Community Health Case Manager

Job Type

Full Time




45 Wadsworth Avenue
New York
United States



Northern Manhattan Improvement Corporation (NMIC) is a community-based, not-for-profit organization founded in 1979 that has grown into a leading multi-service agency with over 120 staff members serving New York City with a focus on upper Manhattan and the Bronx. Our mission is to serve as a catalyst for positive change in the lives of the people in our community on their paths to secure and prosperous futures. Integration is the cornerstone of NMIC’s programs, and our staff can identify and address a broad array of immediate needs through comprehensive crisis intervention services. With their crises resolved, clients move seamlessly to capacity building services through our holistic programs designed to transition individuals and families to self-sufficiency.

  • Our Legal Services, Social Services, and Weatherization programs meet community members’ basic needs including housing, income, nutrition and health.
  • Our Community Organizing program empowers groups of residents to collectively secure longer term and larger scale improvements to their own basic needs.
  • Our Education & Career Services program imparts individual community members with the practical tools necessary to build secure and prosperous futures.

Job Title: Community Health Case Manager

Department: Legal Services

Reports To: Single Stop Program Manager

Location: Main Office: 45 Wadsworth Avenue, NY, NY 10033


The Community Health Case Manager will be dedicated to NMIC’s new partnership with SOMOS Community Care, a network of diverse, community-based primary care physicians, specialists, and service providers. This partnership addresses social determinants of health—with a focus on benefits access, housing, and food insecurity—for select patients who are part of the SOMOS network. The Community Health Case Manager will screen patients for needs and provide services, either directly or by referral, to address those needs. As part of a new initiative, the Community Health Case Manager will also have a unique opportunity to shape the program design through feedback and recommendations.


  • Patient Screening/Assessment
  • Screen for potential patient needs across over a dozen domains, ranging from financial strain to family/community support to mental health, by using the Accountable Health Communities Health-Related Social Needs screening tool.
  • Collect additional relevant social and demographic information about areas such as income, employment, education, and immigration status.
  • Define case management goals jointly with the patient based on the patient’s strengths and needs identified through screening.
  • Case Management
  • Develop and execute a case management plan based on the screening/assessment results and resulting patient goals.
  • Directly provide select services such as benefits screening.
  • Provide referrals both internally at NMIC (e.g., for housing legal services) and SOMOS (e.g., for mental health services) and externally (e.g., for home delivered meals). Referrals will include all necessary follow up to ensure patients receive and benefit from the service. This follow up may include assisting patients in executing instructions from a referral source (e.g., to file an administrative complaint with a government agency to address repair issues).
  • At regular intervals, assess plan progress and update the plan as necessary to promote goal achievement.
  • Relationship Management
  • Liaise between NMIC and SOMOS and serve as the primary point of contact for SOMOS staff and providers (including by regularly visiting provider medical facilities).
  • Develop and maintain referral resources, including direct contacts at referral agencies, for outside services necessary to meet patients’ case management goals.
  • Administration
  • Utilize NMIC’s internal database, ClientTrack, to maintain detailed records of all screening/assessment, case management, and referral activities as well as the results of those activities (additional data systems may also be necessary in the future).
  • Maintain paper files as necessary for each patient.
  • Ensure strict confidentiality of all patient information pursuant to HIPAA and other relevant regulations and policies.

Additional related responsibilities may be assigned.


  • Bilingual English/Spanish is required.
  • Bachelor’s Degree strongly preferred.
  • Experience in a similar case management setting strongly preferred.
  • Ability to manage multiple priorities in a complex environment while working independently and exercising sound judgment.
  • Strong communication skills, both verbal and written.
  • Exceptional interpersonal skills and ability to develop and maintain relationships with diverse stakeholders including patients, referral partners, and medical providers.
  • Highly organized and self-motivated.
  • Working knowledge of software programs including MS Word and Excel.



NMIC offers a competitive salary based on experience and education as well as a comprehensive benefits package including medical, dental, life, and disability insurance; paid time off including 20 vacation days, 15 sick days, 5 personal days, and 12 agency holidays; a 401k with agency contribution; and other benefits.

Level of Language Proficiency

Bilingual in Spanish

Professional Level

Entry level

Minimum Education Required

High School

How To Apply


Please submit the following to Licelyn Colon, Single Stop Program Manager, at with the job title in the subject line:


·        Cover letter

·        Resume

·        One writing sample

·        Salary requirements

All attachments should be in Word or PDF form. No phone calls, please.