:In this role you will provide comprehensive support in order to coordinate all health care needs, including but not limited to: medical, mental health, substance abuse, specialty care, social services and self-management / wellness.
On-going and progressive care management activities must demonstrate active progress in moving the care management plan forward toward achieving the member’s goals.This position is part of a contract granted through the Department of Social Services (DSS).
DSS identifies clients that are chronically homeless, having high costs for care and assigns them to this contract.The staff member engages with the client, assists with stabilizing housing, addressing medical/psychiatric needs, and connecting the client to services in the community.
The progress is monitored monthly in a meeting with DSS staff.
There are outcome measures that DSS has assigned to this contract and staff works to meet them on a 6 month basis.
Care Management services will be:Patient-centered, comprehensive, accessible, with continuous follow-up, and data sharing.Conduct comprehensive outreach and follow-up services to facilitate continued engagement with careFacilitate smooth transitions in care, including inpatient admissions and discharge and transfer between providersIdentify and address barriers to accessing consistent care and inform interventionsProvide regular communication with the care team members to share information and ensure care is relevant and informedPlan regular case conferences with relevant care team membersDevelop trans-disciplinary care plans based on comprehensive intake assessments, ongoing reassessments, case conferences, and routine contact with network providersMonitor and ensure incorporation of care plan goals into all aspects of carePerform other duties as assigned The ideal candidate will have 2 years’ experience in one of the following areas:Providing direct services to people with serious mental illness, developmental disabilities, or substance use disordersIn linking individuals with serious mental illness, developmental disabilities, or substance use disorders to a broad range of services essential to successful living in a community setting (e.G.
medical, psychiatric, social, educational, legal, housing and financial services)Experience or exposure in community service, advocacy and outreach with familiarity in serving individuals with chronic illness both physical and behavioralProven ability and success in engaging individuals lived or shared experience a plusExcellent Customer Service, friendly, outgoing, organized, approachable with good presentation skills Qualifications:Bachelor’s Degree in Health and Human Services or related field orA NYS teacher’s certificate for which a bachelor’s degree is required orNYS licensure and registration as a Registered Nurse and a bachelor’s degree orA Bachelor’s level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses orA Credentialed Alcoholism and Substance Abuse Counselor/ CASAC orA Master’s degree with one year of experienceBilingual English and Spanish speaking is a plus Access offers a comprehensive benefits package including medical, dental and vision coverage; an array of voluntary benefits (term life, whole life, identity theft protection and pet insurance); Healthcare and Daycare Flexible Spending Accounts; employer paid Short Term Disability, LTD and AD& D; a matching 403(b) retirement plan, generous paid time off, paid holidays, accelerated holiday pay and tuition assistance.To see all career opportunities with Access visit http://accessrealjobs.Org.
To learn more about Access and our services visit http://accesssupports.Org.
Like us on Facebook and connect with us on LinkedIn.
ALL POSITIONS ARE SUBJECT TO A CRIMINAL BACKGROUND, FINGERPRINTING AND MOTOR VEHICLE REPORT CHECK.
The Agency is a smoke free workplace and offers smoke free campuses for our employees, visitors, clients, and interns.EEO, AAE M/F/D/V.IND2022We strive to make our electronic application process accessible to any and all users.
If you would like to contact us regarding the accessibility of our website or if you are having difficulties in completing the application process, please contact our Human Resources Department at 845-692-4454.