For nearly 150 years, The Jewish Board has been delivering innovative, best‑in‑class mental and behavioral health services. We are unique in serving everyone from infants and their families to children, teens, and adults. That adds up to countless opportunities to use your skills, training, and compassion to make a difference in the lives of over 45,000 New Yorkers each year.
PURPOSE
The Jewish Board’s Community Care Management programs provide compassionate, high‑quality, evidence‑based services to individuals and families in the communities we serve. Our staff use a culturally competent, person‑centered approach to help individuals and their families develop skills and resources to improve overall functioning, instill hope, and strengthen resiliency. Care Management is a service that helps adults with chronic illnesses get and use the medical, social and community services they need to stay healthy. Care Coordinators help members figure out and take the actions needed to get and stay healthy—making it to appointments, sticking to a medication schedule, and accessing benefits.
POSITION OVERVIEW
Care Coordinators link adults and children with chronic behavioral health and medical conditions to the services they need to stay as healthy as possible and inspire the people they serve (members) to use those services to optimize their health outcomes. Working in a team setting and primarily in the field, Care Coordinators assess risk and needs, develop person‑centered care plans, provide care management services, track and arrange appointments, educate members, and coordinate other aspects of members’ health and community services. As this is an evolving program, additional responsibilities will be added.
RESPONSIBILITIES
Integration of medical, specialized, and behavioral health services in addition to social support and/or educational support services.
Periodic assessment of a member’s medical and behavioral health needs as well as compliance with recommended treatments.
Collaborative development of an Individualized Care Plan (ICP) with the member, the member’s family and/or caregivers in addition to other service providers.
Providing required care management services.
Tracking all specialty medical, behavioral and support service referrals made for the patient using Health Information Technology (HIT).
Assuring that the member has access to, engages in and retains needed services as defined in the member’s ICP (e.g., acute medical care, primary medical care, preventative services, home health care, chemical dependency services, behavioral health services, community social support, housing, state and federal entitlements, educational services, involvement with child welfare, juvenile justice or criminal justice institutions).
Providing outreach services to members for increased access to the above services.
Responding to members’ information and referral questions.
Reassessing the need for ongoing care coordination services.
Completing all required documentation.
Sharing knowledge and experience with other team members to support the team’s overall service provision efforts.
Carrying an agency‑provided cell phone.
Responding to member crises during (and occasionally outside of) regular business hours.
Other duties as assigned.
CORE COMPETENCIES
Positive attitude and growth mindset.
Ability to engage with clients and peers and provide culturally competent services.
Strong verbal and written communication skills.
Attention to detail.
Ability to work independently as well as within a team.
Ability to partner with clients to conduct assessments and create care plans.
Strong time management and organizational skills.
Integrity and transparency.
Ability to exercise strong professional judgment.
EDUCATIONAL / TRAINING REQUIRED
A bachelor’s degree with a major or concentration (minimum 24 credits) in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing; OR a NYS teacher’s certification for which a bachelor’s degree is required; OR NYS licensure and registration as a Registered Nurse and a bachelor’s degree PLUS two years of experience in providing direct services or a substantial number of case‑management services to mentally disabled, chronically ill, homeless individuals, or children with complex social or health‑care needs.
A bachelor’s degree, associate’s degree or high school diploma/GED in another discipline PLUS five years’ experience working with an applicable population.
Specific experience with the target population may be required to work with Children, Health Home Plus or Adult Home Plus members.
EXPERIENCE REQUIRED / LANGUAGE PREFERENCE
Experience working in interdisciplinary teams; experience providing care management or care coordination in a medical or behavioral health environment; experience working with the chronically ill.
Fluency in a second language such as Spanish, Russian, or Creole.
COMPUTER SKILLS REQUIRED
Use of an Electronic Health Record (EHR).
Use of Outlook and related Microsoft Office applications.
VISUAL AND MANUAL DEXTERITY
The candidate should be able to read paper and electronic documents and perform significant data entry into various computer programs.
Manual dexterity and hand‑eye coordination to conduct significant data entry and record keeping required.
WORK ENVIRONMENT / PHYSICAL EFFORT
The work environment varies from office‑based interaction with co‑workers and members (20–40% of the time) to serving members in their homes and other community settings (e.g., hospitals, clinics, benefit offices) 60–80% of the time; the sites to which staff may need to travel may or may not be ADA accessible.
To perform the essential functions of this job the candidate must be able to travel within New York City carrying equipment such as a notebook, forms, laptop, mobile hotspot and cell phone weighing up to approximately 10 pounds.
The candidate is routinely required to sit (60% of the time), stand (20% of the time), and travel to and from appointments using varied public and private transportation options (20% of the time).
Risks/hazards associated with the position are those that may be encountered traveling around New York City.
VALUES
Our values help guide us in everything we do, from our relationships with fellow staff to the clients and communities we serve.
• Treat every person with dignity.
• We act with respect and caring towards our clients, colleagues, and communities.
• Strive to be outstanding.
• Embrace each other’s differences.
• Engage individuals and families as our partners.
• We heal our communities one person at a time through thoughtful collaboration.
EEO STATEMENT
We are an equal‑opportunity employer that does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, veteran status, or any other status protected by applicable federal, state, or local law.