Senior Care Coordinator

CN Guidance and Counseling Services•Plainview, NY

About The Position

The Senior Care Coordinator is a member of an interdisciplinary team providing care coordination to adults with severe mental illness, multiple medical co-morbidities, and/or co-occurring substance use disorders. The role advocates for and supports clients, works with community agencies and health care providers to secure access to services, promotes wellness self-management, and helps reduce emergency room visits and hospitalizations. The coordinator provides expert support, psychosocial and/or substance abuse interventions, and resources while maintaining a focus on outcomes and best practices. The position provides outreach, engagement, service planning, care coordination, advocacy, and crisis intervention through both telephonic and face-to-face contact, including work in the field. The Senior Care Coordinator must be available on an as-needed basis 24 hours a day, 7 days a week, and must regularly travel to various locations. Travel may include transporting clients in Agency vehicles. A bachelor's or master's degree in a related field is preferred. Applicants with a bachelor's degree require two years of related human service and direct service experience; applicants with a master's degree require one year. The role also requires computer and electronic health record familiarity, strong communication and interpersonal skills, knowledge of relevant social service systems, and the ability to document work in accordance with program standards. CN Guidance & Counseling Services describes its mission as inspiring and catalyzing recovery for people living with mental health and substance use conditions through integrated clinical treatment, counseling, housing, and support services. The organization states that it is an equal opportunity employer.

Requirements

Bachelor's or master's degree preferred in Social Work, Psychology, Education, Rehabilitation, Occupational Therapy, Counseling, Community Mental Health, Sociology, Speech and Hearing, Physical or Recreational Therapy, or another related field.
For bachelor's-level candidates, two years of related human service and direct service experience are required.
For master's-level candidates, one year of related human service and direct service experience is required.
Experience providing direct services to individuals with severe mental health disorders, co-occurring substance abuse disorders, developmental disorders, and/or physical disabilities; linking clients to services needed for independent community living; and advocating for underserved or disenfranchised populations.
Working knowledge of computer software and electronic health record systems.
Competency in written, verbal, and computational skills for presenting and documenting records in accordance with program standards.
Experience with and comprehensive working knowledge of interdisciplinary planning and the developmental treatment model.
Knowledge and sociological understanding of Medicaid, Social Security, and other social service entitlements.
Excellent interpersonal skills.
Knowledge of cultural competence and sensitivity.
Ability and willingness to travel regularly to multiple locations using reliable and safe transportation, sometimes with clients in Agency vehicles.
For work in Nassau or Suffolk Counties, a valid driver's license from New York, New Jersey, or Connecticut is required. A current valid driver's license must be on file with CNGCS Human Resources, and the employee must be designated and remain in good standing as a CNGCS authorized driver.
Availability for crisis intervention and follow-up on an as-needed basis 24 hours a day, 7 days a week.

Responsibilities

Conduct initial and ongoing client assessments to document strengths, needs, goals, and resources.
Participate in developing, documenting, reviewing, and updating client-centered, comprehensive, integrated interdisciplinary care plans in consultation with the Program Supervisor and team members.
Communicate with clients, primary care physicians, substance abuse and mental health providers, family members, collateral resources, and Agency staff on clients’ behalf.
Maintain documents, records, statistics, and related reports accurately, promptly, and in accordance with policies and procedures.
Coordinate care planning with other service and resource providers, including care transitions, to support collaborative, goal-directed care.
Participate in Care Coordination team meetings and provide input on psychosocial conditions and co-morbidities, client status, plans, goals, and outcomes.
Act as a resource and consultant to team members on psychosocial and/or substance abuse issues and resources.
Provide telephonic and face-to-face outreach, engagement, and service planning in the field.
Link clients to community medical, behavioral, residential, entitlement, and other services identified in the interdisciplinary care plan.
Monitor service delivery to support coordination and continuity, and advocate with providers and resources as needed.
Provide crisis intervention and follow-up on an as-needed basis, 24 hours a day, 7 days a week.
Attend AOT evaluations and court dates as needed.
Complete weekly AOT monitoring reports for all clients.
Maintain the integrity of client records throughout the program.
Complete additional clinical assessments and coordinate care with managed care organizations as needed.
Facilitate sharing relevant data with clients to support partnered decision-making and keep them informed of progress.
Complete QI training during onboarding and participate in refresher training as needed.
Help cultivate an inclusive culture that respects employees’ strengths, views, and experiences.
Follow safety protocols and procedures and contribute to maintaining a safe work environment.
Perform other duties as assigned.

Benefits

Medical insurance, including a $0 deductible Platinum Plus plan with 90% of the benefit provided by the employer.
Dental insurance.
Vision insurance.
Flexible Spending Account.
403(b) retirement plan.
Long-term and short-term disability coverage.
Legal plan.
Dependent Care Expense Account.
Life and supplemental life insurance.
Pet insurance.
HRA.
Training programs, including a mentorship program.
Potential eligibility for Federal/Public Student Loan Forgiveness.
Career growth and promotional opportunities.
Employee perks and discounts, including Broadway shows.
Five personal days, 10–20 vacation days, 12 sick days, and 12 company-paid holidays annually.