Youth Care Coordinator

Program Director of Community Outreach & Engagement at Well Life Network

About Well Life Network:Well Life 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, Well Life 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, Well Life Network fosters a nurturing environment where everyone has the opportunity to thrive and realize their fullest potential.

Position Summary:Youth Care Coordinator establishes supportive relationships with youth (ages 5 – 21) and their families who have significant behavioral and/or physical health conditions in order to assist them to achieve improved overall health and social functioning.

Essential Accountabilities:

• Demonstrate knowledge of childhood psychiatric disorders, chronic medical conditions, and complex trauma.
• Conduct outreach activities through various methods and engage individuals with chronic medical conditions, mental health disorders, and/or substance use disorders, often co-occurring.
• Conduct initial and ongoing comprehensive assessments (CANS-NY, Complex Trauma Assessment, Comprehensive Assessment, etc) to determine strengths and identified needs.
• Prepare and revise care plans to reflect member needs and personal goals with a focus on maintaining health and wellness.
• Maintain contact with members at least monthly, providing telephonic and/or face to face outreach, engagement, and comprehensive service planning in the field.
• Advocate for and support members to ensure access to resources necessary to support wellness/self-management and decrease frequency of emergency room visits and inpatient hospital admissions.
• Monitor and coordinate all care for members, including access and maintenance of medical insurance, linkage to treatment providers and community resources.
• Collaborate with community providers as part of a multi-disciplinary team to ensure goal-directed care planning.
• Conduct crisis intervention when needed and follow up accordingly.
• Maintain detailed, timely, and accurate record keeping in an electronic medical record.
• Coordinate with Program Coordinator/ Supervisor, and health home outreach team in a timely manner to ensure accurate caseload status (including enrollments, closures, and screen outs).
• Complete all required monthly documentation as required to ensure continuity of engaged members’ medical insurance and to ensure appropriate and accurate billing.
• Work as part of a care management team, attend and participate in team meetings to provide feedback and share resource information relating to member needs, issues, and concerns.
• Be responsible for reporting/coordinating daily office and field schedules with other members of the team and Program Coordinator/ Supervisor, as well as documenting schedule for the office manager.
• Offer resources and serve as a consultant to all team members on medical/psychosocial/substance use issues as well as social service needs.
• Provide HHSC YCM services to youth in all of Suffolk County as assigned with the possibility of assignments in Nassau County
• Attend periodic trainings to enhance skill level and to maintain DOH/ HHSC training requirements.
• Participate in regularly scheduled individual supervision to address concerns/issues and improve skill development.
• Participate in weekly High Risk Review meetings (as appropriate) to address member concerns and monitor high risk behaviors, linkages to supports, and member/ family needs.
• Participate in monthly Youth Care Management meetings to address agency policy updates, HHCM policy updates, paperwork, billing, trainings, resources, etc.
• Be responsible for agency vehicles,…