Care Coordinator

The Jewish Board•New York, NY

12d•$25•Hybrid

About The Position

Care Coordinators help children with chronic medical or behavioral health conditions obtain and use the medical, social, educational, and community services they need to stay healthy and avoid unnecessary emergency-room visits. They assess members’ needs, develop person-centered care plans with members, families, caregivers, and providers, and support members in accessing services, keeping appointments, following treatment recommendations, and obtaining benefits and advocacy. The role is team-based and primarily field-oriented, with some evening availability and occasional response to member needs and crises after business hours through a rotating emergency phone. Additional responsibilities may be assigned. The position is currently hybrid, with three office days and two hybrid days, and may transition to fully in-person work based on program needs. Work includes office-based interaction (approximately 20–40% of the time) and service delivery in members’ homes and community settings such as hospitals, clinics, and benefit offices (approximately 60–80%). The role requires travel within New York City, including frequent travel throughout the Bronx, Brooklyn, and Manhattan, and carrying work equipment weighing up to approximately 10 pounds.

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 children with mental disabilities, chronic illness, or homelessness and 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 people.
Excellent written and 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 record systems.
Manual dexterity and hand-eye coordination for data entry and record keeping.
Ability to travel within New York City and carry equipment weighing up to approximately 10 pounds.
Some evening availability is required.

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.
Periodically assess members’ medical and behavioral health needs and their adherence to recommended treatment.
Develop individualized plans of care collaboratively with members, families or caregivers, and other service providers.
Conduct and document outreach to new referrals to facilitate enrollment.
Provide care management and help members access and retain services identified in care plans, including medical, preventive, home health, chemical dependency, behavioral health, community 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 required electronic databases.
Monitor discharge and ongoing care planning before and after transitions 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 weekly supervisory sessions.
Make referrals and reassess members’ ongoing need for care coordination.
Share knowledge and experience with team members to support service delivery.
Carry an agency-provided cell phone, laptop, and hotspot for hybrid use.
Respond to members’ questions, needs, and crises during and after regular business hours through the program’s rotating emergency cell phone.
Perform other duties as assigned.