HEALTH HOMES CARE COORDINATOR - Central Islip, NY

Economic Opportunity Council of Suffolk Inc•Central Islip, NY

About The Position

The Health Homes Care Coordinator manages a caseload of individuals with chronic physical health, mental or behavioral health, and social needs. The role coordinates comprehensive medical and behavioral health care for people with chronic conditions through care coordination and integration, helping ensure access to appropriate services and improve health outcomes. A primary goal is to reduce avoidable emergency room visits and hospital admissions through care management services. Services include linking and referring clients to appropriate community services, coordinating with community providers, hospitals, and family members, and offering prevention and wellness support. The coordinator completes comprehensive assessments, develops care plan goals with clients, monitors and documents services and progress toward goals, and records client engagement in detailed progress notes. The employee may also take on other duties assigned by the Director or Supervisor of Health Homes to complete program tasks.

Requirements

  • Bachelor's degree in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing, or another human services field, plus one year of direct-service experience with people with mental disabilities, chronic illness, or another Standard of Medical Under-Service; OR valid CASAC certification plus two years of experience providing direct services to people with serious mental illness, developmental disabilities, or alcoholism or substance abuse, or linking such individuals to services essential to successful community living.
  • A master's degree in one of the listed education fields may substitute for one year of experience.
  • Experience working with individuals living with a severe mental illness.
  • Experience managing a full caseload.
  • Ability to manage time and productivity effectively and adhere to strict deadlines.
  • Ability to work in a fast-paced environment.
  • Excellent communication and writing skills.
  • Computer knowledge, including Windows and Microsoft Office applications such as Word, Excel, and Outlook, including Outlook Calendar.
  • Ability to work as part of a team with coworkers and other colleagues.
  • Comfort and experience working with multiple electronic systems.
  • Cultural sensitivity and ability to work with diverse groups, community agencies, schools, and the general public.
  • Strong organizational skills and attention to detail.
  • Ability to follow directions and communicate effectively orally and in writing.
  • Valid driver's license and insured vehicle.
  • Current PPD/TB test proof of results, no more than one year old.

Nice To Haves

  • Knowledge of mental health terminology and community resources.

Responsibilities

  • Manage a caseload of individuals with chronic physical health, mental or behavioral health, and social needs.
  • Coordinate medical and behavioral health care for patients with chronic conditions to support access to appropriate services and improve health outcomes.
  • Provide care management services intended to help reduce avoidable emergency room visits and hospital admissions.
  • Link and refer individuals to appropriate community services.
  • Coordinate services with community providers, hospitals, and family members.
  • Complete comprehensive assessments and develop care plan goals with clients.
  • Monitor and document services provided and progress toward goals.
  • Document client engagement in detailed progress notes.
  • Refer clients to community and social support services.
  • Offer prevention and wellness support services.
  • Perform other duties assigned by the Director or Supervisor of Health Homes to complete program tasks.
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