Care Coordinator (Brooklyn)

New Horizon Counseling Center • New York, NY

131d • $50,000 - $50,000

About The Position

New Horizon Counseling Center is seeking a Health Home Care Manager to support individuals with complex medical, behavioral health, and social needs in living successfully in the community. This hands-on, community-based role involves building relationships with clients, advocating for them, coordinating services, and helping them overcome barriers to care.

The Care Manager assesses clients’ needs, develops individualized care plans, coordinates care and follow-up with providers, and connects clients to health, housing, benefits, and other community resources. The role includes regular travel throughout the community to meet with clients and providers, as well as timely documentation of assessments, care plans, and required reports.

Requirements

• Bachelor’s degree in Social Work, Human Services, Psychology, Public Health, or a related field.
• Strong communication, organization, documentation, and advocacy skills.
• Ability to build trusting relationships with individuals from diverse backgrounds.
• Ability to work independently and collaborate effectively with a team.
• Reliable transportation and ability to travel regularly throughout the community.

Nice To Haves

• At least one year of direct human services experience working with individuals with serious mental illness, HIV/AIDS, disabilities, or other complex needs.
• Experience in Health Home, care management, behavioral health, case management, social services, housing, hospital discharge planning, or community-based services.
• Bilingual or multilingual skills.
• Experience working with Medicaid, SSI/SSD, SNAP, housing, or other public benefits.

Responsibilities

• Engage clients in the community through face-to-face outreach and regular contact.
• Complete initial and ongoing assessments to identify client strengths, needs, goals, and barriers.
• Develop and implement individualized care plans with clients and their providers.
• Coordinate appointments and follow-up care with primary care, behavioral health, hospitals, rehabilitation facilities, and other providers.
• Assist clients transitioning from hospitals, emergency departments, or rehabilitation programs back into the community.
• Identify and address gaps in care, including missed appointments, medication concerns, and unmet healthcare needs.
• Connect clients to resources addressing housing, food insecurity, transportation, benefits, employment, and other social determinants of health.
• Assist clients with accessing benefits and community resources such as SSI/SSD, SNAP, HEAP, Medicaid, housing programs, and other supportive services.
• Advocate for clients and help them navigate healthcare and social service systems.
• Collaborate with providers, family members, community agencies, and other members of the client’s care team.
• Maintain accurate and timely documentation, care plans, assessments, and required reports.
• Travel regularly throughout the community to meet with clients and providers.

Benefits

• Supportive team environment with opportunities for mentorship and professional growth.
• Professional development and training.
• Opportunity to build experience in healthcare, behavioral health, and care coordination.

What This Job Offers

• Job Type: Full-time