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

ACMH INC; New York (NY); On-site; USD 60,000 - 64,000; Full time

Benefits offered by this job

Generous benefits

Anti-racist workplace commitment

Job summary

ACMH INC in New York, New York is seeking a Health Navigator/Care Coordinator for Care Management Services (CMS). The role is based in Manhattan with travel throughout Manhattan and the lower Bronx, and a Monday–Friday, 9:00am–5:00pm schedule. Responsibilities include assessing clients, developing comprehensive care plans, coordinating services, documenting interventions in the EHR, and supporting transitions of care with the care team.

Requirements: B.A. or M.A.

Qualifications

• B.A. or M.A. in social services or related field with two years of direct service experience.
• Strong written and verbal communication skills.
• Bilingual English/Spanish preferred.

Responsibilities

• Assess and engage clients around health and wellness and develop care plans.
• Administer health screenings and identify interventions.
• Document interventions in the EHR and coordinate with the care team.
• Support transitions of care and arrange transportation as needed.

Skills

Communication skills

Bilingual English/Spanish

Care coordination

EHR documentation

Education

Bachelor's/Master's in social services or related field

Tools

EHR software

Job description

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

ACMH INC New York, New York, United States

About this position

Description:

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 with travel throughout Manhattan & lower Bronx

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.