Senior Care Coordinator

• The Senior 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 Senior 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 Senior 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.

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 data-driven, wellness centered, 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.
• Attends AOT evaluations and court dates as needed.
• Completes weekly AOT monitoring reports on all clients
• Maintains integrity of client records throughout the program
• Complete additional clinical assessments and coordinate care with managed care organizations as needed
• Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progress
• Participate in supervision and ongoing training and education in an effort to continuously expand on knowledge base and foster professional development.
• Participate in QI and chart audit procedures as assigned.
• Work with the entire CN Guidance team to apply the Plan-Do-Study-ACT continuous quality improvement approach to address systemic, organizational challenges.
• Identify and implement quality improvement trainings and activities as part of professional development goals
• Encourage quality improvement processes and provide consistent resources for QI and professional development
• Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results.
• Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines.
• Other duties as assigned.

EDUCATION AND EXPERIENCE:

• 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.
• For B.A. level candidates, two (2) years of related human service and direct service experience required.
• For M.A. level candidates, one (1) year of related human service and direct service experience required.
• Experienced in and demonstrated comprehensive understanding and working knowledge of the interdisciplinary planning process and the developmental treatment model.
• Knowledge and sociological understanding of Medicaid, Social Security and other social service entitlements.
• Excellent interpersonal skills required.
• Knowledge of cultural competence and sensitivity
• You must have the ability and willingness to regularly travel, in some instances with clients in Agency vehicles, to many locations using various modes of reliable and safe transportation. If working in Nassau or Suffolk Counties, 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 and be designated and remain in good standing as a CNGCS authorized driver.

BENEFITS:

We offer an attractive and competitive benefits package for full time employees which includes but not limited to:

• Medical
• Dental
• Vision
• $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit
• Flexible Spending Account
• 403(b) retirement plan
• Long Term and Short Term Disability
• Legal Plan
• Dependent Care Expense Account
• Life Insurance/Supplemental Life Insurance
• Pet Insurance
• HRA
• Training programs including a Mentorship program
• Employees may be eligible for Federal/Public Student Loan Forgiveness
• Career growth and Promotional opportunities
• Employee Perks and Discounts to Broadway shows and more

5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly and so much more.

____________________________________________________________________

If interested please apply via this ad or fax your resume to HR DIRECTOR, CAROL OTERO at 516-396-0553.

______________________________________________________________________

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/Dan papers Top Long Island Work Place 2019-2023, 5 years in a row.
• 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.'