Position Summary:
The Health Home Care Coordination program is designed to coordinate services and supports for uninsured adults with mental illness, HIV/AIDS, medical conditions, and substance abuse, and help them live independently in the community and obtain access to all needed services
Major Duties:
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Provides Care Coordination services and maintains documentation requirements in compliance with NYSDOH, NYSOMH, OMIG, and agency guidelines.
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Clearly informs clients of goals, configuration, and function of the program.
- Outreach, engage, and enroll the clients into the program to ensure their stability in the community.
- Identify individuals appropriate for Non-Medicaid Care Coordination services and facilitate their enrollment process into the program.
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Display professional skills to coordinate and maintain contact with all service providers and support systems including but not limited to psychiatrists, therapists, state and local hospitals, community residences, court systems, family members, primary care providers, MICA programs, and educational/vocational service providers.
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Advocate and monitor for appropriate service delivery, including helping individuals make and keep appointments, escorting individuals to appointments as necessary, and assisting recipients in arranging needed mental and physical health and psychiatric rehabilitation services while adhering to the client’s rights.
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Maintain a caseload of approximately 25 uninsured clients.
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Provide face to face services to each client at a minimum of two visits per month for a minimum of 15 minutes at a time.
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Document and file all chart documentation including but not limited to progress notes, assessments, treatment plans, as well as weekly schedules and statistical reports in a timely fashion in accordance with NYSDOH, NYSOMH, OMIG, and agency guidelines in the charts as well as in electronic health records as required.
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Care Coordinators must utilize their skills to identify recipient’s strengths and limitations by assessing the level of motivation, capacity, and available resources to develop a service plan that is unique to each individual.
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Follows program’s guidelines and uses judgment and expertise to determine the appropriate level of intervention necessary in each situation.
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Seeks guidance and consults with supervisor regarding any client issue.
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Follows agency processes to present any concerns or grievances.
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Participates in group/individual supervision and attends staff meetings and in service trainings.
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Assures coverage and assumes responsibility for uncovered caseloads.
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Is able to complete UAS-NY Assessments.
- Seeks guidance and consults with Team Leader, Senior Team Leader, and Program Director regarding any client issue.
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Other duties as determined by the Team Leader, Senior Team Leader, and Director.
Qualifications:
- Bachelor’s degree in related field and a minimum of four years’ experience, or Master degree.
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Interest in working with people with social service needs;
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Exceptional communication and organizational skills, including excellent phone demeanor and direct communication skills with program participants, vendors and staff;
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Ability to operate with purpose, urgency, and accuracy in a fast-paced deadline-driven environment;
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Must maintain confidentiality and have the ability to exercise a high level of judgment/discretion;
- Ability to create and maintain well-organized administrative and operational systems;
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Knowledge and proficiency of MS Word, Excel, PowerPoint, and possess a willingness to learn new programs as needed;
- Must be able to work independently and manage multiple tasks in a fast-paced environment;
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Ability to work collaboratively with a variety of people, as well as an aptitude for teamwork.
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Ability to use public transportation for travel to program locations throughout New York City.
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Spanish speaking a plus.
Competence Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Strong oral and written communication skills are required.
- Ability to understand sensitive information and maintain confidentiality
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Strong interpersonal and communication skills at all levels of the organization
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Strong critical thinking, complex problem solving skill
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Highly organized, detail oriented and able to manage multiple tasks simultaneously
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Proficient computer knowledge, including word processing and database softwar
Physical Demands:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Physical Demands: While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee frequently is required to stand, walk, and reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, and color vision.
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Work Environment: While performing the duties of this job, the employee is not exposed to weather conditions. The noise level is usually moderate.