Care Management Coordinator - MSW

Northwell • New York, NY

4d • $44,450 - $69,340

About The Position

This role involves implementing and sustaining the evidence-based HealthySteps model to support families of children ages 0-5. The coordinator will work in conjunction with the pediatric primary care team to address development, learning, growth, and overall well-being. Key activities include participating in well visits, maintaining a community resource directory, managing a family support line, providing referrals, documenting clinical activities, tracking caseloads, and facilitating caregiver support groups.

Requirements

• Master’s degree in social work or related field, required.
• NYS Licensure required within 6 months of hire, if applicable.
• 1-3 years of relevant experience working with children and families, required.
• Successful completion of the HealthySteps Specialist training within 6 months of hire.

Responsibilities

• Implement and sustain the evidence-based HealthySteps model in supporting families of children ages 0-5 with development, learning and growth, and overall wellbeing, in conjunction with the pediatric primary care team.
• Join and participate in in-person team-based well visits to reach families during primary care appointments.
• Create and maintain up-to-date community partnership and resource directory.
• Maintain a HealthySteps family support line and respond to and track call requests within designated response time.
• Provide appropriate referrals to families for support with individualized needs.
• Appropriately document all clinical activities and care coordination in the electronic health record with consideration to patient confidentiality.
• Attend and participate in team meetings, huddles, and patient care meetings as appropriate.
• Track caseload to ensure capacity to deliver HealthySteps services within the delivery model. Ensure when termination criteria are met and/or escalate families requiring further support to higher levels of care through health system and community referrals, as appropriate.
• Use team-based communication strategies to close the loop on referrals and follow up for outstanding patient needs.
• Facilitate caregiver support groups as appropriate.
• Participate in reflective clinical supervision meetings.
• Maintain accurate records of caseload data as appropriate for program management, evaluation, and reporting purposes.

What This Job Offers

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