Case Manager ESD - Crisis Services

Family Residences and Essential Enterprises, Inc.•Bethpage, NY

1d•$28 - $28•Onsite

About The Position

The Enhanced Step-Down (ESD) Specialty Critical Time Intervention (CTI) Case Manager provides specialized, time-limited case management and transitional support to adults with co-occurring Serious Mental Illness (SMI) and Intellectual and/or Developmental Disabilities (I/DD) who are transitioning from hospitals or emergency departments into the community. Using the CTI model, the Case Manager facilitates safe transitions by connecting individuals to long-term supports, strengthening natural and professional relationships, and reducing the likelihood of hospital readmission or crisis recurrence. The role is part of the New York State Office of Mental Health’s Enhanced Step-Down Program, which integrates a Specialty CTI Team and a Transitional Residential Setting (TRS) to provide coordinated, person-centered, and trauma-informed care. The position is performed in person in an office and in the community, with remote coordination and documentation also required. Travel within Nassau and Suffolk Counties and to partner hospitals, residential facilities, and community settings is required. The role requires a flexible schedule, including evenings and weekends, based on program needs.

Requirements

Bachelor's degree in human services, social work, psychology, rehabilitation, or another related field.
At least one year of direct-service experience with individuals with co-occurring Intellectual/Developmental Disabilities (I/DD) and Serious Mental Illness (SMI).
At least one year of experience navigating OMH and/or OPWDD service systems, eligibility processes, and community resource coordination.
Complete Critical Time Intervention (CTI) model certification within 12 months of hire.
Complete OMH 9.58 designation certification within 6 months of hire.
Working knowledge of behavioral health and developmental disability services and systems.
Excellent communication, interpersonal, and organizational skills.
Ability to work collaboratively within a multidisciplinary team and across systems.
Strong crisis management, advocacy, and problem-solving skills.
Proficiency in Microsoft Office Suite and electronic health record systems.
Commitment to recovery-oriented, person-centered, and trauma-informed care approaches.
Valid driver’s license and ability to meet agency-driver criteria.
Current PPD (tuberculosis) test or equivalent screening; screening will be administered upon hire if needed.
Physical examination completed within the past year by a licensed healthcare provider.
Up-to-date immunization records, which may include MMR, Varicella, Tdap, Influenza, and COVID-19, in accordance with hospital system protocols and public health guidelines.
If not vaccinated against COVID-19 and electing not to receive the vaccine, sign a COVID-19 vaccine declination form.
Ability to work a flexible schedule, including evenings and weekends, based on program needs.
Ability to sit, walk, and stand for prolonged periods of time (at least 8 hours).
Ability to communicate effectively both verbally and in writing.
Ability to operate standard office equipment, including computers, phones, photocopiers, fax machines, and filing cabinets.
May be required to lift or move light items.

Nice To Haves

Master’s degree in a human services discipline.
Prior experience with evidence-based practices such as CTI, ACT, or care coordination.

Responsibilities

Provide specialty CTI services with fidelity to the model, focusing on individuals with co-occurring mental health and developmental disabilities.
Conduct comprehensive Immediate Needs Assessments and develop individualized support and transition plans addressing behavioral health, physical health, housing, benefits, and community integration.
Collaborate with hospital discharge planners, OPWDD liaisons, and community providers to ensure seamless transitions.
Facilitate engagement before discharge and provide active follow-up throughout the community transition period.
Coordinate linkages to housing, behavioral health, medical, and developmental services and assist individuals in navigating eligibility processes for OMH, OPWDD, and related systems.
Support individuals in developing independent living and coping skills through direct coaching and modeling.
Assist in creating and implementing Positive Behavioral Support Plans (PBSPs) with the Behavior Intervention Specialist and treatment team.
Provide crisis intervention and de-escalation support in community settings when needed.
Maintain accurate and timely documentation in accordance with OMH and agency standards.
Participate in weekly team meetings, case conferences, and individual supervision to maintain program fidelity and clinical alignment.
Uphold trauma-informed, recovery-oriented, and person-centered care principles.
Participate in quality improvement, data collection, and outcome reporting activities.
Ensure required paper and electronic documentation is completed and processed appropriately, on time, and in accordance with quality and compliance thresholds.
Perform other duties as assigned.
Communicate respectfully with people supported, supervisors, team members, and community members.
Comply with FREE confidentiality policies and protect confidential information.
Meet safety training requirements, follow safety policies, report unsafe conditions, and take measures to prevent accidents and health or safety risks.
Coordinate, support, attend, and participate in required events, meetings, reviews, and committees, including those outside standard working hours.
Meet job requirements, maintain compliance, and adhere to FREE’s ethical standards, Employee Handbook, Code of Conduct, applicable laws, and regulations.