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Health Home Plus Care Coordinator

Puerto Rican Family Institute, Inc. -
New York, NY

Apply Now

Job Details

Full-time
$55,000 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Flexible schedule
Life insurance

Qualifications

Spanish
Maintaining patient confidentiality
Master's degree
Clinical case management
Documentation tools
Bachelor's degree
Case management
Mental health counseling
Productivity software
Cross-functional collaboration
Care coordination
Managing patients as a clinical case manager
Database software proficiency

Full Job Description

Position Summary:

Looking for a career that is both rewarding and challenging? Are you passionate about positively impacting your community? If so, come and join us; bring your talent, your drive, your integrity, and your heart to PRFI, Inc.

Puerto Rican Family Institute, Inc. is based on the principle of people first. We are proud to provide person-centered care to the individuals we serve. Our focus is on personal strengths; we aim to achieve our client’s aspirations and goals. Our programs are tailored to unique needs and circumstances. At PRFI, Inc., we offer flexible schedules and comprehensive benefits.

We look forward to hearing from you.

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, incarceration histories, struggles with homelessness, and substance abuse, and help them live independently in the community using the Health Home model of service delivery. HH+ Care Coordinators must also provide Care Coordination services in accordance with HH+ guidelines and Health Home guidelines.

BENEFITS: Comprehensive health plan on the first of month after hire (Medical, Dental, Vision. LTD, Life Ins, STD, Flexible Spending Accounts, Retirement) as well as generous Paid time off package. The Paid time off package includes 4 weeks of vacation, 12 sick days, 4 personal days and 12 holidays during the year.

Major Duties:

Provides Care Coordination services to clients who meet HH+ eligibility criteria as mandated by NYSDOHMH and maintains documentation requirements in compliance with NYSDOHMH, Health Home, and agency guidelines. This includes high utilizers of hospital services, individuals experiencing homelessness, individuals who have been recently incarcerated, or those who have recently stepped down from an AOT order.
Develops competencies in the areas of using evidence based screening tools related to mental health, substance abuse, forensic services, self-harm and domestic violence.
Develop competency in HARP workflows and connections to HCBS services and completes all trainings to be able to link clients to those services.
Identify individuals appropriate for HH+ services and facilitates their enrollment process into the program.
Carries a caseload of up to 1:20 HH+ members.
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 in accordance with the HH+ guidelines, including helping individuals make and keep appointments, escorting individuals to appointments as necessary, applying for benefits and housing, and assisting recipients in arranging needed mental and physical health and psychiatric rehabilitation services while adhering to the client’s rights.
Conducts weekly member contacts with at least 2 face to face client visits and two phone calls per month in accordance with HH+ guidelines.
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 NYSDOHMH, Health Home, and agency guidelines in the charts as well as in Health Home portals as required.
Identify recipient’s strengths and limitations by assessing the level of motivation, capacity, and available resources to develop a person-centered care plan that is unique to each individual.
Completes one training per month in accordance with agency, DOH, and Health Home guidelines.
Seeks guidance and consults with supervisor regarding any client issue.
Participates in group/individual supervision and attends staff meetings and in service trainings.
Assures coverage and assumes responsibility for uncovered caseloads
Seeks guidance and consults with Team Leader and Clinical Supervisor regarding any client issue.
Other duties as determined by the Team Leader and Clinical Supervisor, and Director.

Qualifications:

Bachelors degree in related field and minimum 5 years experience working in a mental health field, or a Masters degree with two years experience
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.
Ability to use public transportation for travel to program locations throughout New York City.
Bilingual Spanish strongly preferred.

Competence Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Strong oral and written communication skills are required.
Ability to understand sensitive information and maintain confidentiality
Strong interpersonal and communication skills at all levels of the organization
Strong critical thinking, complex problem solving skills
Highly organized, detail oriented and able to manage multiple tasks simultaneously
Proficient computer knowledge, including word processing and database software

Physical Demands:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands: While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee frequently is required to stand, walk, and reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, and color vision.
Work Environment: While performing the duties of this job, the employee is not exposed to weather conditions. The noise level is usually moderate.

THIS JOB DESCRIPTION IS NOT ALL-INCLUSIVE AND AN EMPLOYEE WILL ALSO PERFORM ANY OTHER REASONABLE RELATED BUSINESS DUTIES OR TASKS AS REQUIRED AS ASSIGNED BY MANAGEMENT. THIS ORGANIZATION RESERVES THE RIGHT TO REVISE AND CHANGE THE JOB DUTIES AND RESPONSIBILITIES AS THE NEED ARISES. THIS JOB DESCRIPTION DOES NOT CONSTITUTE A WRITTEN OR IMPLIED CONTRACT OF EMPLOYMENT.

Job Type: Full-time

Pay: $55,000.00 per year

Benefits:

401(k)
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Apply Now

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