Health Home Plus Client Care Coordinator

JOB DESCRIPTION Title: Health Home Plus Care Coordinator Reports To: Client Care Supervisor FLSA: Non-Exempt Status: Full-time Supervisory Responsibility: Not Applicable About CHOICE: CHOICE is a leading Care Management Agency serving Westchester County in New York. Our Vision is a world where all people have a foundation to meet the challenges of everyday life. We are a dynamic not-for-profit organization which operates in the fast-changing environment of healthcare reform. CHOICE's core Mission is to help people restore and maintain their dignity and well-being regardless of their economic, mental, emotional, or physical conditions or limitations. We do this by providing Mental Health Advocacy and Peer Support, Homeless Outreach Programs and Services, and Mental Health Care Management and Support to those in need. Purpose of the Role: Serving Adults with a primary diagnosis of a serious mental health condition, responsible for day-to- day client interactions and care coordination of assigned cases. Address immediate and emerging needs, set goals, resolve issues, advocate for and connect clients to the needed resources to maintain stability in the community. Considered Intensive Case Management with a maximum case load of 20 clients with higher needs and more frequent contacts per month. Essential Functions of the Role: Responsible for referring patients to appropriate agencies, with specific focus on referrals to specialty care and public health insurance programs, as needed and appropriate. Consult with medical staff to link patients to services through the provision of ancillaries such as translation, transportation assistance and application assistance. Tracks referral appointments, obtains medical reports including follow up recommendations, keep patients informed of progress of scheduled appointments, monitor client’s adherence to medical/mental health appointments, obtains consent for release of information. Assist patient in overcoming obstacles that would prevent them from receiving needed referrals. Provide basic instruction/health education to clarify provider instructions, procedures and referral needs. Provide crises intervention as needed. Complete face to face contacts and telephonic care management services based on the individual’s needs and program requirements. Conduct community outreach visits to patients Participates in care conferencing regarding the provision and coordination of services. Client Care Coordinator: Job Description Continued Maintains the care records including filing progress notes, tracking due dates of periodic documentation such as: assessments, reassessments, care plans, medical updates, release of information forms and case conferences. Escort clients to appointments – medical, mental health, housing related, for entitlements as needed. Special projects as assigned by Supervisor. Performs other related duties as assigned. Qualifications for this Role: The Care Manager must have a bachelor’s degree in a Human Services field or at least 5 years working with clients in the Mental Health Field In addition to BA, the Care Manager will have at least two years of experience working with adults with serious mental illness. A Master’s Degree in Human Services field will count as one year of the two years required experience. Tenacity and passion for this work with the ability to balance objectivity with empathy. Computer literacy required. Knowledge of behavioral diagnoses and symptomatology Working familiarity with community resources, including entitlement programs, medical, financial and legal services, housing and emergency food programs, and behavioral health treatment and rehabilitation services. Must be able to effectively engage clients. Valid NYS Driver’s License required and a driving record that will permit the use of an Agency vehicle to transport clients to appointments or other activities as needed. Job Types: Full-time, Contract Pay: $21.98 - $25.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Life insurance Paid time off Referral program Tuition reimbursement Vision insurance Schedule: 8 hour shift Day shift Monday to Friday Education: Bachelor's (Required) Language: Spanish (Preferred) License/Certification: Driver's License (Required) Work Location: In person