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We are looking for a dynamic and compassionate Bilingual (Spanish speaking) Care Coordinator to support the youth in our Health Home program. In this role you will guide program enrollees and their caretakers (legal guardians) through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.

Good Shepherd Services is a leading youth development, education and family service agency with more than 80 programs that serve over 30,000 children, youth and families each year. We give vulnerable youth in New York City the opportunity to take ownership of their future. Voted one of the top 100 places to work in NYC by Crains New York, Good Shepherd Services offers a fantastic work environment, a collaborative team dedicated to fulfilling our mission, and an amazing array of benefits. Join our team and help make a difference!

Reports to: CARE MANAGER SUPERVISOR, HEALTH SERVICES

Location: 503 Fifth Avenue Brooklyn NY, 11215

Hours: 35 hours, Non-Exempt (Staff are expected to be onsite as requested. Hybrid schedules may be provided based on program needs and leadership discretion.)

Salary: $44,000-$49,000/Year

Major Duties:

• Obtains required Care Management enrollment consents from the individual or legal guardian
• Completes initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individuals most appropriate level of care management.
• Responsible for the overall management of the patients Individualized Plan of Care. Through the creation of an Individual Plan of Care the Care Manager is able to:
• Coordinate the enrollees provision of services including as per their acuity level.
• Support adherence to treatment recommendations
• Monitor and evaluate a patients needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate.
• Meets client contact requirements (keeping in mind that caseloads may be blended):
• Care Managers serving children will be required to have some face-face visits on a consistent schedule as per the mandates of their acuity level (high, medium, or low).
• Meets Care Management documentation requirements in a timely and accurate manner by effectively utilizing designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs) as needed
• Functions as an advocate for clients within the agency and external service providers
• Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences
• Educate the child/caregiver on care of chronic conditions, immunization, screening and other preventive interventions.
• Helps clients to obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility, Social Security, SNAP, housing, legal services, employment and training supports, and others.
• Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences.
• Conducts care planning meetings/conferences and serves as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care
• Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services
• In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge
• Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position
• Ensure that child has periodic evaluations and follow up treatment for dental, vision and hearing care, following Medicaid EPSDT guidelines
• All other duties, as needed

Qualifications:

Education and/or credential requirements are determined by childrens acuity level and requires one or more of the following:

• 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

The candidate must possess the following Experience:

• Relevant expertise and experience in serving children and families in child welfare, developmental disabilities, mental health, healthcare and/or other systems as well as those receiving preventive services.
• Care Coordinators serving high acuity enrollees will be required to have demonstrated knowledge and understanding of the needs of such children and their families as evidenced by additional years of experience, education, or training.
• Care Coordinators assigned to children who have medical fragility must have extensive experience in coordinating their care
• Experience providing service coordination and information, linkages, and referrals for community-based services.