Care Coordinator (Suffolk)

Now Hiring: Health Home Care Manager Connecting People to Care. Empowering Health. Changing Lives. At the heart of quality care is connection —and at New Horizon Counseling Center , that’s exactly what we do. We’re on a mission to ensure that individuals facing serious health challenges are never navigating the system alone. We are seeking a Health Home Care Manager who is passionate about removing barriers, closing care gaps, and uplifting the most vulnerable members of our community. What You’ll Do: As a Health Home Care Manager, you'll be a vital link between clients and the care they need to thrive. Your responsibilities will include: Transitional Care: Support clients as they move from hospital or rehab settings back into the community—ensuring continuity, safety, and support every step of the way. Care Plan Development and Implementation: Conduct initial and ongoing assessments of clients to document strengths, needs, goals and resources. Connectivity to Care: Schedule and coordinate timely follow-up with primary care and behavioral health providers. Addressing Gaps in Care: Identify missed appointments, medication lapses, or unaddressed needs—and take proactive steps to close the loop. Social Determinants of Health: Connect clients with resources such as housing, food security, transportation, and income/benefits support (SSI/SSD, SNAP, HEAP, etc). Collaborative Care: Work with a network of providers and support agencies to build individualized, person-centered care plans that truly make a difference. Engagement: Provide face to face outreach, engagement, and service planning in the field including clients' homes, shelters, and hospitals Documentation: Maintain documents, records, and other related reports in an organized, timely and accurate manner as per policy and procedure. What We’re Looking For: Bachelor’s Degree required (Social Work, Human Services, Psychology, Public Health, or a related field) Bilingual preferred (but not required—we welcome all qualified, compassionate applicants) One (1) year of related human services experience required in providing direct services to clients diagnosed with severe mental illness, HIV/AIDS or other disabilities, in order to link them to a broad range of services essential to successfully living in the community. You must have the ability and willingness to regularly travel, in some instances with clients in Agency vehicle to many locations using various modes of reliable and safe transportation Strong communication, organizational, and advocacy skills A deep sense of purpose and a commitment to serving vulnerable communities Mission-Driven Work: Every day, you’ll play a key role in helping people overcome real obstacles and access life-changing care. Supportive Environment: Be part of a collaborative team that believes in mentorship, personal growth, and professional development. Community Impact: Your work will help reduce ER visits, improve health outcomes, and give people the tools to live healthier, more stable lives. The Human Resources department’s mission is to provide support in employment, career development, employee relations, benefits, and compensation practices. This mission is geared to recruit, train, empower and retain our employees and potential job applicants. New Horizon Counseling Center has positions available in several job categories (Administrative, Clinical Services, Social Work, Health Home, and Business Development) and is always looking for excellent candidates. If you do not see a job of interest listed, please email your resume to View email address on click.appcast.io for future consideration. #J-18808-Ljbffr