Health and Recovery Plan (HARP) Care Coordinators will manage care for adults with significant behavioral health needs under the NYS DOH Health Home Model. They will facilitate the integration of physical health, mental health, and substance use services for individuals requiring specialized approaches, expertise, and protocols which are not consistently found within most medical plans. In addition to the State Plan Medicaid services offered by Mainstream MCOs, qualified HARPs will offer access to an enhanced benefit package comprised of Home and Community-Based Services (HCBS) designed to provide the individual with a specialized scope of support services not currently covered under the State Plan. Essential functions include:
Job Summary
Gather information for and or conduct outreach, intake, assessment, and reassessments.
Provide care management to a caseload through the coordination of medical, mental health, HCBS and substance abuse services.
Conduct assessments and prepare a comprehensive plan of care as directed by NY State and Managed Care Organizations.
Collaborate with the individual's HARP team including: MCOs, HCBS providers, as well as other medical and treatment providers.
Ensure entitlements, insurance, and benefits are in place and maintained.
Develop service plans and resolve barriers to effective service utilization.
Monitor client's progress in utilizing services (appointments, treatment, medication, etc.) through telephonic and direct contact.
Check that clients receive test results and track that clients follow up with medical directions.
Escort clients to/from any appointments when needed.
Document service information in databases and use electronic systems to track participant activities.
Assist in crisis intervention and provide or refer to crisis services.
Extensive field work required, including home visits and community work such as visiting hospitals and emergency rooms when determined necessary.
Ensure that clients follow-up with aftercare discharge (i.e. fill prescriptions, make appointments).
What You Need
Bachelor's Degree Required; Masters Degree Preferred in one of the following fields:
Social Work, Psychology, Education, Rehabilitation, Occupational Therapy, Counseling, Community Mental Health, Sociology, Physical or Recreational therapy. Degrees in other related areas may be considered.
Skills and/or Experience Required:
For B.A. level candidates, two (2) years OR for M.A. level candidates, one (1) year of related experience working with individuals with severe mental illness.
Ability and willingness to regularly travel, in some instances with clients in Agency vehicles to many locations using various modes of reliable and safe transportation
You must have excellent interpersonal and time management skills.
Proficiency in email and documentation on electronic platforms.
Comfortable with fieldwork and navigating social services systems.
Preferred:
Knowledge of Medicaid, Social Security and other entitlements
Benefits:
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