Care Coordinator Position
PLEASE READ THE QUALIFICATIONS FOR EACH POSITION THOROUGHLY SO YOU CAN INDICATE WHICH POSITION YOU ARE INTERESTED IN WHEN YOU SUBMIT YOUR COVER LETTER. WE ARE PRIMARILY LOOKING FOR SPANISH-SPEAKING CANDIDATES
Overall:Responsible for monitoring and tracking the progress of patients with complex psychiatric and/or co-morbid medical conditions and alerting other members of the Care Team when follow-up is required. Ensures efficient and successful access and linkage to necessary medical and behavioral health services. Coordinates effective communication between all team members and works under general direction.
*         Works collaboratively with all team members to ensure thorough and timely monitoring of patient needs and progress toward Care Plan goals. Reviews Care Plan with Care Manager and confirms acuity level of identified patient to ensure service needs are met.
*         Tracks all medical, behavioral substance use and other network referrals made for patients and ensures that patients follow up on referrals and attend scheduled appointments, through accompaniment when necessary.
*         Provides phone and physical outreach to patients who have been non-adherent to necessary treatment appointments or have missed appointments for initial visits with new providers. Makes reminder phone calls to patients for all appointments.
*         Provides outreach via phone to patients to ensure appropriate follow up regarding self-care, medication refills, Care Plan adherence, scheduled office visits, test results/lab work, and all other pertinent psycho-social issues.
*         Tracks/monitors patient progress through a combination of written work, agency databases and case conferences with the Care Team. Documents and maintains case records in agency database and completes all data entry in a timely fashion.
*         Becomes familiarized with all service providers in the Health Home network and maintains a comprehensive list of contact information for key personnel within the network. Always represents ASCNYC with the highest level of professionalism and respect.
*         Ensures that relevant team members receive important patient alerts , including ER visits, hospitalization admission/discharge information and other urgent care notifications.
*         Monitors patient entitlements, insurance, and other benefits to ensure they remain active and in place. Alerts Care Manager if benefits/entitlements lapse to assist team members with reinstatement of said benefits.
*         Participates in initial and ongoing trainings as necessary to maintain a basic level of knowledge related to serious physical ailments as defined by Health Home regulations.
*         Care Coordinators will have a caseload of up to 50+ clients.
Minimum Qualifications:
Care Coordinators will have spent a total of one-year working with an underserved population through employment, volunteer work, and internships. The CC should ideally have a basic knowledge of HIV/AIDS, Substance Abuse, Mental Health, and Entitlement issues. The CC should hold at least an Associate's Degree, preferably in a Social Service discipline. Multilingual (particularly Spanish-speaking) candidates are preferred.
How to apply
Please email cover letter and resume to [log in to unmask]<mailto:[log in to unmask]>. NO PHONE CALLS