Care Coordinator

JOB DEFINITION: The Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to adults diagnosed with a severe mental illness, with multiple medical co-morbidities and/or co-occurring substance abuse disorders. The Care Coordinator advocates for and supports the client, engages with community agencies/health care providers and others on the client's behalf to ensure access to services, to increase wellness self-management and to reduce emergency room visits and/ or hospitalizations. The Care Coordinator will provide expert support and psychosocial and/or substance abuse interventions, and resources to aid in the consumer's care while maintaining focus on outcomes and best practices. The Care Coordinator must be available on an as-needed basis 24 hours a day, 7 days a week. DUTIES AND RESPONSIBILITIES: Conducts initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources. Participates in the development/documentation /review and update of client centered comprehensive ,integrated, interdisciplinary care plan in consultation with Program Supervisor and other team members to ensure focus on desired outcomes. Maintains effective communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other Agency staff on behalf of clients. Maintains documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure. Coordinates care planning with other providers of services/ resources to ensure goal directed, collaborative care, including care transitions. Works as part of a Care Coordination team; attends and participates in team meetings to provide input/feedback around psychosocial conditions/comorbidities to review client status, update plans and goals, review outcomes to further program goals. Acts as a resources/consultant to all team members on psychosocial and/or substance abuse issues and resources. Provides telephonic as well as face-to-face outreach, engagement and service planning in the field. Acts as a linkage to community services including medical, behavioral, residential, entitlement and any other needed services per interdisciplinary care plan. Monitors overall service delivery to clients to ensure coordination and continuity; advocates with service providers/resources as needed. Provides crisis intervention and follow-up on an as-needed basis 24 hours a day, 7 days a week. Participate in ongoing supervision, training and education as needed to ensure a high quality of service delivery and continued professional growth. Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progress Complete QI Training during onboarding and participate in QI refresher training as needed. Work with the entire CN Guidance team to apply the Plan-Do-Study-ACT continuous quality improvement approach to address systemic, organizational challenges. Other duties as assigned. EDUCATION AND EXPERIENCE: For H.S. Diploma/GED level candidates, four (4) years of related human service and direct service experience required. For B.A. level candidates, one (1) year of related human service and direct service experience required. Bachelor's Degree or Master's Degree in one of the following fields preferred: Social Work, Psychology, Education, Rehabilitation, Occupational Therapy, Counseling, Community Mental Health, Sociology, Speech and Hearing, Physical or Recreational therapy. Degrees in other related areas may be considered. A valid Tri-state (New York, New Jersey or Connecticut) driver's license is required; and you must have a current and valid driver's license on file with CNGCS' Human Resources, be designated, and remain in good standing as a CNGCS authorized driver. BENEFITS We offer an attractive and competitive benefits package. Central Nassau Guidance & Counseling Services, Inspires and catalyzes recovery for people living with mental health and substance use conditions through innovative and person-centered integrated clinical treatment, counseling, housing, and support services. Awarded Newsday Top Long Island Work Places 2021 & 2022 Our culture thrives by embracing diversity and rewarding innovative ideas. Every job and every team at our agency plays a role in helping other Long Islanders live healthy and fulfilling lives. Engage your passion and CHOOSE a career & employer where you can use your vital energy to make a difference. It is the policy of Central Nassau Guidance and Counseling Services, Inc. to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law. Central Nassau Guidance and Counseling Services, Inc. prohibits any such discrimination or harassment.'