CARE COORDINATOR

Job Summary:

As part of the Health Homes Program, the Care Coordinator provides services to participants through Care

Coordination activities including conducting assessments, care planning, telephone calls, home visits, coordination of benefits and services, linking members to medical providers, specialty medical providers and community-based resources. This position is based in the community as needed. Bilingual Kreyol/English speaking required.

Qualifications

    • US work authorization (Required)

    • Bachelor’s (Preferred)

Full Job Description

Job Summary:

As part of the Health Homes Program, the Care Coordinator provides services to participants through Care

Coordination activities including conducting assessments, care planning, telephone calls, home visits, coordination of benefits and services, linking members to medical providers, specialty medical providers and community-based resources. This position is based in the community as needed.

Responsibilities include but are not limited to:

  • Complete initial and routine Comprehensive Assessments for the purpose of identifying participant care assets, living environment, medical and social support needs
  • Initiate care planning and implementation of a Comprehensive Care Plan which is participant centered; addressing medical, social, familial and/or behavioral health needs
  • Engage participants’; routinely telephonically and in-person via home/facility visits to coordinate services, community resources and provide health education
  • Assess participant’s support service needs and determine eligibility for benefit programs; help securing social, financial and health information
  • Review and revise Comprehensive Care Plans; focused on chronic disease management, health education, medication adherence and improving health outcomes
  • Focus on reducing hospital admissions through coordinated care and effective discharge planning with other team members
  • Collaborate with the participant’s medical, mental health and or specialty care providers, care team members to deliver and coordinate comprehensive quality care and services
  • Develop and maintain detailed, accurate and timely case records through Health Homes EHR and provider/organization electronic record keeping/database systems as needed
  • Maintains case records in accordance with Health Home policies/procedures, agency standards and regulatory requirements
  • Attend team meetings to offer creative solutions and innovative approaches to further enhance the health home model

Required Qualifications

  • Bachelor’s degree in Community Health, Public Health or a human services related field with a minimum two (2) years of case management experience in a medical, long-term care or behavioral healthcare setting
  • Experience working with the chronically ill, persons with HIV/AIDS, persons with a history of mental illness, substance abuse, homelessness or chemical dependence or equivalent
  • Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, Internet research, use of online calendars and other software applications
  • Willingness to travel within New York City 5 boroughs; predominantly, Brooklyn for home and or provider visits
  • Bilingual Kreyol/English speaking required

Preferred Qualifications

  • Masters degree in counseling, social work or related field
  • Experience working with vulnerable populations with chronic medical, or complex behavioral health needs
  • 2 Years’ experience working with Health Homes, knowledgeable/Care Coordination

Diaspora Community Services is an Equal Opportunity Employer! We offer competitive packages including comprehensive health insurance, 403B, paid holidays, generous PTO, growth potential and a challenging and exciting work environment.

DCS implements client services using an empowerment, anti-racist, anti-poverty framework that engages participants primarily from Central Brooklyn within the following categories:

– Access to quality healthcare- based on the knowledge that health disparities exist especially in maternal health and the management of chronic conditions

– Youth Development using healing centered engagement

– Residential Services for Homeless Youth to secure optimal futures

– HIV prevention and care – with a focus on women of color, LGBTQIA communities of color including MSM of color as a priority population

Job Type: Full-time

Pay: Up to $45,000.00 per year

Benefits:

  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Schedule:

  • Monday to Friday

COVID-19 considerations:
All staff and clients are required to wear a mask and common surfaces are sanitized regularly.

Education:

  • Bachelor’s (Preferred)

Experience:

  • Relevant: 2 years (Required)

Language:

  • Kreyol (Required)

Willingness to travel:

  • 25% (Required)

Work Location:

  • One location

Work Remotely:

  • No

Work Location: One location

 

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