Care Coordinator (Health Home Plus) - Long Island Health Home

EAC Network•Brentwood, NY

25d•$28 - $30•Hybrid

About The Position

Are you passionate about supporting the Youth population, and making a real difference in their lives? EAC Network, a leading not-for-profit social service agency dedicated to helping over 80,000 people through 120 impactful programs across Long Island and NYC, is looking for a dedicated full time Care Coordinator for our Health Home Plus program on Long Island. The Health Home Plus (SMI) Care Coordinator conducts outreach, assessment and service planning to coordinate care for participants with severe mental illness (SMI) who may also have substance use disorders and/or chronic medical conditions. Works closely with clients to implement goals identified during the intake, assessment, reassessment, and care plan process. Maintains contact with the client's extended family and support networks for coordination of care. Monitors client's progress in utilizing services to achieve better health care outcomes while containing costs. Field work required to maintain required contacts per month.

Requirements

Knowledge, Skills & Abilities Required:

Responsibilities

Maintain a caseload of regular Health Home clients and/or Health Home Plus (SMI) clients.
Complete the required billable contacts per month for each client.
Conduct home visits and community work in the field including visiting hospitals and emergency rooms.
Gather information for and/or conduct outreach, intake, assessment, re-assessments and care plans.
Provide care management to a caseload through the coordination of medical, mental health and substance use services.
Implement activities to facilitate participant engagement.
Participate in case conferences with health home team including Case Managers and treatment providers.
Ensure entitlements, insurance, and benefits are in place.
Develop service plans and resolve barriers to effective service utilization.
Responsible for assisting Health Home team members in implementing individualized care plans.
Monitor client's progress in utilizing services (appointments, treatment, medication, etc.) through telephonic and direct contact.
Check that clients receive test results and track that clients follow up with medical directions.
Transport and escort clients to/from appointments when needed.
Collaborate on care issues with internal clinicians and the participant's assigned Health Home medical provider.
Document service information in databases and use electronic systems to track participant activities.
Assist in crisis intervention and provide or refer to crisis services.
Ensure that clients follow up with aftercare discharge (i.e. fill prescriptions, make appointments).
Perform all other relevant duties as determined by Supervision and EAC NETWORK Administration.

Benefits

Comprehensive Benefits Package: Medical, Dental, and Vision Insurance, 401K with a 3% automatic contribution after one year, 30 days Paid Time Off in your first year, and 14 Paid holidays.
Additional Perks: Short-term and long-term disability coverage, flexible spending accounts, wellness benefits, PlumBenefits, Verizon wireless discounts.
At EAC Network, you will find more than just a job – you will find a supportive work environment committed to your well-being and growth.
We champion equity, justice, and belonging, fostering a workplace where every voice is valued and empowered.
We offer many roles with flexible schedules to help you maintain a healthy work-life balance, and our generous PTO policy and Summer Fridays ensure you have time to recharge.
Our commitment to wellness also earned us the 2024 Gold Healthy Workforce Designation from Cigna.
Additionally, EAC employees may be eligible for the Public Service Loan Forgiveness program.
At EAC Network, you are part of a team making a difference in our communities across Long Island and New York City, every day.

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