HEALTH HOME CARE COORDINATOR-TEAM LEAD

Citizen Advocates, Inc.•Malone, NY

2d•$18 - $27

About The Position

Heath Home Care Coordinators work closely with clients on a one-on-one basis to provide guidance, support, and advocacy to clients dealing with chronic conditions to include mental health, substance use and medical issues. Their function is to help their clients navigate complex systems, by linking and connecting community resources to remain successful and independent while decrease emergency room and inpatient hospitalizations. Team Lead will follow Health Home Care Coordination Essential functions (Job Duties) and additional Essential Functions listed below.

Requirements

Excellent oral and written skills
Ability to articulate clearly to clients
Ability to work in a fast-paced environment working on multiple tasks throughout the day
Stress Management
Confidentiality
Ability to navigate multisystem
Bachelor’s degree in one of the qualifying fields and two (2) years of Experience; OR A NYS teacher’s certification for which a bachelor’s degree is required, OR A Bachelor’s level education or higher in any field with five (5) years of experience working directly with persons with behavioral health diagnosis; OR A Credentialed Alcoholism and Substance Abuse Counselor (CASAC) and two (2) years of Experience
Experience must consist of: Providing direct services to people with Serious Mental Illness (SMI), Developmental Disabilities, Alcoholism or Substance Abuse, and/or children with Severe Emotional Disturbance (SED); OR Linking individuals with Serious Mental Illness, children with SED, Developmental Disabilities, and/or Alcoholism or Substance Abuse to a broad range of services essential to successful living in a community setting (e.g. medical, psychiatric, social, educational, legal, housing and financial services).

Responsibilities

Interviewing/Screening referrals as assigned by the Program Supervisor/Team Lead
Assessing program eligibility and client needs
Providing emergency and/or interim services including referral and linkage for incoming and returning consumers
Attending and participating in the monthly Single Point of Access (SPOA) meetings; including being prepared to present on referrals and review rostered individuals on the waiting list
Completing required assessments per agency, Lead Health Home, DOH and OMH
Assisting active Health Home clients with the development of their care coordination service plans.
Evaluating client progress and outcomes of interventions
Completing daily progress notes concurrently and/or within 72 hours, documenting information related to activities undertaken on behalf of the client related to the goals indicated on the service plan
Maintaining a professional and responsible manner in relation to clients, staff and the public
Adhering to professional standards and the code of ethics of the respective clinical discipline
Maintaining confidentiality in accordance with HIPPA regulations as it pertains to the clients served by the program
Engaging active clients towards the goal of their own rehabilitation and recovery
Linking clients with appropriate services
Advocating for clients’ access to services and for the best interest of the clients
Transporting clients as needed, linking and connecting to public resources for independent transportation
Assisting and coordinating crisis intervention services to active clients in collaboration, if necessary, with the local mental health center
Assisting clients and providing interventions in order to help them reach their goals and improve their quality of life
Monitoring clients’ situations and overall well-being
Consulting with collaterals, with the client’s permission, towards improving client outcomes while assisting them in addressing their goals
Taking the lead role when collaborating with other service providers towards a coordinated effort to ensure continuity of care for the clients
Preparing and maintaining client records in accordance with departmental procedures
Developing, as needed, other services to meet client needs when no appropriate service exists or when existing services are inadequate
Planning for the use of client service dollars in conjunction with the service plan and as related to the client’s goals.
Maintaining and reconciling the allocated emergency/client specific petty cash fund
Utilizing the purchase order and check request process to request the use of client specific funds
Maintaining client service utilizing Electronic Health Record (EHR)
Attending and participating in individual, group and team meeting
Assisting with client coverage for other staff in their absence and arranging for such in yours
Reporting to Supervisor, Program Manager and/or Director for all emergencies and other concerns and work towards resolution
Adhering to agency policies and procedures
Adhering to Lead Health Home policies and procedures
Contact point for all referrals
Process all referral and disperse among team, as needed
Make initial contact with all referrals to determine, willingness to anticipate with services, Obtain eligibility for services and level of services to be provided
Complete screenings and enrollment process
Assist supervisor in managing Health Home Care Coordinator caseloads
Assist in training new hires in HER and other Health Home related tasks