Position Summary: Youth Care Coordinator establishes supportive relationships with youth (ages 5 21) and their families who have significant behavioral and/or physical health conditions in order to assist them to achieve improved overall health and social functioning.

Essential Accountabilities:

• Demonstrate knowledge of childhood psychiatric disorders, chronic medical conditions, and complex trauma.
• Conduct outreach activities through various methods and engage individuals with chronic medical conditions, mental health disorders, and/or substance use disorders, often co-occurring.
• Conduct initial and ongoing comprehensive assessments (CANS-NY, Complex Trauma Assessment, Comprehensive Assessment, etc) to determine strengths and identified needs.
• Prepare and revise care plans to reflect member needs and personal goals with a focus on maintaining health and wellness.
• Maintain contact with members at least monthly, providing telephonic and/or face to face outreach, engagement, and comprehensive service planning in the field.
• Advocate for and support members to ensure access to resources necessary to support wellness/self-management and decrease frequency of emergency room visits and inpatient hospital admissions.
• Monitor and coordinate all care for members, including access and maintenance of medical insurance, linkage to treatment providers and community resources.
• Collaborate with community providers as part of a multi-disciplinary team to ensure goal-directed care planning.
• Conduct crisis intervention when needed and follow up accordingly.
• Maintain detailed, timely, and accurate record keeping in an electronic medical record.
• Coordinate with Program Coordinator/ Supervisor, and health home outreach team in a timely manner to ensure accurate caseload status (including enrollments, closures, and screen outs).
• Complete all required monthly documentation as required to ensure continuity of engaged members medical insurance and to ensure appropriate and accurate billing.
• Work as part of a care management team, attend and participate in team meetings to provide feedback and share resource information relating to member needs, issues, and concerns.
• Be responsible for reporting/coordinating daily office and field schedules with other members of the team and Program Coordinator/ Supervisor, as well as documenting schedule for the office manager.
• Offer resources and serve as a consultant to all team members on medical/psychosocial/substance use issues as well as social service needs.
• Provide HHSC YCM services to youth in all of Suffolk County as assigned with the possibility of assignments in Nassau County
• Attend periodic trainings to enhance skill level and to maintain DOH/ HHSC training requirements.
• Participate in regularly scheduled individual supervision to address concerns/issues and improve skill development.
• Participate in weekly High Risk Review meetings (as appropriate) to address member concerns and monitor high risk behaviors, linkages to supports, and member/ family needs.
• Participate in monthly Youth Care Management meetings to address agency policy updates, HHCM policy updates, paperwork, billing, trainings, resources, etc.
• Be responsible for agency vehicles, including upkeep, documentation, and gas card when assigned.
• Be responsible for agency cell phone, laptop, and associated items.
• Follow program guidelines as outlined in the personnel manual.
• Report to the program administration any issues and/or concerns on a regular/as needed basis while working in the field.
• Responsible for having access to an insured, personal vehicle.
• Track and submit mileage.
• Other duties as assigned.

Bachelor's of Arts or Science Degree with two years of relevant experience (e.g. care coordination, youth and families), or a license as a Registered Nurse with two years of relevant experience, or a Master's with one year experience. *Must maintain CANS-NY certification. *Must maintain valid drivers license and car insurance.