Senior Care Coordinator

Centralnassau; Plainview (NY); On-site; USD 70,000 - 97,000; Full time

Benefits offered by this job

Medical

Dental

Vision

403(b) retirement plan

Flexible Spending Account

Life Insurance

Job summary

CN Guidance and Counseling Services, Inc. seeks a Senior Care Coordinator to work within an interdisciplinary team to coordinate care for adults with severe mental illness and co-morbid conditions.

The role includes advocacy, linkage to services, and evidence-based psychosocial interventions to improve wellness and reduce hospitalizations. The position requires availability 24/7 on an as-needed basis, with travel across Nassau, Suffolk and surrounding counties as needed to support clients and

Qualifications

• Bachelor's or Master's degree in Social Work, Psychology, Education, Rehabilitation or related field preferred.
• 2 years direct service experience for BA level; 1 year for MA level in mental health or related fields.
• Proficiency in computer software and EHR systems; strong written and verbal skills.

Responsibilities

• Assess clients and document strengths, needs, goals and resources.
• Develop and update client-centered care plans with multidisciplinary team.
• Maintain clear communication with clients, physicians and providers.

Skills

Care coordination

Interdisciplinary team

Interpersonal skills

Documentation

Education

Bachelor's/Master's in Social Work or related field

Tools

EHR systems

Job description

Job Definition

Senior Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to adults diagnosed with a severe mental illness, with multiple medical co-morbidities and/or co-occurring substance abuse disorders. The Senior Care Coordinator advocates for and supports the client, engages with community agencies/health care providers and others on the client's behalf to ensure access to services, to increase wellness self-management and to reduce emergency room visits and/or hospitalizations. The Senior Care Coordinator will provide expert support and psychosocial and/or substance abuse interventions, and resources to aid in the consumer's care while maintaining focus on outcomes and best practices.

The Senior Care Coordinator must be available on an as-needed basis 24 hours a day, 7 days a week.

Educational Requirements

• Bachelor's Degree or Master's Degree in one of the following fields preferred: Social Work, Psychology, Education, Rehabilitation, Occupational Therapy, Counseling, Community Mental Health, Sociology, Speech and Hearing, Physical or Recreational therapy. Degrees in other related areas may be considered.

Experience Required

• For B.A. level candidates, two (2) years of related human service and direct service experience required.
  • Experience should be in providing direct services to individuals with severe mental health disorders, co-occurring substance abuse disorders, developmental disorders, and/or physical disabilities, in linking clients to a broad range of services essential to independent community living, and in advocacy for underserved or disenfranchised populations.
• For M.A. level candidates, one (1) year of related human service and direct service experience required.
  • Experience should be in providing direct services to individuals with severe mental health disorders, co-occurring substance abuse disorders, developmental disorders, and/or physical disabilities, in linking clients to a broad range of services essential to independent community living, and in advocacy for underserved or disenfranchised populations.
• Working knowledge of computer software and electronic health record systems.
• Demonstrated competency in written, verbal and computational skills to present and document records in accordance with program standards.
• Experienced in and demonstrated comprehensive understanding and working knowledge of the interdisciplinary planning process and the developmental treatment model.
• Knowledge and sociological understanding of Medicaid, Social Security and other social service entitlements.
• Excellent interpersonal skills required.
• Knowledge of cultural competence and sensitivity.
• You must have the ability and willingness to regularly travel, in some instances with clients in Agency vehicles, to many locations using various modes of reliable and safe transportation. If working in Nassau or Suffolk Counties, a valid Tri-state (New York, New Jersey or Connecticut) driver's license is required; and you must have a current and valid driver’s license on file with CNGCS' Human Resources and be designated and remain in good standing as a CNGCS authorized driver.

Duties and Responsibilities

1. Conducts initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources.
2. Participates in the development/documentation /review and update of client centered comprehensive, integrated, interdisciplinary care plan in consultation with Program Supervisor and other team members to ensure focus on data-driven, wellness centered, outcomes.
3. Maintains effective communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other Agency staff on behalf of clients.
4. Maintains documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure.
5. Coordinates care planning with other providers of services/ resources to ensure goal directed, collaborative care, including care transitions.
6. Works as part of a Care Coordination team; attends and participates in team meetings to provide input/feedback around psychosocial conditions/comorbidities to review client status, update plans and goals, review outcomes to further program goals.
7. Acts as a resources/consultant to all team members on psychosocial and/or substance abuse issues and resources.
8. Provides telephonic as well as face to face outreach, engagement and service planning in the field.
9. Acts as a linkage to community services including medical, behavioral, residential, entitlement and any other needed services per interdisciplinary care plan.
10. Monitors overall service delivery to clients to ensure coordination and continuity; advocates with service providers/resources as needed.
11. Provides crisis intervention and follow-up on an as-needed basis 24 hours a day, 7 days a week.
12. Attends AOT evaluations and court dates as needed.
13. Completes weekly AOT monitoring reports on all clients.
14. Maintains integrity of client records throughout the program.
15. Complete additional clinical assessments and coordinate care with managed care organizations as needed.
16. Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progress.
17. Complete QI Training during onboarding and participate in QI refresher training as needed.
18. Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results.
19. Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines.
20. Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.
21. Other duties as assigned.

Benefits

• Medical
• Dental
• Vision
• $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit
• Flexible Spending Account
• 403(b) retirement plan
• Long Term and Short Term Disability
• Legal Plan
• Dependent Care Expense Account
• Life Insurance/Supplemental Life Insurance
• Pet Insurance
• HRA
• Training programs including a Mentorship program
• Employees may be eligible for Federal/Public Student Loan Forgiveness
• Career growth and Promotional opportunities
• Employee Perks and Discounts to Broadway shows and more

5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays yearly and so much more.

It is the policy of CN Guidance and Counseling Services, Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law. CN Guidance and Counseling Services, Inc. prohibits any such discrimination or harassment.