Care Coordinator, Brooklyn

We are seeking a dedicated and compassionate Bilingual (Spanish-speaking) Care Coordinator to support youth enrolled in our Health Home program. The Care Coordinator will play a key role in guiding participants and their legal guardians through the health care system by addressing access barriers, fostering relationships with service providers, and monitoring interventions and outcomes to ensure high‑quality care coordination. Reports to: CARE MANAGER SUPERVISOR, HEALTH SERVICES Location: 503 Fifth Avenue, Brooklyn, NY 11215 Hours: 35 hours, Non‑Exempt (Staff are expected to be on‑site as requested. Hybrid schedules may be provided based on program needs and leadership discretion.) Salary Range: $44,000 – $49,000 per year Key Responsibilities Secure all required Care Management enrollment consents from the individual or their legal guardian. Conduct initial and ongoing comprehensive needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual’s appropriate level of care management. Oversee the development, implementation, and ongoing management of the Individualized Plan of Care (IPC), ensuring that: Services are coordinated according to the enrollee’s acuity level. Treatment recommendations are supported and reinforced. The individual’s needs are continuously monitored and evaluated across prevention, wellness, medical, behavioral health, care transitions, and social/community service domains. Meet all client contact requirements, including: For child‑serving Care Managers, completing required face‑to‑face visits in accordance with the individual’s assigned acuity level (high, medium, or low). Complete all Care Management documentation accurately and within required timeframes, utilizing the designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs) as appropriate. Serve as an advocate for clients within the agency and among external service providers. Promote wellness and prevention by connecting enrollees to appropriate resources and services based on their identified needs and preferences. Provide education to children and caregivers regarding chronic condition management, immunizations, screenings, and other preventive health interventions. Assist clients in obtaining and maintaining public benefits necessary for accessing health care and supportive services, including Medicaid, cash assistance, Social Security, SNAP, housing supports, legal services, and employment or training programs. Communicate effectively with individuals, families, and caregivers, ensuring sensitivity to language, literacy, and cultural preferences. Facilitate care planning meetings and participate as a member of the interdisciplinary team to ensure comprehensive, coordinated, and holistic care. Identify community‑based resources and manage referrals, access, engagement, follow‑up, and coordination of services. Actively participate in hospital discharge planning to ensure that all recommended post‑discharge services are arranged prior to the individual’s release. Attend and participate in ongoing staff development and training to maintain and enhance skills required for effective Care Management practice. Ensure that children receive periodic evaluations and follow‑up treatment for dental, vision, and hearing care in accordance with Medicaid EPSDT guidelines. Perform all other duties as assigned. Qualifications Bachelor of Arts or Science degree with two years’ experience required. Bilingual Spanish/English speaking candidates are highly encouraged to apply. Must have previous experience as a Case Planner, Care Coordinator, Case Manager, and/or Case Worker in a social service setting. Experience with Child Welfare, ACS, and Foster Care is helpful. Relevant expertise and experience in serving children and families in child welfare, developmental disabilities, mental health, healthcare, and/or other systems, including preventive services. Care Coordinators serving high‑acuity enrollees must have demonstrated knowledge and understanding of such children and families as evidenced by additional years of experience, education, or training. Care Coordinators assigned to children with medical fragility must have extensive experience coordinating their care. Experience providing service coordination and information, linkages, and referrals for community‑based services. #J-18808-Ljbffr Good Shepherd Services