Community Liaison Jobs

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Social Worker/Medical Liaison (MOC DG)

GODDARD RIVERSIDE COMMUNITY CENTER•New York, NY
•$56,000 - $61,000•Onsite

About The Position

Goddard Riverside Community Center partners with the Manhattan Outreach Consortium (MOC), a borough-wide initiative serving unsheltered people. The Downtown team serves lower Manhattan and works with community partners and healthcare agencies throughout Manhattan; its catchment area includes 23rd Street and below. The Medical Liaison engages people living on the street through community outreach using a harm reduction approach and coordinates and supports the team’s medical and psychiatric providers in delivering integrated care. The role also supports clinical assessments and, when necessary, emergency removals under 9.58 for clients at risk. The position combines administrative and clinical case management work (approximately 60%) with field work (approximately 40%). Administrative work includes coordinating medical and psychiatric schedules and referrals, developing healthcare linkages, resolving insurance issues, communicating with hospitals and providers, and reviewing the medically vulnerable client list with team leadership and providers. Clinical case management includes carrying a smaller caseload of medically vulnerable clients, coordinating public health initiatives, developing individualized housing and service plans, conducting intakes and psychosocial assessments, advocating and making referrals, maintaining records, and supporting clients in crises. Field work includes canvassing for clients for medical and psychiatric appointments, escorting clients to appointments and tests, and obtaining a 9.58 designation to assist with assessments and removals when needed. The schedule is Monday through Friday, 9:00 a.m. to 5:00 p.m.; flexibility is required to work evenings, overnight shifts, and weekends as needed, including quarterly overnight counts. The role works indoors and outdoors in all weather and involves frequent walking and standing and lifting up to 30 pounds, including client belongings.

Requirements

  • Master of Social Work (MSW) degree required at hire.
  • Licensed Master Social Worker (LMSW) required within six months of hire.
  • Valid driver’s license and driving record meeting the agency’s auto insurance guidelines, including at least one year as a licensed driver and no suspensions within the last three years.
  • Flexibility in work hours and availability for evening, overnight, and weekend shifts as required, including quarterly overnight counts.
  • Understanding of Housing First and other harm reduction models.
  • Ability to multitask.
  • Strong interpersonal skills.
  • Strong written and verbal communication skills.
  • Ability to work as a team player.
  • Good judgment.
  • Proficiency in Microsoft Outlook.
  • Experience with, or ability to learn, databases such as Streetsmart, MOCapp, and CARES.
  • Frequent walking and standing; ability to lift up to 30 pounds, including client belongings.

Nice To Haves

  • Prior experience with homeless and/or mentally ill populations.
  • Proficiency in Spanish.

Responsibilities

  • Complete incident reporting and follow up as needed.
  • Manage the psychiatric and Street Medicine Team schedule, add clients when referral documents are provided, and coordinate sign-in and sign-out with treatment team members on scheduled office days.
  • Ensure Housing Outreach Specialists submit referrals to the Street Medicine Team and psychiatric providers, and facilitate follow-up on treatment team recommendations.
  • Develop linkages with healthcare providers and resolve insurance issues, including gathering medical information, assisting with obtaining hospital records, locating providers, and assisting with insurance authorizations.
  • Consult E-PACES to determine medical coverage when necessary and track Medicaid and Medicare certification to ensure recertification.
  • Communicate with hospitals and emergency rooms during acute treatment or hospitalization and with Janian providers about emergencies, advocacy needs, and other urgent matters.
  • Meet monthly with team leadership and Street Medicine Team providers to review and update the medically vulnerable list.
  • Carry a smaller caseload of medically vulnerable clients and assist the Street Medicine Team with special projects and public health initiatives, such as vaccinations.
  • Manage a client caseload and develop individualized housing and service plans to address barriers to stability.
  • Guide clients through the housing process from street homelessness to transitional or permanent housing.
  • Conduct comprehensive intakes and psychosocial assessments to identify needs, goals, and services.
  • Advocate with housing, benefits, healthcare, and other service providers and coordinate appropriate referrals.
  • Maintain accurate case records and database documentation.
  • Support clients during crises and coordinate emergency or supervisory assistance as needed.
  • Participate in staff meetings, case conferences, training, supervision, and program evaluation and improvement.
  • Canvass for clients in the field for medical or psychiatric appointments, with providers or independently.
  • Escort clients to medical appointments, labs, and diagnostic imaging centers as needed.
  • Obtain a 9.58 designation and assist with assessing and completing removals for clients in the field when needed.
  • Perform other duties as required.

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