Care Coordinator

Good Shepherd Services•Brooklyn, NY

18d•Hybrid

About The Position

We are seeking a dedicated and compassionate bilingual (Spanish-speaking) Care Coordinator to support youth enrolled in the Health Home program. The Care Coordinator guides participants and their legal guardians through the health care system by addressing access barriers, building relationships with service providers, and monitoring interventions and outcomes to support high-quality care coordination. The position reports to the Care Manager Supervisor, Health Services, and is based at 503 Fifth Avenue, Brooklyn, NY 11215. Staff are expected to work on-site as requested; hybrid schedules may be provided based on program needs and leadership discretion. The role is 35 hours per week and non-exempt. Annual salary is $48,000–$53,000 for candidates with under two years of experience and $50,000–$55,000 for candidates with two or more years of relevant experience.

Requirements

Bilingual Spanish/English speaking ability is sought; bilingual candidates are highly encouraged to apply.
Previous experience as a Case Planner, Care Coordinator, Case Manager, and/or Case Worker in a social service setting.
Relevant expertise and experience serving children and families in child welfare, developmental disabilities, mental health, health care, other systems, and/or preventive services.
For Care Coordinators serving high-acuity enrollees, demonstrated knowledge and understanding of the needs of those children and their families, evidenced by additional years of experience, education, or training.
For Care Coordinators assigned to medically fragile children, extensive experience coordinating their care.
Experience providing service coordination and information, linkages, and referrals for community-based services.
Education and/or credential requirements depend on the acuity level of the children served. One listed qualification is a Bachelor of Arts or Science degree with two years of experience.

Nice To Haves

Experience with child welfare, ACS, and foster care is helpful.

Responsibilities

Secure required Care Management enrollment consents from individuals or their legal guardians.
Conduct initial and ongoing comprehensive Child and Adolescent Needs and Strengths (CANS) assessments to determine the appropriate level of care management.
Oversee development, implementation, and ongoing management of the Individualized Plan of Care (IPC), coordinating services according to acuity, reinforcing treatment recommendations, and continuously monitoring needs across prevention, wellness, medical, behavioral health, care transitions, and social and community service domains.
Meet client contact requirements, including required face-to-face visits for children according to assigned acuity level.
Complete Care Management documentation accurately and within required timeframes using the designated Care Management Portal (MAPP) and electronic health records as appropriate.
Advocate for clients within the agency and with external service providers.
Promote wellness and prevention by connecting enrollees with resources and services based on their needs and preferences.
Educate children and caregivers about chronic condition management, immunizations, screenings, and other preventive health interventions.
Assist clients in obtaining and maintaining public benefits needed to access health care and supportive services, including Medicaid, cash assistance, Social Security, SNAP, housing supports, legal services, and employment or training programs.
Communicate effectively with individuals, families, and caregivers, taking account of language, literacy, and cultural preferences.
Facilitate care-planning meetings and participate in the interdisciplinary team to support comprehensive, coordinated, holistic care.
Identify community-based resources and manage service referrals, access, engagement, follow-up, and coordination.
Participate in hospital discharge planning to ensure recommended post-discharge services are arranged before release.
Attend ongoing staff development and training to maintain and enhance Care Management skills.
Ensure children receive periodic evaluations and follow-up treatment for dental, vision, and hearing care in accordance with Medicaid EPSDT guidelines.
Perform other duties as assigned.