Outreach Care Coordinaor

Upper Manhattan Mental Health Center Inc•New York, NY

95d

About The Position

The Outreach Care Coordinator is responsible for engaging and enrolling eligible members into the Health Home Care Management Program (CCMP & HHC). This role ensures timely contact with referred individuals, conducts outreach activities to explain program benefits, and facilitates enrollment by gathering required documentation. The Outreach Care Coordinator works closely with the care management team to ensure smooth transition of members into active care management services.

Requirements

High School Diploma or equivalent required; Associate’s or Bachelor’s degree in health, human services, or related field preferred.
Minimum 1 year of experience in outreach, case management, care coordination, or community health work.
Strong communication and interpersonal skills.
Ability to engage hard-to-reach populations and build rapport.
Detail-oriented with strong organizational and time management abilities.
Proficiency in Microsoft Office and data entry systems.
Field-based role with required travel to members’ homes, hospitals, and community sites.
May include evenings or weekends to accommodate member needs.
Must be able to travel within assigned service areas; valid driver’s license and reliable transportation required (if applicable).

Nice To Haves

Experience working with Medicaid, vulnerable populations, or behavioral health preferred.
Bilingual preferred (English/Spanish or other languages common in the community).

Responsibilities

Conduct outreach to members referred to the Health Home program through phone calls, home visits, community visits, and written communication.
Provide education on Health Home services, including care coordination, connection to community resources, and improved health outcomes.
Confirm member eligibility for CCMP and/or HHC services using established guidelines.
Obtain consent and complete necessary enrollment forms accurately and timely.
Enter outreach attempts, contacts, and enrollment status into the electronic health record system.
Coordinate initial member intake of appointments with assigned Care Managers.
Identify and address barriers to engagement, including transportation, language, and social determinants of health.
Maintain productivity standards and meet monthly enrollment targets.
Collaborate with community providers, hospitals, and referral sources to facilitate smooth transitions into the program.
Participate in staff meetings, training, and case conferences as required.
Maintain confidentiality and comply with HIPAA and organizational policies.