Intensive Care Coordinator, HHCC

NADAP Inc.; New York (NY); On-site; USD 51,000 - 69,000; Full time

Job summary

NADAP Inc. is seeking an Intensive Care Coordinator to assess, plan, and coordinate care for clients with behavioral health, mental health, and medical needs. You will work with Health Home partners and providers to ensure comprehensive care and reduce costs.

The ICC will monitor progress, perform functional assessments, develop care plans, manage caseloads, and facilitate referrals to medical, behavioral health, and social services. Strong collaboration and documentation are essential.

Qualifications

• Bachelor’s Degree in Social Work, Human Services, or related field required.
• Degree in social work, public health, or mental health counseling preferred; two years of experience, or a master's with one year.
• Caseloads may flex based on need and acuity of the targeted population.

Responsibilities

• Monitor progress of each client through face-to-face, escort, written, electronic and telephonic outreach and planning activities.
• Complete client-centered comprehensive functional assessments of medical, behavioral health, and social needs/goals.
• Develop, adhere to and document daily appointment schedules; inform supervisor of scheduling changes.
• Develop, review, and update written/electronic person-centered care plans driven by assessments; share with client and Health Home partners.
• Maintain an accurate caseload and respond to changes including discharge or transfer activities.
• Collaborate with service providers to monitor care level and health status; participate in case conferences as needed.
• Address crisis situations promptly with supervisory staff and involved entities.
• Provide services to meet Care Plan objectives, assist with entitlements, housing, transportation, and referrals.
• Utilize EHR and NADAP database tools to maintain documentation and treatment records.
• Performs other duties as assigned.

Education

Bachelor’s Degree in Social Work, Human Services, or related field

Master’s degree in social work, public health, or mental health counseling

Job description

Position Summary

The Intensive Care Coordinator (ICC) provides assessment, care planning, and service coordination activities for eligible clients, with significant behavioral health, mental health, and/or medical needs. The ICC works closely with other health and social service providers to ensure comprehensive and appropriate care needs are met to stabilize participants, promoting access to health and wellness while reducing healthcare costs.

Responsibilities

• Monitor progress of each client on an ongoing basis through delivery of face to face, escort, written, electronic and telephonic outreach/monitoring/collaboration and planning activities, in accordance with Health Home, DOH, OMH, and departmental guidelines.
• Complete client-centered comprehensive functional assessments to identify the medical, behavioral health, and social needs/goals of each client.
• Develop, adhere to, and document daily schedule of appointments; inform supervisor of scheduling conflicts or changes and maintain accurate record of daily activities.; participate in individual and group supervision as scheduled by the appointed supervisor.
• Develop, review, and update written/electronic person centered care plans that are driven by functional assessment outcomes. Shared and develop/update care plan in partnership with the client and their Health Home network partners and collateral supports. Ensure that all Care Plans uphold the policy and procedure set forth by the department and Health Home.
• Maintain an accurate caseload panel through prompt identification and response to cases appropriate for level of care changes including but not limited to discharge or transfer activities.
• Maintain collaborative relationships with all service providers utilized in the care planning interventions, sharing/extracting regular status updates and participating in case conferences as needed (and as outlined in the policy and procedure of the department and lead Health Home providers) to monitor level of care and health status for all assigned members.
• Promptly review and address any crisis situations that arise for any client with supervisory staff, service network and any involved legal entities.
• Provide services to clients as needed to meet Care Plan objectives, including facilitating referrals to medical, behavioral health and social assistance entities; assisting with management of entitlements (Medicaid, SNAP benefits, SSI, etc.); assisting with securing stable housing; and arranging transportation and other services to support wellness and health care compliance.
• Utilize Electronic Health/Medical Record system(s) of assigned Health Home and NADAP database tools to maintain documentation and all relevant treatment records, entering contact notes within the timeframe outlined in the Program Manual guidelines.
• Performs other duties as assigned.

Salary

$60,000/year

Company Overview

NADAP, Inc. is a multiservice non-profit agency dedicated to helping people with medical, behavioral health and social service needs to become sufficient. NADAP programs assist disadvantaged populations in New York City and Nassau County. NADAP's services include health insurance enrollment, assessment, care coordination, case management, professional training, job preparation and placement services. At NADAP, we believe in creating an environment where every individual is treated with dignity and respect. We are committed to ensuring that all employees and applicants have an equal opportunity to succeed, regardless of race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, or any other characteristic protected by law. Visit us at www.nadap.org.

Program Overview

NADAP’s Health Home Care Coordination (HHCC) program works in partnership with medical and behavioral health providers to align services that promote access to care and enhance health outcomes for Medicaid recipients. The HHCC program focuses on the healthcare needs and preferences of each person served and provides extra support to help clients find access to medical, mental health, substance use disorder, and social services to improve their health and other life areas that impact their wellbeing. The HHCC program works in the community and meet clients at their home, at their doctor’s office, or other venues as needed.

Requirements

• Bachelor’s Degree in Social Work, Human Services, or related field required
• Degree in social work, public health, or mental health counseling preferred, with two years of experience or a master's degree with one year of experience. Hiring criteria may change depending on the standards of the governing entity of the target population (i.e., DOH, OMH, etc.)
• Requires advanced knowledge of a specialized or technical field or a thorough knowledge of the practices and techniques of a professional field. May require knowledge of policies and procedures, and the ability to determine a course of action based on these guidelines.
• Caseloads may flex based on need and acuity of the targeted population. Flexibility in caseload management required.