The Coordination of Care and Mental Health Services program is designed to coordinate services and supports for adults with mental illness, chronic medical conditions, HIV/AIDS, and substance abuse, and help them live independently in the community using the Health Home model of service delivery.
• Provides Care Coordination services and maintains documentation requirements in compliance with NYSDOH, NYSOMH, OMIG, Health Home, and agency guidelines.
• Clearly informs clients of goals, configuration, and function of the program.
• Outreach, engage, and enroll the clients into the program to ensure their stability in the community.
• Identify individuals appropriate for Health Home services and facilitate their enrollment process into the program.
• Display professional skills to coordinate and maintain contact with all service providers and support systems including but not limited to psychiatrists, therapists, state and local hospitals, community residences, court systems, family members, primary care providers, MICA programs, and educational/vocational service providers.
• Advocate and monitor for appropriate service delivery, including helping individuals make and keep appointments, escorting individuals to appointments as necessary, and assisting recipients in arranging needed mental and physical health and psychiatric rehabilitation services while adhering to the client’s rights.
• Document and file all chart documentation including but not limited to progress notes, assessments, treatment plans, as well as weekly schedules and statistical reports in a timely fashion in accordance with NYSDOH, NYSOMH, OMIG, Health Home, and agency guidelines in the charts as well as the Health Home portals as required.
• Utilize skills to identify recipient’s strengths and limitations by assessing the level of motivation, capacity, and available resources to develop a service plan that is unique to each individual.
• Follows program’s guidelines and uses judgment and expertise to determine the appropriate level of intervention necessary in each situation.
• Seeks guidance and consults with supervisor regarding any client issue.
• Follows a chain of command to present any concerns or grievances.
• Participates in group/individual supervision and attends staff meetings and in service trainings.
• Assures coverage and assumes responsibility for uncovered caseloads.
• Is able to complete UAS-NY Assessments if meeting two years’ experience of employment.
• Seeks guidance and consults with Team Leader, Senior Team Leader, and Clinical Supervisor regarding any client issue.
• Bachelor’s degree required.
• Five or more years’ experience in a leadership role managing corporate compliance in a non-profit setting.
• Strong expertise in Microsoft Office Suite.
• Must have superior organizational and analytical skills, and excellent verbal and written communication skills.
• Must be able to work independently and manage multiple tasks in a fast-paced environment.
• Ability to work collaboratively with a variety of people, as well as an aptitude for teamwork.