Care Coordinator - Full-time, 4401-204-N

Catholic Charities Brooklyn and Queens • New York, NY

110d

About The Position

Are you looking to join a dynamic team focused on providing high quality health care to communities across Brooklyn & Queens? If so, you’ve come to the right place. For over 125 years, Catholic Charities Brooklyn and Queens has been providing quality social services to the neighborhoods of Brooklyn and Queens, and currently offers 160-plus programs and services for children, youth, adults, seniors, and those struggling with mental illness. Catholic Charities provides comprehensive care coordination and treatment services to individuals living with serious mental illness, complex medical needs and substance use needs. Under the NYC Department of Health and Mental Hygiene, our Non-Medicaid Care Coordination Program works with individuals who do not qualify for Medicaid and are living with serious mental illness, to deliver comprehensive, community-based services and ensure clients have access to uninterrupted and coordinated behavioral and physical health services while addressing the social determinants of health that impact daily living. Care Coordinators address a host of issues that impact clients directly such as housing, access to nutritious food, economic security/benefits, medication adherence, linkage with outpatient treatment providers or other community resources and social supports.

Requirements

• Bachelor’s degree in social work, psychology, or a related health/human services field with 2 years of direct work with the target population or Degree/Certification in Medical and Clinical Assistance or Health Professional field.
• Combination of skills in the areas of crisis intervention, time management, and psychosocial rehabilitation skills.
• Ability in linking clients to a broad range of services essential to successfully living in a community setting.
• Excellent communication skills.
• Cross-cultural competency, outreach, interviewing, listening, advocating, linking, negotiating, engagement, monitoring and clinical assessment skills.
• Knowledge of community medical resources and their financial requirements.
• Excellent computer skills.
• Ability to read and write in English.
• Knowledge of computer programs (MS Word, Excel, PowerPoint, & Outlook).

Nice To Haves

• Knowledge of a second language is preferred (Spanish, Russian, Creole, Cantonese).

Responsibilities

• Overall day-to-day responsibility and accountability for coordinating all aspects of an individuals’ care with complex and/or psychiatric co-morbid conditions.
• Facilitating access to the full range of medical and psychosocial services in an efficient and effective manner.
• Providing care in clients' home/community at least twice monthly, and more frequently if needed.
• Focusing on integration and coordination of physical health, mental health and overall social needs.
• Becoming an active participant in all phases of care transition to assure that enrollees receive all required mental and medical follow up care and services.
• Re-engaging patients who have become lost to care.
• Electronically monitoring and tracking data regarding the individual and alerting all members of the Care Team when follow-up is required.
• Engaging and retaining individuals in care, coordinating and arranging for the continuous provision of services.
• Supporting adherence to treatment recommendations, monitoring and evaluating needs including prevention, wellness, medical, specialist and behavioral health treatment.
• Creating an individual plan of care.
• Developing, managing and coordinating a comprehensive individualized person-centered care plan in collaboration with the client, their family and/or caregivers, and other service providers.
• Ensuring the availability of priority appointments for clients to care services.
• Promoting evidence-based wellness and prevention by linking health home members with resources.
• Tracking and sharing client information and care needs across providers using electronic databases.
• Reassessing needs for services and reviewing clients’ historical or targeted clinical measurements.
• Identifying potential barriers to successful care and resolutions to those barriers.
• Completing contact notes, incident reports, and other required documentation and maintaining accurate recordings in electronic case files.
• Utilizing technology and various web-based platforms for documenting progress notes and daily work activities.

Benefits

• Competitive Salary
• Generous time off
• Medical, Dental, Vision
• Retirement Savings with Agency Match
• Transit benefits
• Life insurance
• Other additional voluntary benefits

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees