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

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.

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 bi-weekly 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 fast-paced deadline-driven environment;
• Must maintain confidentiality and have the ability to exercise a high level of judgment/discretion;
• Ability to create and maintain well-organized 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 fast-paced environment;
• Ability to work collaboratively with a variety of people, as well as an aptitude for teamwork.
• Ability to use public transportation for travel to program locations throughout New York City.

Competence Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Strong oral and written communication skills are required.
• Ability to understand sensitive information and maintain confidentiality
• Strong interpersonal and communication skills at all levels of the organization
• Strong critical thinking, complex problem solving skill
• Highly organized, detail oriented and able to manage multiple tasks simultaneously
• Proficient computer knowledge, including word processing and database software

Physical Demands:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Physical Demands: While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee frequently is required to stand, walk, and reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, and color vision.
• Work Environment: While performing the duties of this job, the employee is not exposed to weather conditions. The noise level is usually moderate.

Job Type: Full-time

Pay: $50,000.00 - $55,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Paid time off
• Parental leave
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Caregiving: 1 year (Preferred)

Shift availability:

• Day Shift (Preferred)

Work Location: In person