Required Qualifications (as evidenced by an attached resume): Bachelor's degree (foreign equivalent or higher) in Social Work or a related discipline. One (1) year of full-time relevant care management experience, human services and/or social work experience. Must have, keep and maintain the appropriate valid NYS Driver's License; have a motor vehicle record which is free from major violations or a pattern of repeat violations. (***Out-of-State Applicants, see "Special Notes").
Preferred Qualifications: Master's degree (foreign equivalent or higher) in Social Work or a related discipline. Relevant mental health/social work experience in an approved social work/human services internship program. An additional year (2+) of full-time relevant care management, human services and/or social work experience. Outreach and/or care management experience with adults with chronic physical or behavioral health conditions. Knowledge of health and other community resources, rights, benefits/entitlements and advocacy.
Brief Description of Duties: The Community Health Worker provides outreach, assessment and supportive care management services to adult persons with psychiatric disabilities and other chronic physical and behavioral health conditions that live in Suffolk County. This includes the provision of telephonic and field-based outreach services to potential Health Home enrollees and the assessment and enrollment of individuals in the Sayville Project's Medicaid Health Home Program. The Community Health Worker also aids the care management staff by assisting enrolled clients in the development and fulfillment of their health and recovery plan and other life goals; accessing necessary health, behavioral health, and other social services and supports; and compiling and linking clients to needed community resources. The overall goals of the Health Home Program are the improvement of health outcomes for persons with serious and chronic medical and behavioral health conditions through care coordination.
Perform an initial assessment of prospective clients to determine eligibility for Health Home Care Management Services. Conduct all functions related to enrollment of the member in the Health Home Program (including consents, SBIRT screens, advance directives, etc.). These assessments are primarily performed in the field in the individual's home environment.
Perform Health Home services and support enrolled clients in the development and fulfillment of life and recovery goals. Assist clients to improve health outcomes, and to reduce the use of unnecessary ER and inpatient utilization. Provide health education and resources to assist clients to increase health literacy and independent control over their lives.
Complete required client and program record keeping and documentation in accordance with professional standards and the guidelines and regulations stipulated by the NYS DOH Health Home Initiative, the NYS OMH, Suffolk County Division of Community Mental Hygiene and the Office of Compliance and Audit for SBU. Develop a comprehensive knowledge of Health Home services, member eligibility criteria and the Health Home enrollment process. Adhere to privacy, confidentiality and HIPAA standards and regulations in all dealings with clients and with regards to documentation of work.
Provide outreach services to identified persons with psychiatric disabilities and other chronic behavioral and physical health conditions in accordance with agency/SBU, NYS OMH, NYS DOH, Health Home, Suffolk County DMH, Medicaid MCO and Medicaid guidelines and regulations, policies and procedures. These services are provided to prospective clients in the field which requires use of one's own vehicle for travel to/from appointments. Prospective clients are identified by the NYS DOH (and the approved Medicaid MCO Plans) by way of rosters sent to the Health Home.
Perform telephonic and community-based foot outreach to prospective health home clients in the communities and towns of Suffolk County.
Develop an understanding of client rights and entitlements, community, behavioral and physical health, other resources and referral and grievance procedures and develop practices in accordance with the advocacy/empowerment theoretical model, operating from a client-centered, strengths and recovery-based social work practice orientation.
Attend required and recommended staff, in-service and web-based training, meetings and activities and participate in critical reflection of one's practice and provide feedback and support to staff and colleagues
Participate in outreach activities to potential and former clients. Provide health education to client community and take leadership in implementing community-based programs and initiatives and advocacy-oriented projects, to organize and educate others on health and recovery-oriented issues and obstacles faced by client population.
Other duties or projects as assigned as appropriate to rank and departmental mission and in specific those necessary for the success of the agencies Care Management and Health Home Programs.
Special Notes: This is a full time appointment. FLSA Nonexempt position, eligible for the overtime provisions of the FLSA. This position is located in Bohemia, NY.
Essential Position: This has been designated as an essential position based on the duties of the job and the functions performed. Positions that are designated as such may be required to report to work/remain at work even if classes are cancelled, and the campus is working on limited operations in an emergency.
***Out-of-State Applicants: Please note as a condition of employment and in order for this position to be tendered, the successful incumbent will be required to provide evidence of a valid license and driving abstract from the state issuing the license within five business days of a conditional offer and must obtain a NYS driver's license within 30 days of acceptance of offer.
Resume/CV and cover letter should be included with the online application.
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Official Job Title: Instructional Support Assistant
Job Field: Social Work/Behavioral Health
Primary Location: US-NY-Bohemia
Department/Hiring Area: SUNY Stony Brook, Sayville Project-Stony Brook University
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