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Care Coordinator in Brooklyn, New York at The Jewish Board

Date Posted: 2/21/2019

Job Snapshot

Job Description

PURPOSE: Working in a team setting, the Care Coordinator has overall responsibility and accountability for coordinating all aspects of an assigned health home member’s care.  The Care Coordinator will conduct assessments, develop plans, provide care management services, track and arrange appointments, educate members and coordinate other aspects of the member’s health and community services.  The Care Coordinator functions as a part of the Care Management team.  As this is an evolving program, additional responsibilities will be added.

RESPONSIBILITIES, under direct supervision, include but are not limited to:

  • Integration of medical, specialized and behavioral health services in addition to social support services
  • Periodic assessment of a member’s medical and behavioral health needs as well as compliance with recommended treatments

  • Collaborative development of an Individualized Care Plan (ICP) with the member, the member’s family and/or caregivers in addition to other service providers

  • Providing required care management services

  • Tracking all specialty medical, behavioral and support service referrals made for patient using Health Information Technology (HIT) provided.

  • Assuring that member has access to, engages in and retains needed services as defined in the member’s ICP.Such services may include:Acute Medical Care; Primary Medical Care; Preventative medical care services (including metabolic screening); Home Health Care; Chemical Dependency Services; Behavioral Health Services; Community social support services; Housing; State and federal entitlements

  • Providing outreach services to members for increased access to the above services

  • Responding to members’ information and referral questions.

  • Reassessing for continuation of Health Home Services

  • Completing all required documentation

  • Sharing knowledge and experience with other team members to support the team’s overall service provision efforts

  • Other duties as assigned


  • Intermediate computer proficiency

  • Good written communication skills

  • Excellent verbal communication and customer service skills

  • Bachelor’s degree in social work, psychology or a related health/human services field OR High School/GED with at least two years of relevant experience.

  • Experience working in interdisciplinary teams; experience providing care management or care coordination in a medical or behavioral health environment; experience working with the chronically ill.