About WellLife Network: WellLife Network is a leading health and human services organization dedicated to supporting individuals and families across New York City and Long Island. Recognized as a 2023 top-rated nonprofit, WellLife Network empowers people to overcome life’s challenges and achieve greater independence, well-being, and inclusion. We offer a comprehensive suite of programs spanning mental health, developmental disabilities, substance abuse, housing, and employment support, all grounded in a commitment to compassionate, high-quality care. Central to our mission is an unwavering dedication to diversity, equity, inclusion, and belonging (DEIB) within our organization and in the communities we serve. As a trusted community partner, WellLife Network fosters a nurturing environment where everyone has the opportunity to thrive and realize their fullest potential.
Position Summary: Care Coordinators are responsible for working collaborative with their clientele, all their support systems to include community providers to insure support for overall health and wellness.
Essential Accountabilities:
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Conduct outreach activities through various methods and engage individuals with chronic medical conditions, mental health issues, and/or substance use disorders, often co-occurring.
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Conduct initial and ongoing comprehensive assessments to determine strengths and identified needs.
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Prepare and revise care plans to reflect client needs and personal goals with a focus on maintaining health and wellness.
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Maintain contact with clients at least monthly, and more often as needed, providing telephonic as well as face to face outreach, engagement, and comprehensive service planning in the field.
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Advocate for and support clients to ensure access to resources necessary to support wellness/self-management and decrease frequency of emergency room visits and inpatient hospital admissions.
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Monitor and coordinate all care for clients, including access and maintenance of medical insurance, linkage to treatment providers and community resources.
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Collaborate with community providers at least monthly as part of a multi-disciplinary team to ensure goal-directed care planning.
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Conduct crisis intervention when needed and follow up accordingly.
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Maintain detailed, timely, and accurate record keeping in an electronic medical record. Coordinate with supervisor, office manager, and health home outreach team in a timely manner to ensure accurate caseload status (including enrollments, closures, and screen outs).
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Complete all required monthly documentation as required to ensure continuity of engaged clients’ medical insurance and to ensure appropriate and accurate billing.
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Work as part of a care management team, attend and participate in weekly team meeting to provide feedback and share resource information relating to client needs, issues and concerns.
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Be responsible for reporting/coordinating daily office and field schedules with other members of the team and supervisor
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Offer resources and serve as a consultant to all team members on medical/psychosocial/substance use issues as well as social service needs.
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Attend periodic trainings to enhance skill level and learn about wellness self-management and best practice skills.
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Participate in bi-weekly individual supervision to address concerns/issues and improve skill development.
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Be responsible for agency vehicles, including upkeep, documentation, and gas card when assigned.
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Be responsible for agency cell phone, laptop, and associated items.
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Follow program guidelines as outlined in the personnel manual.
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Report to the program administration any issues and/or concerns on a regular/as needed basis while working in the field.
Other Responsibilities:
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Maintain confidentiality at all times.
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Participate in activities of other staff members in their absence or during periods of staff shortage.
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Represent the agency at meetings, trainings not otherwise specified.
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Ability to work flexible schedule as work schedule and locations are subject to change
