Care Coordinator II

Staten Island Family Services Center (1 Edgewater St)

$45000 - $48000 / year

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 (CC) is responsible for the overall provision and coordination of services to the assigned caseload. The CC guides program enrollees and their caretakers through the healthcare system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes. 

Essential Duties:

• Understand and promote the organization’s Mission, Vision, and Core Values to ensure alignment with organizational policies and procedures.
• Obtain consent & enroll eligible clients in the Collaborative for Children & Families (CCF – the health home).
• Responsible for the care management of a mixed acuity caseload of up to 35 cases, depending on the acuity.
• Carry out 6 core care management functions for assigned caseload: Comprehensive Care Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Individual & Family Support, Referral to Community and Social Support Services, and use of Health Information Technology to link services.
• Complete CANS-NY assessment on all enrolled clients on caseload (initial and, at minimum, every 6 months) along with the completion of a comprehensive assessment.
• Assess and refer for Home and Community-Based Services (HCBS) as needed.
• Collaborate with family and other providers on the development and execution of an Individualized Plan of Care.
• Document all activities including progress notes in GSI, in an accurate and timely manner – and other systems as needed.
• Create a Crisis/emergency plan for each client.
• Provide information to Children’s Aid (CA) staff & Liaison between CA programs as needed.
• Provide outreach to potential clients as needed.
• Help create linkages to community services for future resources for families as well as sources of potential referrals.
• Help maintain a resource log for community support and health services.
• Conduct fieldwork & home visits as needed (possibility of evenings or weekends).
• Must abide by privacy laws including HIPAA, etc.
• Work as part of the Care Management Team in all areas, focusing on meeting established enrollment targets.
• Participate in Program, Division, and Agency-wide activities (meetings, events, etc.).
• Ability to work flexible hours; some nights and weekends may be required.
• Attend trainings as required.
• Perform other duties as assigned.

 Minimum Qualifications:

• Minimum Bachelor’s Degree required with 2 years of related experience.
• Experience in serving children and families with chronic medical conditions, developmental disabilities, and mental/behavioral health diagnoses, or those involved in the child welfare system.

Key Competencies:

• Excellent organizational and time management skills.
• Comfortable conducting field visits and utilizing public transportation.
• Strong verbal and written communication skills.
• Ability to engage disenfranchised populations.
• Ability to multitask.
• Organized self-starter.

It is the policy of Children's Aid to provide equal employment opportunity to all employees and applicants for employment and is dedicated to maintaining a work environment that is free from harassment and discrimination. Children's Aid will not tolerate discrimination, harassment, or retaliation on any basis, including race, creed, color, national origin, ethnicity, alienage or citizenship status, gender/sex (including pregnancy), disability, religion, source of income, sexual orientation, gender identity or expression, age, familial status, caregiver status, military status, marital or partnership status, status as a victim of domestic violence, sexual violence or stalking, predisposing genetic characteristics, arrest or conviction record, credit history, unemployment status or any other characteristic protected by federal, state or local law. Children’s Aid is committed to complying with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Children’s Aid will conduct a prompt and thorough investigation of all allegations of discrimination, harassment, retaliation, or any violation of the Equal Employment Opportunity Policy in a confidential manner and will take appropriate corrective action, if and where warranted. Children’s Aid prohibits retaliation against employees who provide information about, complain about, or assist in the investigation of any complaint of discrimination or violation of the Equal Employment Opportunity Policy.

The incumbent is expected to work a schedule, whether in-person or hybrid, as determined by the department's needs to facilitate effective collaboration with the team.  This flexibility is essential for maintaining seamless communication, fostering teamwork, and ensuring the smooth operation of the department's processes.  The position's requirements are subject to periodic review and adjustment based on organizational needs and changes in work dynamics.