Health Navigator/Care Coordinator, Care Management Services (CMS)

ACMH INC; New York (NY); On-site; USD 54,377 - 66,460; Full time

Job summary

ACMH INC in New York, NY seeks a Health Navigator/Care Coordinator to assess and engage clients in health and wellness, developing comprehensive care plans. You will work in Manhattan or Queens, with a Mon-Fri 9:00am-5:00pm schedule, reporting to the Director of Care Management Services.

Responsibilities include risk screenings, care plan development, collaboration with the care team, and coordination of services and transportation.

Qualifications

• Strong written and verbal communication skills.
• Bilingual English/Spanish preferred.

Responsibilities

• Develops rapport with clients to engage them in improving health and wellness.
• Administers standardized health and psychosocial risk screenings according to Health Home protocols.
• Utilizes health screenings to identify interventions and develop a comprehensive care plan.
• Collaborates with care team to identify needs and develop a plan for optimal health outcomes.
• Implements tasks on the care plan and ensures follow up and continuity of care.
• Reviews and updates the care plan to match services provided.
• Documents interventions and contacts in the EHR.
• Provides transitional care following hospitalization events per CTI protocols.
• Facilitates care delivery by scheduling appointments and arranging transportation.
• Identifies community resources and makes referrals as needed.

Skills

Communication skills

Bilingual English/Spanish

Education

B.A. or M.A. in social services or related field

Job description

Health Navigator/Care Coordinator, Care Management Services (CMS)

ACMH INC New York, New York, United States

About this position

Position: Health Navigator/Care Coordinator, Care Management Services (CMS)

Function: Responsible for the assessment and engagement of clients around health and wellness and the development of a comprehensive care plan.

Reports to: Director, Care Management Services

Location: Manhattan or Queens

Schedule: Mondays-Fridays (9:00am-5:00pm)

Tasks:

• Develops rapport with clients in order to engage them in improving their health and wellness.
• Administers standardized health and psychosocial risk screenings according to Health Home protocols and timeframes.
• Utilizes health screenings to identify interventions and develop a comprehensive care plan
• Collaborates with members of the care team to identify needs and develop a plan to help client achieve optimal health outcomes.
• Implements tasks outlined on the care plan and ensures follow up and continuity of care between client interactions.
• Regularly reviews and updates the care plan to correspond with services being provided.
• Documents all interventions and attempted contacts in the EHR in accordance with program standards.
• Works in collaboration with care providers to address Gaps in Care
• Assesses domiciled client’s living conditions by conducting home visits
• Works with family members and other collaterals of the client’s choice to facilitate planning and delivery of care
• Provides comprehensive transitional care following hospitalization events in accordance with ACMH Critical Time Intervention (CTI) Protocols.
• Reviews new information and complex cases with PCP and multidisciplinary team and incorporates recommendations into the care plan.
• Facilitates care delivery by scheduling appointments, obtaining necessary information, and arranging transportation.
• Utilizes evidenced based practices, such as motivational interviewing, to empower clients to grow and attain goals.
• Embraces the team model by collaborating with members of the team and providing support as needed
• Identifies community resources and makes referrals as needed.
• Supports client goals and serves as an advocate on client’s behalf
• Administers CSD funds (Client Service Dollars) and submits required documentation
• Regularly participates in team meetings and weekly clinical conference
• Attends in-service training as requested
• Duties as assigned by supervisor

Requirements:

B.A. or M.A. degree in social services or related field and two years of experience providing direct service in the human service field or nursing or CM/Service Coordination. Strong written and verbal communication skills. Bilingual English/Spanish preferred.

Salary: $60,419 plus generous benefits.

ACMH is committed to the mental and physical wellbeing of vulnerable New Yorkers and is a leader in the provision of outreach and engagement, care management, rehabilitation, crisis support, and supportive housing. ACMH is committed to becoming an anti-racist organization and seeks to promote actionable change to create an intentional culture of equity at individual, interpersonal and institutional levels.

For more information, visit our website: www.acmhnyc.org

ACMH is an equal opportunity employer and does not discriminate in employment decisions based on race, color, creed, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, mental or physical disability, marital status, veteran status or citizenship status.