Health Home Plus (HH+) Care Coordinator
: Job Details :

Full-Time in Brooklyn/Queens, NY - Entry LevelThe HH+ Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to a caseload of severely mentally ill adults with multiple medical co morbidities and/or co-occurring substance abuse disorders. HH+ Care Coordinators advocate for and support the client, engage with community agencies/health care providers and others on his/her behalf to ensure access to services needed to increase wellness self-management and reduce emergency room visits and/ or hospitalizations.Conduct appropriate screening and either performing or arranging for more detailed assessments when needed (e.g., high-risk substance use or mental health related indicators, harm to self/others, abuse/neglect and domestic violence).Create and leverage relationships with critical behavioral health service providers to plan and coordinate care management needs for high-need SMI individuals including:Navigating the mental health service system-including ability to make referrals to mental health housing services, crisis intervention/ diversion, peer support servicesKnowledge of the behavioral health managed care benefit package and coordinating care with MCOs (e.g., for HARP members)Collaborates with inpatient staff and MCO (as applicable) to affect successful transitions out of inpatient or institutional settingsAddressing the quality, adequacy and continuity of services to ensureappropriate support for individuals' mental health and psychosocial needs.Maintain engagement with individuals who are often disengaged from care, havedifficulty adhering to treatment recommendations, or have a history of homelessnessDevelop service plans and resolve barriers to effective service utilization.Accompanyclients to/from any appointments when needed.Document service information in databases and use electronic systems to track participant activities.Assist in crisis intervention and provide or refer to crisis services.Extensive field work required, including home visits and community work such as visiting hospitals and emergency rooms when determined necessary.Ensure that clients follow-up with aftercare discharge (i.e. fill prescriptions, make appointments).Skills and/or Experience Required:For B.A. level candidates, two (2) yearsORfor M.A. level candidates, one (1) year of related experience working with individuals with severe mental illness.Ability and willingness to regularly travel, in some instances with clients in Agency vehicles to many locations using various modes of reliable and safe transportationYou must have excellent interpersonal and time management skills.Proficiency in email and documentation on electronic platforms.Comfortable with fieldwork and navigating social services systems.Preferred:Knowledge of Medicaid, Social Security and other entitlementsThe 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 for future consideration.#J-18808-Ljbffr