Position Summary: Youth Care Coordinator establishes supportive relationships with youth (ages 5 – 21) and their families who have significant behavioral and/or physical health conditions in order to assist them to achieve improved overall health and social functioning.
Essential Accountabilities
Demonstrate knowledge of childhood psychiatric disorders, chronic medical conditions, and complex trauma.
Conduct outreach activities through various methods and engage individuals with chronic medical conditions, mental health disorders, and/or substance use disorders, often co-occurring.
Conduct initial and ongoing comprehensive assessments (CANS-NY, Complex Trauma Assessment, Comprehensive Assessment, etc) to determine strengths and identified needs.
Prepare and revise care plans to reflect member needs and personal goals with a focus on maintaining health and wellness.
Maintain contact with members at least monthly, providing telephonic and/or face to face outreach, engagement, and comprehensive service planning in the field.
Advocate for and support members to ensure access to resources necessary to support wellness/self-management and decrease frequency of emergency room visits and inpatient hospital admissions.
Monitor and coordinate all care for members, including access and maintenance of medical insurance, linkage to treatment providers and community resources.
Collaborate with community providers as part of a multi-disciplinary team to ensure goal-directed care planning.
Conduct crisis intervention when needed and follow up accordingly.
Maintain detailed, timely, and accurate record keeping in an electronic medical record.
Coordinate with Program Coordinator/ Supervisor, and health home outreach team in a timely manner to ensure accurate caseload status (including enrollments, closures, and screen outs).
Complete all required monthly documentation as required to ensure continuity of engaged members’ medical insurance and to ensure appropriate and accurate billing.
Work as part of a care management team, attend and participate in team meetings to provide feedback and share resource information relating to member needs, issues, and concerns.
Be responsible for reporting/coordinating daily office and field schedules with other members of the team and Program Coordinator/ Supervisor, as well as documenting schedule for the office manager.
Offer resources and serve as a consultant to all team members on medical/psychosocial/substance use issues as well as social service needs.
Provide HHSC YCM services to youth in all of Suffolk County as assigned with the possibility of assignments in Nassau County
Attend periodic trainings to enhance skill level and to maintain DOH/ HHSC training requirements.
Participate in regularly scheduled individual supervision to address concerns/issues and improve skill development.
Participate in weekly High Risk Review meetings (as appropriate) to address member concerns and monitor high risk behaviors, linkages to supports, and member/ family needs.
Participate in monthly Youth Care Management meetings to address agency policy updates, HHCM policy updates, paperwork, billing, trainings, resources, etc.
Be responsible for agency vehicles, including upkeep, documentation, and gas card when assigned.
Be responsible for agency cell phone, laptop, and associated items.
Follow program guidelines as outlined in the personnel manual.
Report to the program administration any issues and/or concerns on a regular/as needed basis while working in the field.
Responsible for having access to an insured, personal vehicle.
Track and submit mileage.
Rotate after hours information line
Other duties as assigned.
Bachelors of Arts or Science Degree with two years of relevant experience (e.g. care coordination, youth and families), or a license as a Registered Nurse with two years of relevant experience, or a Masters with one year experience. *Must maintain CANS-NY certification. *Must maintain valid driver’s license and car insurance.
Seniority level
Entry level
Employment type
Other
Job function
Other
Industries
Individual and Family Services
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