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PURPOSE

The Jewish Board’s Community Behavioral Health treatment programs provide compassionate, high quality, evidence-based services to individuals and families in the communities we serve.  Our staff use a culturally competent, person centered approach to help individuals and their families develop skills and resources to improve overall functioning, to instill hope, and to strengthen resiliency.  Our programs work closely with community partners to address health disparities in our neighborhoods while also celebrating the strengths and resiliency of our communities.

PROGRAM DESCRIPTION

The ACT programs provide an integrated set of evidenced based treatment, rehabilitation, case management and support services to individuals residing in NYC, in Shelter programs, and/or living in supportive housing programs or their own residences in the community who are diagnosed with severe mental illness and whose needs have not been well met by more traditional service delivery approaches.  Through a mobile, multi-disciplinary team of staff, recipients are supported in their recovery through an individualized, person-centered model of care.

POSITION OVERVIEW:

This multi- faceted position works directly with adults living with severe and persistent mental illness (SPMI) and substance use disorders (SUD) living in NYC.  In addition to providing direct care, this position provides administrative oversight and support to the treatment team to ensure the delivery of services is in accordance with regulatory and payer requirements.  Clinical Coordinators use a recovery oriented approach to link recipients to the services they need to obtain housing and to achieve wellness self-management and increasing independence.  Working in a team setting and primarily in the community, Clinical Coordinators assess risk and needs, develop person centered care plans, provide care management services, track and arrange appointments, educate clients and coordinate other aspects of clients’ health and community services. Since this is an evolving program, other tasks and duties may be assigned

KEY ESSENTIAL FUNCTIONS:

• Assume administrative tasks such as chart auditing, collaborating with outside partners, facilitating team meetings and being the point person in crisis situations when Program and Team Director are not available.

• Supervise students
• Assist with on-boarding/orientation of new staff
• When needed/requested, lead team in-service training on topics that will improve service to clients.
• Comprehensive assessment of client within 45-60 days of entry into program. 
• Work closely with team to visit each client a minimum of 6 times monthly.
• Integration of medical, specialized and behavioral health services in addition to social support and/or educational support services
• Periodic reassessment of a client’s medical and behavioral health needs and update of, adherence to recommended treatments, and need for care coordination
• Attend scheduled team meetings and one-on-one supervisions
• Attend mandatory ACT trainings and Jewish Board MKSEI 13 Module course training.
• Collaborative development of an Individualized Care Plan (ICP) with the client, the client’s family and/or caregivers in addition to other service providers, and review and revise ICP per regulatory standards or when there are significant changes in functioning or clinical status.
• Provide care management services
• Track all specialty medical, behavioral and support service referrals made for patient using Health           Information Technology (HIT) provided.
• Assure that client has access to, engages in and retains needed services as defined in the ICP.
• Provide outreach services to clients to increase engagement in services identified on individualized care plan
• Complete all required documentation
• Provide after-hours emergency coverage via cell phone on rotating basis.

EDUCATIONAL / TRAINING REQUIRED:

• Obtained a Master’s level degree in human services field with appropriate NYS licensure (e.g. MSW, LMSW, LMHC, LCSW, LMFT, Creative Arts Therapist LCAT, licensed Occupational therapist, Certified Psychiatric Rehabilitation Counselor, Rehabilitation Counselor,  licensed psychologist or hold a Master’s Degree as a Therapeutic Recreation Specialist or Psychologist or Pastoral Counselor or Master’s degree in a related field.

• Previous work on an ACT team or similar type of community based/ mobile based program for at least one year.

VISUAL AND MANUAL DEXIERITY:

• Able to read data and documents, including spreadsheets, reports and Electronic Health Records in printed form and on computer screens.
• Able to input data into the Electronic Health Record.
• Limited applications of manual dexterity and hand-eye coordination.

WORK ENVIRONMENT / PHYSICAL EFFORT

Physical Demands:

• Regularly required to speak clearly and hear the spoken word well.
• Regularly required to physically operate routine office equipment such as telephones, computers, etc.
• Regularly required to utilize near vision ability and to read data and documents, including spreadsheets, reports and Electronic Health Records in printed form and on computer screens.
• Regularly required to travel to various locations to meet with clients

Work Environment:

• Noise level is consistent with levels usually present in an office, education, rehabilitation or health related environment.
• Hazards present are consistent with those common to an office, education, rehabilitation or health related environment.