Position Summary

The Care Coordinator provides a variety of health home services to ensure that all of the individual's physical, mental, and health needs are addressed in a comprehensive manner. The Care Coordinator oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room, and out of the hospital.

Essential Functions

• Provide outreach and engage services to individuals in BHCC.
• Work with individuals in creating recipient-centered and strength-based plans of care.
• Assist individuals in following their plan of care.
• Help individuals in managing their plan of care by assessing appropriate services in the various systems of care.
• Monitor and evaluate individuals' needs.
• Coordinate and arrange for the provision of services to individuals.
• Facilitate communication across health care providers.
• Access resources which are essential to individuals and their recovery.
• Promote evidence-based wellness and prevention by linking individuals with resources for smoking cessation, diabetes, asthma, hypertension, self-help recovery resources and other services based on their individualized needs and preferences.
• Participate in all phases of care transition, including discharge planning and follow-up to assure that hospitalized individuals received follow-up care and services and re-engagement of those who have become lost to care.
• Utilize peer support, support groups and self-care programs to increase individuals' and collaterals' knowledge about the individuals' diseases and disabilities.
• Refer individuals to community and social support services.
• Carry out all AOT court-mandated and voluntary agreement responsibilities.
• Complete all assessments and other required documentation in a timely manner.

The ideal candidate will:

• be detailed oriented.
• be able to work independently and take initiative
• have the ability to multi-task and meet deadlines
• possess effective oral and written communication skills
• have the ability to interact effectively with all levels of employee, as well as external contacts
• be able to handle confidential and sensitive information
• require manual dexterity for the use of a computer, telephone, fax, or copy machine
• be able to prepare clear, concise reports
• possess knowledge of needs of client populations and treatment sources
• be able to plan, assign, and direct the work of others
• be able to communicate effectively orally and in writing
• support the mission, values and vision of the organization
• promote positive public relations with residents, family members, and guests
• complete requirements for in-service training, acceptable attendance, uniform and dress codes, including personal hygiene.
• be able to solve complex problems and deal with a variety of issues
• possess the ability to effectively present information and respond to questions from managers, employees, residents, families, professional and the general public.
• possess ability to communicate sensitive information to principals and client
• be able to lift items up to 25 pounds
• Be able to sit or stand as needed, with or without reasonable accommodation.
• May require walking, primarily on a level surface, for short periods throughout the day, with or without reasonable accommodation.
• Be able to reach above shoulder heights, below the waist or lift as required to file documents or store materials throughout the workday, with or without reasonable accommodation.
• Driver's license preferred.
• During a declared disaster, assume and adhere to assigned Job Action role(s) consistent with Disaster Preparedness Plan.
• Perform other related duties as required.

Experience/Education/Skills/Abilities

Care Coordinator I: Bachelor's degree in a Health and Human Services area and one year's experience providing direct care services OR Associate's degree in a Health and Human Services area and two years' experience providing direct services OR a High School diploma/GED and four years' experience providing direct services.

TSINY is an equal opportunity employer that is committed to a policy of nondiscrimination in accordance with Title VII of the Civil Rights Act, as well as the New York State Human Rights Law. TSINY prohibits discrimination against any employee or applicant for employment on the basis of race, creed, color, national origin, sex, gender, age, disability, marital status, sexual orientation, citizenship status, veteran status or other protected group status as provided by law in all employment decisions.