OverviewConducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditions. Ensures access and linkage to the full array of necessary physical and behavioral health services and other community based services to address social determinants of health. Coordinates effective communication between all providers for the ultimate benefit of the client/member. Works under general direction.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement and CEU credits
What You Will Do
- Utilizes approved assessments to identify clients/members needs and develop initial and ongoing clinical plan of care.
- Updates plan at specified intervals, and as needed based on changes in client/member condition or circumstances.
- Performs and maintains effective care management for assigned caseload of clients/members. Tracks and monitors progress; maintains detailed, accurate and timely progress notes and other documentation.
- Develops inventory of resources that meet the clients/members needs as identified in the assessment.
- Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members.
- Works collaboratively with team members to provide outreach for and engage resistant/hard to reach clients/members to accept program services.
- Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility of entitlements and community services. Arranges transportation and accompanies clients/members to appointments as necessary.
- Participates in initial and ongoing trainings as necessary to maintain and enhance care management skills.
- Maintains updated case records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements.
- Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge.
- FOR Health Home programs:
- Maintains appropriate documentation and standards for all specialized caseloads such as HH+, AOT, Non Medicaid, HARP cases and other special populations.
- Participates in special projects and performs other duties as assigned.
QualificationsLicenses and Certifications:
Valid NYS ID or NYS driver’s license required. NYS Community Mental Health Assessment instrument and HCBS training completion preferred Must complete necessary training to administer NYS Eligibility Assessment for HCBS service in the UAS system within 60 days of start date.
Education:
Bachelor's Degree in a human services or related field required Enrollment/attendance in Master’s degree program in human services or related field preferred
Work Experience:
Minimum of two years of experience providing direct services to clients/members with Serious Mental Illness (SMI), developmental disabilities, substance use disorders and/or chronic medical conditions client required with a Bachelor’s degree; minimum of one year of experience with a Master’s degree. Effective oral/written/interpersonal communication skills required Bilingual skills may be required as determined by operational needs. Basic computer skills required
Pay RangeUSD $23.17 - USD $28.96 /Hr.
About UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
