Adult Home Plus Specialist - New York, United States - Puerto Rican Family Institute Inc

Puerto Rican Family Institute Inc
Puerto Rican Family Institute Inc
Verified Company
New York, United States

1 week ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Job description

The best health insurance plan ever A ZERO Dollar plan. Please ask for details.

Position Summary:


Looking for a career that is both rewarding and challenging? Are you passionate about your work? Do you enjoy making an impact on your community? If so, come and join us; bring your talent, your drive, your integrity, and your heart to PRFI, Inc.

Puerto Rican Family Institute, Inc. is based on the principle of people first. We are proud to provide person-centered care to the participants we serve. Our focus is on individual strengths and working towards achieving our client's aspirations. Our programs are tailored to unique needs and circumstances.

At PRFI, Inc., we offer flexible schedules and comprehensive benefits.

We look forward to hearing from you

The Health Home Care Coordination program is designed to coordinate services and supports for uninsured adults with mental illness, HIV/AIDS, medical conditions, and substance abuse, and help them live independently in the community and obtain access to all needed services





SALARY:
$50,000-$55,000
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BENEFITS:
Comprehensive health plan on the first of month after hire (Medical, Dental, Vision. LTD, Life Ins, STD, Flexible Spending Accounts, Retirement) as well as generous Paid time off package.

The Paid time off package includes 4 weeks of vacation, 12 sick days, 4 personal days and 12 holidays during the year.

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Major Duties:


  • Provides Care Coordination services to clients eligible for Adult Home Plus services in accordance with PRFI, Health Home, and DOHMH and OMH guidelines.
  • Provides Health Home Plus services in accordance with PRFI, Health Home, and DOHMH guidelines (as outlined in the AOT/HH+ job description).
  • Outreach, engage, and enroll the clients into the program within 48 hours of receiving a referral.
  • Complete the discharge planning packet and all associated tasks as part of the process of transition.
  • Collaborate with the Housing Contractor, primary care providers, behavioral health providers, specialists, Health Home staff, OMH staff, Managed Care Plans, Managed Long Term Care Plans, and the Office of Community Transitions to ensure the member transitions into the community within the agreed upon timeline.
  • Secure all needed benefits and entitlements for clients.
  • Meet face to face with the member at least four times per month including months when the member resides for all or part of the month in a hospital or nursing facility.
  • For members who are temporarily hospitalized or in a nursing facility, participate in the discharge planning process and have face to face contact with the member within two days after discharge.
  • Have at least monthly phone contact with the member's housing provider.
  • For members living in the community conduct an assessment every six months (or if there is significant change) following transition to determine if the class member still requires AH+ level of care.
  • Maintains a caseload of 1:12 clients with at least 8 of them AH+ clients and the rest HH+ or AOT
  • Participate in biweekly or weekly calls as determined by OMH with OMH and the Health Home to report progress on transition events.
  • Document and file all chart documentation including but not limited to progress notes, assessments, treatment plans, as well as weekly schedules and statistical reports in a timely fashion in accordance with NYSDOH, NYSOMH, OMIG, Health Home, AOT, and agency guidelines in the charts as well as the Health Home and AOT portals as required.
  • Follows program's guidelines and uses judgment and expertise to determine the appropriate level of intervention necessary in each situation.
  • Participates in group/individual supervision and attends staff meetings and in service trainings.
  • Completes all required AH+ trainings.
  • Assures coverage and assumes responsibility for uncovered caseloads
  • Completes UAS-NY Assessments.
  • Seeks guidance and consults with Team Leader, Senior Team Leader, and Program Director regarding any client issue.
  • Other duties as determined by the Team Leader, Senior Team Leader, and Director.

Qualifications:


  • Bachelor's degree in related field and a minimum of four years' experience, or Master degree.
  • Interest in working with people with social service needs;
  • Exceptional communication and organizational skills, including excellent phone demeanor and direct communication skills with program participants, vendors and staff;
  • Ability to operate with purpose, urgency, and accuracy in a fastpaced deadlinedriven environment;
  • Must maintain confidentiality and have the ability to exercise a high level of judgment/discretion;
  • Ability to create and maintain wellorganized administrative and operational systems;
  • Knowledge and proficiency of MS Word, Excel, PowerPoint, and possess a willingness to learn new programs as needed;
  • Must be able to work independently and manage multiple tasks in a fastpaced environment;
  • Ability to work c
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