Organization: People USA – Non-Profit Peer Run Behavioral Health, Mental Health, Recovery, Wellness
Position: Health Home Care Coordinator
Location: Poughkeepsie, NY
Hours: Monday through Friday 9:00 am to 5:00 pm
Payrate: $24.50 per hour
Overview
The Health Home Care Coordinator assists individuals with psychiatric diagnoses to participate in diverse, person-centered, self-directed services and meaningful activities that promote empowerment and robust recovery. The Health Home Care Coordinator provides direct contact, outreach, curriculum development, group facilitation, counseling, mentoring, systems navigation, community oversight and crisis support as needed. The Health Home Care Coordinator will be located at People USA’s Poughkeepsie location but will also be mobile. They will provide Care Management outreach and engagement with eligible individuals in coordination with the Institute of Family Health, and Care Management Partners of Ulster County. They provide screenings and evaluations using trauma-informed, person-centered skills with the Institute of Family Health’s service tools. They provide individual advocacy, peer support, and systems navigation. Data entry and billing is also required for this position.
Job Responsibilities
Become well versed and fully trained on providing and billing for HCBS service eligible/enrolled program participants.
Maintains regular meaningful contact with clients.
Educates clients on useful health & wellness topics, including Peer/Self-help Resources, Recovery from Mental Health Challenges (from a Psychiatric Rehabilitation perspective), Wellness & Whole Health (SAMHSA’s Eight Dimensions of Wellness), Community Resources (across all domains of health, e.g.: physical, mental, substance use, socio-economic determinants of health), Trauma & Healing, Wellness Planning & Prevention (e.g. WRAP), Natural Supports (developing/maintaining).
Helps clients identify barriers to their recovery journeys or personal wellness, including issues related to access, quality of care, people’s rights, lack of basic needs, and stigma & discrimination.
Assist individuals with finding educational opportunities, employment, social activities and home health integration of services.
Advocate for each person by understanding who the person is now, their life experiences, and their goals for the future. Interview those individuals who are of primary importance to the potential participant.
Work with participants toward their recovery goals, both individually and in group settings in various locations/environments.
Must be cognizant of all relevant employment, educational, housing, entitlement and social supports in the community and proactively facilitate connections to these services with participants as needed.
Advocates for client’s side-by-side to overcome identified barriers, making sure their voices are heard, and their decisions are understood and respected.
Builds peer-to-peer connections/relationships based on mutuality (shared lived experiences), empathy, and hope for recovery/wellness (peers-as-proof).
Provides peer support, sharing stories, personal feelings, information, and strategies for living well.
Coaches clients to identify & accomplish whole health goals related to the Eight Dimensions of Wellness (emotional, social, physical, environmental, financial, intellectual, occupational, spiritual).
Directly connects people to the services and supports they need through direct bridging/linking (as opposed to referrals only).
Develops and maintains positive working relationships with other provider agencies, and local housing providers (landlords) within the county and its surrounding environs.
Documents all meaningful interactions in electronic records software and maintain hard copies in clients’ files.
Submits fully completed monthly reports on time.
Regularly attend related meetings, including Reach One Regional Meetings.
Consistently support PEOPLe, USA.’s mission to instill a sense of hope, empowerment, and self determination in people living with mental illness that fosters recovery and a transition to wellness.
Align all behaviors with core values that promote trauma-informed care, customer engagement and satisfaction, mutuality & empathy, and a philosophical commitment that everyone can and will recover.
Staff must document their time in Paycor effectively. Staff cannot work over their position’s allotted hours without Supervisor approval.
Provide direct contact, outreach, curriculum development, group facilitation, counseling, mentoring, systems navigation, community oversight and crisis support as needed to individuals with psychiatric diagnoses.
Deliver peer support locally at libraries, coffee shops, community centers, traditional service environments, shelters, jails, street outreach locations such as bridges and tunnels, at home, etc.
Main Duties
Providing Care Management outreach and engagement with eligible individuals in coordination with the Institute of Family Health.
INDIVIDUAL ADVOCACY: take action to represent the rights and interests of individuals living with mental illness or trauma by removing barriers to their recovery and wellness.
PEER SUPPORT: conduct peer support sessions (one-to-one, groups) that promote possibilities for positive change, and ultimately help individuals to feel better. Learning materials will be provided when needed.
SYSTEMS NAVIGATION: directly support, assist, and guide individuals as they access various resources in the community related to their health, wellness & overall quality of life.
Data Entry into Epic Compass Rose
WHOLE HEALTH & WELLNESS NEEDS ASSESSMENTS & INTEGRATION STRATEGIES: Assess client’s needs, educating them on all community-based resources to help with needs (from a menu of internal & external services & supports), directly linking them to those resources, community-based resources to help with needs (from a menu of internal & external services & supports), directly linking them to those resources, and working to ensure that they have quality, integrated care.
CARE MANAGEMENT SERVICES : Questions about health care, managing stress, making & remembering appointments, medications, food, transportation, housing, health insurance, other services as needed.
OFFICE DUTIES : Maintain timely and accurate documentation, files, and databases; compile and submit program statistics and reports; and attend weekly supervisory meetings. Staff will also participate in mandatory professional development and training. May include other duties as they arise.
Requirements / Qualifications
This position requires a thorough understanding of the process and the possibility of robust recovery for people diagnosed with psychiatric disabilities. People with personal experience as a recipient of mental health services and/or of personal recovery is preferred.
Honesty, respect for diversity, high personal standards, professional language, and behaviors reflecting such values and the Independent Living philosophy.
Knowledge of ADA, mental health laws and systems, Social Security Programs, Work Incentives, Entitlement Programs, supported employment, Federal/state/local services, laws, and systems related to individuals with disabilities.
Must have demonstrated knowledge of histories, patterns, and issues contributing to Mental Health and Substance Abuse recidivism.
Demonstrated ability to recognize the need for and facilitate connections between consumers and services.
Knowledge of local, statewide, and national disability-related issues and community dynamics.
Excellent written and verbal presentation skills.
Ability to obtain the NY State Peer Specialist Certification
2-3 Years of Experience in Direct Services/Human Services
Must have a valid and clean driver’s license
Educational and Experience Requirements
(1) A Master’s degree in one of the qualifying fields and one (1) year of experience; OR (2) A Bachelor’s degree in one of the qualifying fields and two (2) years of experience; OR (3) A Bachelor’s degree or higher in ANY field with either: three (3) years of experience, or two (2) years of experience as a Health Home care manager serving the SMI or SED population; OR (4) A Credentialed Alcoholism and Substance Abuse Counselor (CASAC) and two (2) years of experience. Qualifying Fields include education degrees featuring a major or concentration 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 other human services field.
Experience shall consist of (1) Providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse, and/or children with SED; OR (2) Linking individuals with Serious Mental Illness, children with SED, developmental disabilities, and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting (e.g. medical, psychiatric, social, educational, legal, housing, and financial services).
Reports to: Director of Health Home Care Coordinator and Peer Services