Care Coordinator I

Harlem Family Services Center (317 Lenox Ave)

$42,000 - $44,000

POSITION SUMMARY: The Care Management Program assists families with ensuring eligible children receive the medical and behavioral health care services they need to promote optimal health by linking, accessing and supporting families through service integration. The Care Coordinator I (CC) is responsible for the overall provision and coordination of services to assigned caseload. The CC guides program enrollees and their caretakers through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.

RESPONSIBILITIES:

• Carry out 6 core care management functions to assigned caseload: Comprehensive Care Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Individual & Family Support, Referral to Community and Social Support Services, Use of health Information Technology to link services
• Complete CANS-NY assessment on all enrolled clients on caseload; initial and every 6 months
• Collaborate with family and other providers on development and execution of Care Plan
• Document all activities in GSI, including progress notes in an accurate and timely manner - and other systems as needed (EHR, Connections)
• Create Crisis/emergency plan for each client
• Provide information to Children's Aid staff & Liaison between CAS programs as needed
• Provide outreach to potential clients as needed
• Obtain consent & enroll eligible clients in the Collaborative for Children & Families (CCF - the health home) as needed
• Help create linkages to community services for future resource for families as well as source of potential referrals
• Help create & maintain a resource log
• Conduct field work & home visits as needed (possibility of evenings or weekends)
• Maintain confidentiality & HIPPA compliance
• Work as part of the Care Management Team in all areas, focus on meeting established enrollment targets
• Participate in Program, Division and Agency wide activities (meetings, events, etc..)
• Attend trainings as required
• Other duties as assigned

SKILLS AND QUALIFICATIONS:

• Minimum of HS Diploma with 10 years of relevant experience; or Associates Degree with 3 years' experience; or Bachelor's Degree
• Medical Assistant experience a plus
• Organized self-starter
• Experience in serving children and families in child welfare, developmental disabilities, mental health, and or healthcare
• Excellent organizational and time management skills
• Comfortable working in the field utilizing public transportation
• Strong communication skills; written and verbal
• Ability to engage disenfranchised population
• Ability to multitask
• Empathetic
• Ability to work flexible hours, some nights and weekends may be required
• Bilingual preferred (Spanish/English)