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Care Coordinator
2 months ago
The Bridge is a leading organization dedicated to providing comprehensive rehabilitative services to vulnerable individuals in our community. Our mission is to offer help, hope, and opportunity to those in need, empowering them to achieve improved health outcomes and a better quality of life.
Job SummaryWe are seeking a highly skilled Care Coordinator to join our team. As a Care Coordinator, you will work closely with members and their network of providers to minimize barriers to care and promote improved health outcomes. Using evidence-based interventions, you will help members develop the skills needed to manage their health and psychosocial needs with greater independence.
Key Responsibilities- Conduct initial assessments and reassessments of members' needs, including medical, mental health, substance use, financial, housing, and support needs.
- Develop person-centered care plans with documented input and approval from other providers and the member in adherence with Health Home standards.
- Work with member's medical and behavioral health staff to develop, implement, and coordinate the care plan for clients with chronic illnesses, such as diabetes, asthma, congestive heart failure, hypertension, behavioral health conditions, and HIV, among other illnesses.
- Coordinate member services with all service providers through regular case conferencing in accordance with Health Home guidelines.
- Conduct field visits to individuals in their homes or locations of their choice to provide services.
- Must be comfortable doing fieldwork in different settings, such as shelters, SROs, substance abuse programs, mental health facilities, and hospitals.
- B.A./B.S. level professional with at least two years of experience working with the Mentally ill/Substance Abuse population.
- Minimum of 2 years in a mental health setting.
- Experience with electronic record systems is strongly desired.
- Willingness to travel by public transportation through the Bronx and Manhattan and the ability to manage time and meet program / regulatory requirements are essential.
- Must have experience in outreach, client engagement, assessment, direct service and treatment, and documentation.
- Bilingual English/Spanish is a plus.
