Care Coordinator - Care Coordination

University Settlement partners with 40,000 New Yorkers on the Lower East Side and in Brooklyn every year to build on their strengths as they achieve healthy, stable, and remarkable lives. For over 135 years, weve collaborated with our neighbors to pioneer highly effective programs that fight poverty and systemic inequality. Established in 1886 as the first Settlement House in the United States, we bring the values of that movement into the 21st century by meeting New Yorkers where they live, listening deeply to all perspectives, engaging with every individual holistically, and creating space for people to organize. Joining together with our neighbors to advocate for justice and equality, we help build community strength.

We work with New Yorkers of all ages. We infuse a commitment to civic engagement, equity, and communal action into each of our programs, which include early childhood education, mental health and wellness, benefits assistance and eviction prevention, adult literacy and education, healthy aging, community, and recreation centers, performing and visual arts, and youth development.

New York States Medicaid Health Home initiative offers care management for beneficiaries with intensive, high-cost service needs. The health home model provides the basis for unified systems of care to coordinate and integrate physical and behavioral health care, chemical dependence treatment, and social services provided to health home members. The target population is: children/youth ages 0 - 21 who have: two or more chronic conditions or one single qualifying condition of Serious Emotional Disturbance (SED) or HIV/ AIDS or Trauma/at risk for another condition.

Responsibilities:

• Provide home and community-based services to a mixed caseload of clients with varying needs a minimum of two visits a month with additional modes of contact as deemed clinically appropriate
• Conduct on-going outreach and facilitate service delivery.
• Collaborate with service providers.
• Maintain complete care management health records
• Provide crisis intervention, prevention and resolution as required.
• Provide On-call rotation duties, and coverage as needed.
• On-going training and professional supervision provided,
• Other duties, as assigned by the Program Director.

Qualifications:

• BA in related field and at least two years experience working with children, preferably in a mental health
• Must demonstrate ability to engage hard to reach population Knowledgeable of experience with a diverse and multi-cultural population
• Bilingual in English/ Chinese and English/Spanish a plus.
• Excellent communication and writing skills
• Ability to work independently and as an effective team player

Work Schedule: Full time, Monday - Friday, 9:00 am - 5:00 pm, 35 hours per week

We are committed to building a diverse and inclusive community. We support a broadly diverse team who will contribute to our organization. We are an equal employment opportunity for all regardless of race, color, citizenship, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, veteran or reservist status, or any other category protected by federal, state, or local law.