Care Coordinator - Elder Services

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Description

POSITION SUMMARY

At Fountain House, we believe in the power of community to transform the lives of individuals with serious mental illness. Every day, thousands of members choose to come to Fountain House to contribute their talents, learn new skills, access opportunities, and form friendships. Members and staff operate successful employment, education, wellness programs and work as partners to perform all the functions that keep our community going. The Fountain House model has been replicated in more than 300 locations in 30 countries and 32 states and currently serves more than 100,000 people with mental illness worldwide. As originators of this approach, we provide leadership by constantly advancing the practice and by leading the conversation around mental health recovery. As a result, Fountain House has created a comprehensive Community System of Care. This includes Clubhouses in Manhattan, the Bronx, Hollywood, California and Care Management, Community-Oriented Recovery and Empowerment Services (CORES), and a large housing program ranging from 24-hour supervised residences to scattered site supported apartments. We are committed to reducing social isolation, advocating for mental health policy change, and driving solutions that empower our members.

Fountain House's Care Management is a Health Home Care Management Agency. We are the team helping individuals with Medicaid to work on person-centered goals and care management to ensure all their medical and psychiatric needs are being met in an efficient and effective manner. The Care Coordinator role in this team is responsible for coordinating health care and ensuring all needs are met for members in the community who have chronic medical and / or mental health conditions to ensure positive health outcomes, decreased redundancy of care, decreased hospitalizations, as well as secured and sustained social determinants of health such as benefits, food security and housing. The Care Coordinator assists clients in overcoming barriers to quality health care, striving to improve overall health outcomes, reducing avoidable Emergency Room (ER) usage and inpatient hospitalizations. The Care Coordinator is also responsible for connecting members to appropriate medical services, coordinating care with members' providers and supports, supporting individuals to make well-informed choices regarding treatment and providing education & empowerment. The position involves telephonic care coordination, on-site service provision as well as visiting members in the community. Care Coordinators are also responsible for conducting required assessments for health home enrollment and ongoing services.

We are currently launching an Elder Justice initiative, to fill a critical service gap at the intersection of aging, mental health, and justice. By building a scalable, community-based model that reduces isolation, prevents maltreatment, and promotes recovery, Fountain House will advance elder justice and set a new standard for supporting older adults with SMI, including financial literacy and benefits protection, digital literacy and online safety, and wellness outreach programs that reduce isolation and provide immediate peer support. This role in Care Coordination will support the individuals served by the Elder Justice initiative.

Full-time

Monday to Friday, 9am to 5pm

$30.58

Requirements

ESSENTIAL DUTIES AND RESPONSIBILITIES

Outreach

• Determine member eligibility through ePaces or Medicaid Analytics Performance Portal.
• Actively outreach eligible members through phone, zoom, or in person meetings.
• Give educational presentations to a variety of Fountain House internal programs on care management services.
• Enroll 5 members per month until capacity of 50 members (HARP and non-HARP) is reached. (
• subject to change)
• Actively engage caseload in service provision in accordance with care plans.

Enrollment, Health Information Technology, and Documentation

Member Supports

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

REQUIRED AND PREFERRED EDUCATION, EXPERIENCE, AND CREDENTIALS

Physical Requirements

Salary Description

30.58