Senior Care Coordinator

Job Description

Job Description

JOB DEFINITION:The Senior Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to adults diagnosed with a severe mental illness, with multiple medical co-morbidities and/or co-occurring substance abuse disorders. The Senior Care Coordinator advocates for and supports the client, engages with community agencies/health care providers and others on the client's behalf to ensure access to services, to increase wellness self-management and to reduce emergency room visits and/ or hospitalizations. The Senior Care Coordinator will provide expert support and psychosocial and/or substance abuse interventions, and resources to aid in the consumer's care while maintaining focus on outcomes and best practices. The Senior Care Coordinator must be available on an as-needed basis 24 hours a day, 7 days a week. EDUCATIONAL REQUIREMENTS:Bachelor 's Degree or Master's Degree in one of the following fields preferred: Social Work, Psychology, Education, Rehabilitation, Occupational Therapy, Counseling, Community Mental Health, Sociology, Speech and Hearing, Physical or Recreational therapy. Degrees in other related areas may be considered. EXPERIENCE REQUIRED:For B.A. level candidates, two (2) years of related human service and direct service experience required. For M.A. level candidates, one (1) year of related human service and direct service experience required.Experience should be in providing direct services to individuals with severe mental health disorders, co-occurring substance abuse disorders, developmental disorders, and/or physical disabilities, in linking clients to a broad range of services essential to independent community livening, and in advocacy for underserved or disenfranchised populations.Working knowledge of computer software and electronic health record systems.Demonstrated competency in written, verbal and computational skills to present and document records in accordance with program standards.Experienced in and demonstrated comprehensive understanding and working knowledge of the interdisciplinary planning process and the developmental treatment model.Knowledge and sociological understanding of Medicaid, Social Security and other social service entitlements.Excellent interpersonal skills required.Knowledge of cultural competence and sensitivityYou must have the 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. If working in Nassau or Suffolk Counties, a valid Tri-state (New York, New Jersey or Connecticut) driver's license is required; and you must have a current and valid driver's license on file with CNGCS' Human Resources and be designated and remain in good standing as a CNGCS authorized driver. DUTIES AND RESPONSIBILITIES:Conducts initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources.Participates in the development/documentation /review and update of client centered comprehensive, integrated, interdisciplinary care plan in consultation with Program Supervisor and other team members to ensure focus on data-driven, wellness centered, outcomes.Maintains effective communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other Agency staff on behalf of clients.Maintains documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure.Coordinates care planning with other providers of services/ resources to ensure goal directed, collaborative care, including care transitions. Works as part of a Care Coordination team; attends and participates in team meetings to provide input/feedback around psychosocial conditions/comorbidities to review client status, update plans and goals, review outcomes to further program goals.Acts as a resources/consultant to all team members on psychosocial and/or substance abuse issues and resources.Provides telephonic as well as face to face outreach, engagement and service planning in the field.Acts as a linkage to community services including medical, behavioral, residential, entitlement and any other needed services per interdisciplinary care plan.Monitors overall service delivery to clients to ensure coordination and continuity; advocates with service providers/resources as needed.Provides crisis intervention and follow-up on an as-needed basis 24 hours a day, 7 days a week.Attends AOT evaluations and court dates as needed.Completes weekly AOT monitoring reports on all clientsMaintains integrity of client records throughout the programComplete additional clinical assessments and coordinate care with managed care organizations as needed.Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progressComplete QI Training during onboarding and participate in QI refresher training as needed.Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results.Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines.Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.Other duties as assigned.BENEFITS:We offer an attractive and competitive benefits package for full time employees which includes but not limited to:MedicalDentalVision$0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided BenefitFlexible Spending Account403(b) retirement planLong Term and Short Term DisabilityLegal PlanDependent Care Expense AccountLife Insurance/Supplemental Life InsurancePet InsuranceHRATraining programs including a Mentorship programEmployees may be eligible for Federal/Public Student Loan ForgivenessCareer growth and Promotional opportunitiesEmployee Perks and Discounts to Broadway shows and more5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly and so much more___________________________________________________________________If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at View phone number on us.fitly.work.___________________________________________________________________CN Guidance & Counseling Services, inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services.Awarded Newsday/Dan papers Top Long Island Work Place 2019-2026, 8 years in a row.Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives.Engage your passion and CHOOSE a career & employer where you can use your vital energy to make a difference.It is the policy of CN Guidance and Counseling Services, Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law. CN Guidance and Counseling Services, Inc. prohibits any such discrimination or harassment.'