Care Coordinator II

Description :

Staten Island Family Services Center (1 Edgewater St)

$45000 - $48000

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 assigned caseload. The CC guides program enrollees and their caretakers through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.

Essential Duties :

• 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, 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 development and execution of Individualized Plan of Care
• Document all activities including progress notes in GSI, in an accurate and timely manner – and other systems as needed
• Create 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 resource for families as well as source of potential referrals
• Help maintain a resource log for community supports and health services
• Conduct field work & 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, focus on meeting established enrollment targets
• Participate in Program, Division and Agency wide activities (meetings, events, etc.)
• Attend trainings as required
• In-person collaboration is an essential function of the job
• Perform other duties as assigned

Minimum Qualifications :

Key Competencies :

Equal Employment Opportunity (EEO) Statement

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 to 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, or 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.

Requirements :