SMI, co‑occurring SUD, and homeless or precariously housed populations is preferred but not required.
• Knowledge of community and homeless resources is a plus.
• Familiarity with counseling principles for mental illness and substance use disorders.
• Understanding of treatment, rehabilitation, and community support programs for participants and their families.
• Ability to develop, implement, and adjust treatment interventions to meet individual needs.
• Strong report‑writing and documentation skills.
• Computer proficiency and good documentation skills.
• Bilingual in Spanish preferred.

The Bridge Inc. is an Aff…