Senior Care Coordinator, Mental Health

The Senior Care Coordinator will assume the care coordination responsibility for Chronically Ill clients identified from the NYS DOH (New York State Department of Health) list of high end users of Medicaid. Many of these clients will also have a co occurring disorder of mental illness and/or substance abuse. They will conduct Community outreach to CIDP clients to enroll potential clients who are identified by the NYS DOH. They will be expected to provide care management and coordination of the plan of care for this specified population in need of intensive case management including health education and advocacy. They will also provide intensive care coordination in a medical setting to include illness management. This individual will also supervise teh Care Coordination staff.

- Help find, engage, and enroll clients from the NYS DOH list of eligible Brooklyn and Manhattan Medicaid beneficiaries who have chronic illness and possible mental illness and or substance abuse - Assure that clients reliably attend medical appointments at outpatient clinics - Assure that clients comply with prescription regiment - Write clear service plans and progress notes and maintain meticulous documentation of service visits - Provide services in the Clinical Home and in the community - Carry a caseload of clients, each of which is to be visited once and at least one service provided during the course of a calendar month - Coordinate ancillary care for clients to ensure continuous, comprehensive care - Collaborate with all members of the team, primary care and specialty doctors and all partners on a regular basis - Initiate appropriate referrals to additional services including home care and notify appropriate support staff of referral to ensure authorization - Assist clients to obtain access to transportation - Research, evaluate and recommend community resources to meet non medical needs of client (i.e. alternative resource programs, support groups and community support services.) - Work with Medical Home team inpatient providers, discharge planners and nurse partners to ensure efficient use of inpatient resources and a timely discharge to an appropriate setting - Facilitate and participate in client care conference for medical and peer review - Collaborate with mental heath and substance abuse care providers to ensure coordination of all services and integration of services - Work collaboratively with the ValueOptions Field Care Coordinator to provide and link clients to services that facilitate illness management - Provide verbal and written illness management educational protocols - Will provide motivational interviewing techniques to enhance client compliance. - May be assigned other tasks and duties reasonably related to their job responsibilities - Immediately reports serious incidents, serious incident allegations, incidents, or sensitive situations to supervisors. Completes incident reports in accordance with CIDP policy - Complies with attendance rules and the ability to work on a regular schedule - Attends regularly scheduled clinical meetings and supervision, attends professional development activities and training - Complies with project and agency-specific infection control policies

LCSW is required - 1 years experience in providing direct services to mentally disabled clients or in linking mentally disabled clients to a broad range of services essential to successfully living in the community - 3 years supervisory experience preferred

If interested, please apply online at http://careers-sus.icims.com/jobs/1520/login