Care Specialist - Full-time; 4601-201-N

Catholic Charities Brooklyn and Queens•New York, NY

1d•Hybrid

About The Position

Catholic Charities Brooklyn and Queens has been providing quality social services for over 125 years, offering more than 160 programs for various age groups and needs, including mental illness. Their Children’s Care Coordination team partners with the New York State Health Homes Program to assist children and families (ages 0-21) in achieving their goals and receiving community-based care. The program focuses on connecting individuals with tailored services to address healthcare needs and ensure access to timely and efficient community support.

Requirements

Bachelor’s degree in social work, psychology or a related health/human services field with two (2) years of direct work with the target population.
OR Degree/certification in Medical and Clinical Assistance or Health professional field.
Combination of skills in crisis intervention, time management, psychosocial rehabilitation skills.
CANS-NY certification.
Ability in linking clients to a broad range of services essential to successfully living in a community setting.
Excellent communication skills.
Cross-cultural competency, outreach, interviewing, listening, advocating, linking, negotiating, engagement, monitoring and clinical assessment skills are essential.
Excellent computer skills are necessary.
Knowledge of the community medical resources and their financial requirements.
Good oral and written communication skills.

Nice To Haves

Fluency in second language preferred

Responsibilities

Coordinating all aspects of care for assigned health home serving children members with complex medical and/or psychiatric co-morbid conditions.
Facilitating access to medical, behavioral health, substance use, social, and psychosocial services in the community.
Integrating and coordinating physical health, mental health, and social service needs.
Participating in all phases of care transition to ensure members receive required mental and medical follow-up care and services.
Taking action around re-engagement of members who have become lost to care.
Electronically monitoring and tracking data regarding health home members and alerting the Care Team when follow-up is required.
Engaging and retaining Queens health home members in care.
Coordinating and arranging for the continuous provision of services.
Supporting adherence to treatment recommendations.
Monitoring and evaluating needs, including prevention, wellness, medical, specialist, and behavioral health treatment, care transitions, and social and community services.
Developing, managing, and coordinating a comprehensive individualized person-centered care plan.
Ensuring the availability of priority appointments for health home members to care services.
Promoting evidence-based wellness and prevention by linking health home members with resources.
Tracking and sharing health home members’ information and care needs across providers.
Reassessing needs for Health Home services and reviewing historical or targeted clinical measurements.
Completing contact notes, incident reports, and other required documentation.
Completing CANS-NY training and examination.
Outreach via phone to health home members between visits.
Monitoring that the health home member completes post-visit follow-up.
Monthly face-to-face visits with client/child and monthly follow-up with various providers/collaterals.
Aiding health home members in identifying primary care physicians and multidisciplinary teams.
Referring Queens health home members to peer supports and coordinating peer supports, support groups, and self-care programs.
Assuring timely and comprehensive transitional care from an inpatient facility.
Developing and maintaining health home networks with various providers and organizations.
Utilizing regional health information organizations (RHIOs) and other data systems to track and share information.
Utilizing and electronically tracking all specialty medical, behavioral, and support service referrals.
Responsible for direct service provision of services to the consumer based on needs.
Work schedule includes holiday coverage.
24 hours/7 days a week availability to provide information and emergency consultation services.
Reporting issues that may have a negative impact on the agency, client, or staff welfare.
Cooperating with investigations conducted by the Agency, funding sources, and other authorized agencies/entities.