Care Coordinator

The Jewish Board • Staten Island, NY

9d • Hybrid

About The Position

Care Coordinators help children with chronic medical or behavioral health conditions connect with the medical, social, educational, and community services they need to stay healthy and avoid unnecessary emergency room visits. They learn about each child and family’s needs, work with members and other care providers to develop person-centered care plans, and help members take steps to access and use services, keep appointments, and adhere to recommended treatments.

The role works in a team setting and primarily in the field. Care Coordinators assess members’ risks and needs, coordinate referrals and appointments, provide education, monitor service access and care transitions, and collaborate with families, caregivers, providers, schools, and community organizations. The position requires some evening availability and participation in a rotating after-hours emergency phone coverage schedule. The position is currently hybrid, with three office days and two hybrid days, but may transition to fully in-person work based on program needs.

Requirements

• Bachelor’s degree with a major or concentration in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation therapy, counseling, community mental health, child and family studies, sociology, or speech and hearing.
• Two years of experience providing direct services or a substantial number of case management services to mentally disabled, chronically ill, or homeless children with complex social or healthcare needs.
• Specific experience with the target population is required to work with children.
• Experience working in interdisciplinary teams.
• Experience providing care management or care coordination in a medical or behavioral health environment.
• Experience working with chronically ill individuals.
• Excellent written communication, verbal communication, and customer service skills.
• Intermediate computer proficiency.
• Valid driver’s license and access to a vehicle for Staten Island work; valid New York State ID for all boroughs.
• Ability to read and input data and documents, including spreadsheets, reports, and electronic health records, in printed form and on computer screens.
• Ability to enter data into agency and city/state electronic health records.
• Manual dexterity and hand-eye coordination for significant data entry and record keeping.
• Ability to travel within New York City while carrying equipment weighing up to approximately 10 pounds.
• Availability for some evenings and participation in rotating after-hours emergency phone coverage.

Nice To Haves

• Fluency in a second language such as Spanish, Mandarin, or Russian.

Responsibilities

• Integrate medical, specialized, behavioral health, social support, and educational support services for members.
• Periodically assess members’ medical and behavioral health needs and their adherence to recommended treatments.
• Collaboratively develop an Individualized Plan of Care with members, families or caregivers, and other service providers.
• Conduct and document outreach to new referrals to facilitate enrollment.
• Provide care management services to help members access and retain services in their care plans, including medical, behavioral health, home health, chemical dependency, social support, housing, entitlement, educational, and justice- or child-welfare-related services.
• Track specialty medical, behavioral health, and support-service referrals using Health Information Technology and other electronic databases.
• Monitor discharge planning and ongoing care planning before and after members transition to the community.
• Build collaborative relationships and serve as a liaison with community providers, managed care plans, schools, and medical providers.
• Complete casework documentation promptly and meet productivity standards.
• Attend program meetings and scheduled weekly supervisory sessions.
• Provide referrals and reassess members’ need for continued care coordination to ensure access to necessary services.
• Share knowledge and experience with team members to support service delivery.
• Carry and use an agency-provided cell phone, laptop, and hotspot for hybrid work.
• Respond to members’ questions, needs, and crises during regular and after-business hours through the program emergency cell phone, which is rotated among care coordinators.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level