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Health Home Care Coordinator

People USA • Hourly • Poughkeepsie, New York • 7m ago

Organization: People USA - Non Profit Peer Run Behavorial Health, Mental Health, Recovery , Wellness

Position: Health Home Care Coordinator

Location: 102 Fulton Ave, Suite A Poughkeepsie, NY 12603

Payrate: $21.00 per hour

Job Summary:

Responsibilities:

Become well versed and fully trained on providing and billing for HCBS service eligible/enrolled program participants.
Maintains regular meaningful contact with clients.
Educates clients on useful health & wellness topics, including but not limited to:
Peer/Self-help Resources
Recovery from Mental Health Challenges (from a Psychiatric Rehabilitation perspective)
Wellness & Whole Health (SAMHSA’s Eight Dimensions of Wellness)
Community Resources (across all domains of health, e.g.: physical, mental, substance use, socio-economic determinants of health)
Trauma & Healing
Wellness Planning & Prevention (e.g. WRAP)
Natural Supports (developing/maintaining).
Helps clients to identify barriers to their recovery journeys or personal wellness, including issues related to access, quality of care, people’s rights, lack of basic needs, and stigma & discrimination
Advocates for client’s side-by-side to overcome identified barriers, making sure their voices are heard, and their decisions are understood and respected.
Builds peer-to-peer connections/relationships based on mutuality (shared lived experiences), empathy, and hope for recovery/wellness (peers-as-proof).
Provides peer support, sharing stories, personal feelings, information, and strategies for living well.
Coaches clients to identify & accomplish whole health goals related to the Eight Dimensions of Wellness (emotional, social, physical, environmental, financial, intellectual, occupational, spiritual)
Directly connects people to the services and supports they need through direct bridging/linking (as opposed to referrals only)
Develops and maintains positive working relationships with other provider agencies, and local housing providers (landlords) within the county and its surrounding environs
Documents all meaningful interactions in electronic records software and maintain hard copies in clients’ files
Submits fully completed monthly reports on time.
Regularly attend related meetings, including Reach One Regional Meetings
Consistently support PEOPLe, USA.’s mission to instill a sense of hope, empowerment, and self-determination in people living with mental illness that fosters recovery and a transition to wellness.
Align all behaviors with core values that promote trauma-informed care, customer engagement and satisfaction, mutuality & empathy, and a philosophical commitment that everyone can and will recover.
Staff must document their time in Timeco effectively. Staff can not work over their positions allotted hours without Supervisor approval.

Provide direct contact, outreach, curriculum development, group facilitation, counseling, mentoring, systems navigation, community oversight and crisis support as needed to individuals with psychiatric diagnoses.
Deliver peer support locally at libraries, coffee shops, community centers, traditional service environments, shelters, jails, street outreach locations such as bridges and tunnels, at home, etc.
Assist individuals with finding educational opportunities, employment, social activities and home health integration of services.
Advocate for each person by understanding who the person is now, his/her life experiences, and his/her goals for the future. Interview those individuals who are of primary importance to the potential participant.
Work with participants toward their recovery goals, both individually and in group settings in various locations/environments.
Must be cognizant of all relevant employment, educational, housing, entitlement and social supports in the community and proactively facilitate connections to these services with participants as needed.

MAIN JOB DUTIES:

Providing Care Management outreach and engagement with eligible individuals in coordination with the Institute of Family Health
INDIVIDUAL ADVOCACY: take action to represent the rights and interests of individuals living with mental illness or trauma by removing barriers to their recovery and wellness
PEER SUPPORT: conduct peer support sessions (one-to-one, groups) that promote possibilities for positive change, and ultimately help individuals to feel better. Learning materials will be provided if and when needed.
SYSTEMS NAVIGATION: directly support, assist, and guide individuals as they access various resources in the community related to their health, wellness & overall quality of life
Data Entry into BTQ, MAPPS & Institute Link: Creating whole health and wellness individualized Care Plans with each individual receiving this service.
WHOLE HEALTH & WELLNESS NEEDS ASSESSMENTS & INTEGRATION STRATEGIES: Assess client’s needs, educating them on all community-based resources to help with needs (from a menu of internal & external services & supports), directly linking them to those resources, and working to ensure that they have quality, integrated care
CARE MANAGEMENT SERVICES: Questions about health care, managing stress, making & remembering appointments, medications, food, transportation, housing, health insurance, other services as needed

OFFICE DUTIES: Maintain timely and accurate documentation, files, and databases; compile and submit program statistics and reports; and attend weekly supervisory meetings. Staff will also participate in mandatory professional development and training. May include other duties as they arise.

REQUIREMENTS:

Honesty, respect for diversity, high personal standards, professional language and behaviors reflecting such values and the Independent Living philosophy.
Knowledge of ADA, mental health laws and systems, Social Security Programs, Work Incentives, Entitlement Programs, supported employment, Federal/state/local services, laws, and systems related to individuals with disabilities.
Ability to obtain the NY State Peer Specialist Certification.
Must have demonstrated knowledge of histories, patterns, and issues contributing to Mental Health and Substance Abuse recidivism.
Demonstrated ability to recognize the need for and facilitate connections between consumers and services.
Knowledge of local, statewide and national disability-related issues and community dynamics.
Excellent written and verbal presentation skills.
Must be able to work evenings and weekend hours.

QUALIFICATIONS:

Honesty, respect for diversity, high personal standards, professional language and behaviors reflecting such values and the Independent Living philosophy.
Knowledge of ADA, mental health laws and systems, Social Security Programs, Work Incentives, Entitlement Programs, supported employment, Federal/state/local services, laws, and systems related to individuals with disabilities.
Education: 1. Bachelor's Degree in any of the following: Child and Family studies,community mental health, counseling, education, nursing, occupational therapy, physical therapy, psychology, recreation, recreational therapy, rehabilitation, social work, sociolory, or speech and hearing; OR 2. NYS licensure and current registration as a Registered Nurse and a bachelor’s degree; OR 3.A Bachelor’s level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses; OR 4. A Credentialed Alcoholism and Substance Abuse Counselor (CASAC).
Experience: 1, Two years’ experience (a masters degree in a related field may substitute for up to one year of experience) either: a. Providing direct services to people with mental illness, developmental disabilities, alcohol or substance abuse; OR b. Linking persons who have serious mental illness, developmental disabilities, alcohol or substance abuse to a broad range of services essential to successfully living in a community setting.
Ability to obtain the NY State Peer Specialist Certification.
Excellent written and verbal presentation skills.

Candidates who have been recipients of mental health services and have personally navigated the mental health system.
Completion of the Academy of Peer Services Training or the ability to complete within 6 months of hire.
A minimum of 2 years of experience working with individuals with mental health diagnoses.
Advocacy experience of two or more years preferred.
Bilingual (Spanish/English) capabilities a plus.
Knowledge of ASL also desirable.