Care Coordinator

The Jewish Board•The Bronx, NY

19d

About The Position

The Jewish Board’s Community Care Management programs provide compassionate, evidence-based services to individuals and families using a culturally competent, person-centered approach. The programs help people develop skills and resources, improve overall functioning, strengthen resilience, and access medical, social, and community services. Care Management supports adults with chronic illnesses in obtaining and using services that help them stay healthy, including attending appointments, following medication schedules, and accessing benefits. Care Coordinators connect adults and children with chronic behavioral health and medical conditions to services that support their health and encourage members to use those services to optimize health outcomes. Working on a team and primarily in the field, Care Coordinators assess members’ risks and needs, develop person-centered care plans, provide care management, track and arrange appointments, educate members, and coordinate health and community services. As the program evolves, additional responsibilities may be added.

Requirements

A bachelor's degree with a major or concentration of at least 24 credits in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, or speech and hearing; or a New York State teacher’s certification requiring a bachelor’s degree; or New York State licensure and registration as a Registered Nurse and a bachelor’s degree, plus two years of qualifying direct-service or case-management experience.
Alternatively, a bachelor’s degree, associate degree, or high school diploma/GED in another discipline plus five years of experience working with an applicable population.
Experience providing direct services or substantial case management services to people with mental disabilities, chronic illness, or homelessness, or to children with complex social or healthcare needs, as applicable to the education pathway.
Experience working in interdisciplinary teams.
Experience providing care management or care coordination in a medical or behavioral health environment.
Experience working with people with chronic illness.
Positive attitude and growth mindset; ability to engage clients and peers and provide culturally competent services; strong verbal and written communication; attention to detail; ability to work independently and on a team; ability to partner with clients on assessments and care plans; strong time management and organization; integrity and transparency; and sound professional judgment.
Ability to read paper and electronic documents and perform significant computer data entry and record keeping.
Ability to travel within New York City and carry equipment weighing up to approximately 10 pounds.

Nice To Haves

Fluency in a second language, such as Spanish, Russian, or Creole.
Specific experience with the target population may be required for work with Children, Health Home Plus, or Adult Home Plus members.

Responsibilities

Integrate medical, specialized, and behavioral health services with social and/or educational support services.
Periodically assess members’ medical and behavioral health needs and their compliance with recommended treatments.
Collaboratively develop an Individualized Care Plan (ICP) with members, their families and/or caregivers, and other service providers.
Provide required care management services.
Track specialty medical, behavioral, and support-service referrals using the provided Health Information Technology (HIT).
Ensure members can access, engage in, and retain services identified in their ICP, including medical care, home health care, chemical dependency services, behavioral health services, community social support, housing, entitlements, educational services, and services related to child welfare or justice-system involvement.
Provide outreach to increase members’ access to services.
Respond to members’ information and referral questions.
Reassess the need for ongoing care coordination services.
Complete required documentation.
Share knowledge and experience with team members to support service provision.
Carry an agency-provided cell phone.
Respond to member crises during and occasionally outside regular business hours.
Perform other duties as assigned.