Good Shepherd Services is a leading multi-service agency with more than 85 programs that serve over 30,000 youth and families each year – and builds on their strengths to help them gain skills for success. At Good Shepherd we respect the dignity and worth of every person and reject intolerance, inequity and injustice in whatever form it may take. Voted one of the top 100 places to work in NYC by Crain’s New York, Good Shepherd Services offers a fantastic work environment, a collaborative team dedicated to fulfilling our mission, and an amazing array of benefits. Join our team and help make a difference! We are looking for a dynamic and compassionate Care Coordinators to work with us. In this role you will guide program enrollees and their caretakers (legal guardians) through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes. Good Shepherd Services is a leading youth development, education and family service agency with more than 80 programs that serve over 30,000 children, youth and families each year. We give vulnerable youth in New York City the opportunity to take ownership of their future. Voted one of the top 100 places to work in NYC by Crain’s New York, Good Shepherd Services offers a fantastic work environment, a collaborative team dedicated to fulfilling our mission, and an amazing array of benefits. Join our team and help make a difference! Reports to: CARE MANAGER SUPERVISOR, HEALTH SERVICES Location: Bronx, New York 10453 Hours: 35 hours, Non-Exempt Major Duties: + Obtains required Care Management enrollment consents from the individual or legal guardian + Completes initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual’s most appropriate level of care management. + Responsible for the overall management of the patient’s Individualized Plan of Care. Through the creation of an Individual Plan of Care the Care Manager is able to: + Coordinate the enrollee’s provision of services including as per their acuity level. + Support adherence to treatment recommendations + Monitor and evaluate a patient’s needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate. + Meets client contact requirements (keeping in mind that caseloads may be “blended”): + Care Managers serving children will be required to have some face-face visits on a consistent schedule as per the mandates of their acuity level (high, medium, or low). + Meets Care Management documentation requirements in a timely and accurate manner by effectively utilizing designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs) as needed + Functions as an advocate for clients within the agency and external service providers + Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences + Educate the child/caregiver on care of chronic conditions, immunization, screening and other preventive interventions. + Helps clients to obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility, Social Security, SNAP, housing, legal services, employment and training supports, and others. + Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences. + Conducts care planning meetings/conferences and serves as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care + Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services + In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge + Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position + Ensure that child has periodic evaluations and follow up treatment for dental, vision and hearing care, following Medicaid EPSDT guidelines + All other duties, as needed Qualifications: Education and/or credential requirements are determined by children’s acuity level and requires one or more of the following: + Bachelors of Arts or Science with two years’ experience + Registered Nurse or Licensed Practical Nurse with two years’ experience + A Master’s Degree in related field (License preferred) + Bilingual is a plus The candidate must possess the following Experience: + Relevant expertise and experience in serving children and families in child welfare, developmental disabilities, mental health, healthcare and/or other systems as well as those receiving preventive services. + Care Coordinators serving high acuity enrollees will be required to have demonstrated knowledge and understanding of the needs of such children and their families as evidenced by additional years of experience, education, or training. + Care Coordinators assigned to children who have medical fragility must have extensive experience in coordinating their care + Experience providing service coordination and information, linkages, and referrals for community-based services. Good Shepherd Services is an equal opportunity employer that is proudly committed to becoming an anti-racist and multicultural organization that stands up for justice and equity. We welcome prospective employees from diverse backgrounds, for administrative support and direct service and leadership roles, who will join us on that journey, uphold our values and approach, and believe in our mission. Additionally, we aim to have a racially representative leadership and workforce that is reflective of the communities we work in partnership with. Good Shepherd Services is committed to providing an inclusive and welcoming environment for all members of our staff, participants, volunteers, subcontractors, and vendors. We do not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of our activities or operations. These activities include, but are not limited to, hiring and termination of staff, selection of volunteers and vendors, and provision of services. ID: 2020-3373 Base Salary: USD $42,000.00/Yr.