Complex Care Coordinator

The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). DHS’s mission is to prevent and address homelessness, provide safe temporary shelter, and connect New Yorkers to suitable housing. HRA is dedicated to fighting poverty by providing benefits such as cash, food and rental assistance, and Medicaid.

The DSS Medical and Health Services Office aims to improve health and well‐being of individuals experiencing homelessness and of those receiving HRA benefits, increase chances of permanent housing, reduce morbidity and mortality, and improve food safety and nutrition.

• Assist in the development and implementation of public health research studies, surveys, data collection tools and databased related to locally focused street-based clusters of clients with behavioral health issues. Using these data and rigorous scientific methods as directed, such as bi- and multivariate analysis, propensity score matching, regression analysis, assist in creating algorithms to identify DHS clients in need of behavioral health services, including assessment and linkage to substance use services.
• Assist with and conduct qualitative and quantitative public health research projects related to substance use and mental health issues and services to obtain scientific and public health knowledge for optimizing substance use and mental health services to people clustering on the streets, using rigorous reach methods and software such as Statistical Analysis System, Dedoose, NVivo, Qualix or Survey Monkey, to develop and target interventions for children in shelter as defined below.
  
  As needed, and under guidance, perform or assist in performing geo-spatial analysis of street drug use indicators among DHS clients to target direct interventions and training.
• Based on data generated above, identify clients and sites for the streets-based substance use and mental illness focused interventions including linkage to care, tracking and maintaining the care coordination system, implement and monitor care plans, collaborate with staff to address the care of identified individuals with behavioral health needs, support clients in attending substance use and/or mental health appointments, engage with care teams during inpatient stays, assist in developing and implementing interventions to assist DHS clients with substance use and mental health issues who tend to use on the streets.
• Utilize a patient-centered approach to develop, implement, update, and monitor client centered care plans, using evidence-based, trauma-informed, person-centered methods to ensure the delivery of high-quality health care and other services aligned with harm reduction principles.
• Participate in City and State local coalitions and collaborate with health, mental health, and social service agencies, as well as hospitals, corrections facilities, and community-based organizations to gather relevant client information and to schedule case conferences with relevant stakeholders when needed.

Schedule needs to be flexible; some staff need to be able to work at least some days as early as 7am-7:30am while others would start later and end later.

• For Assignment Level I (only physical, biological and environmental sciences and public health) A master's degree from an accredited college or university with a specialization in an appropriate field of physical, biological or environmental science or in public health.
• To be appointed to Assignment Level II and above, candidates must have:
  • A doctorate degree from an accredited college or university with specialization in an appropriate field of physical, biological, environmental or social science and one year of full-time experience in a responsible supervisory, administrative or research capacity in the appropriate field of specialization;
  • A master's degree from an accredited college or university with specialization in an appropriate field of physical, biological, environmental or social science and three years of…