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Tbi​/Nhtd Service Coordinator

Job in Rochester, Monroe County, New York, 14618, USA
Listing for: Catholic Charities Community Services
Full Time position
Listed on 2026-08-10
Job specializations:
  • Social Work
    Community Health, Mental Health, Human Services/ Social Work, Crisis Counselor
  • Healthcare
    Community Health, Mental Health, Human Services/ Social Work, Crisis Counselor
Salary/Wage Range or Industry Benchmark: 25 USD Hourly USD 25.00 HOUR
Job Description & How to Apply Below
Position: TBI/NHTD SERVICE COORDINATOR

We Are Hiring!

Catholic Charities Family and Community Services (CCFCS) has been serving our community for over 100 years. We walk with people when they are at their most vulnerable as they journey toward independence to reach their full human potential. We proudly serve and employ people from all backgrounds and experiences.

If you're looking for more than just a job, if you're passionate about making a meaningful impact on the lives of others, join a team that changes lives every day. Be a part of something truly special.

Employment Type:

Full-Time

Schedule:

M-F, 40 hours

Salary: $25.00

Top Benefits and Perks:

  • Competitive salary and 403b retirement plan
  • Generous time off package and work-life balance
  • Comprehensive benefits package
  • Supportive and collaborative environment
  • Opportunities for growth and development
  • Intrinsic reward of truly making a difference in people's lives

Qualifications:

Education:

Individual with a Bachelor's degree and one (1) year of experience providing case management/service coordination and information, linkages and referrals regarding community-based services for individuals with disabilities and/or seniors;

OR

Individual with an Associate's degree and two (2) years of experience providing case management/service coordination, information, linkages and referrals regarding community-based services for individuals with disabilities and/or seniors.

Paid employment and unpaid experience (such as documented volunteer work, internships, etc.) providing case management/service coordination, information, linkages and referrals regarding community-based services for individuals with disabilities and/or seniors can be used to fulfill the requirements for being employed as a Service Coordinator.

About the role:

Provide service coordination to individuals within the Traumatic Brain Injury (TBI) Waiver and Nursing Home Transition and Diversion (NHTD) Waiver programs living in Monroe, Finger Lakes or Southern Tier Regional Counties. Ensures completion of required duties for each shift. Effectively supports ongoing and collaborative communication amongst all program staff and is responsible for ensuring a trauma informed care environment.

Essential Duties and Responsibilities:

  • When needed, serve as contact for referrals, gathering required documentation, and arrange for necessary screenings to proceed with intake in applicable program.
  • Provide participant-guided service coordination to caseload assigned, maintaining accurate and verifiable documentation of all services rendered.
  • Using a person-centered approach, develop and complete comprehensive service plans, PPOs, and all other required documentation as set by DOH and Regional Resource Development Center.
  • Demonstrate, promote and practice cultural competency towards participants through respect and understanding.
  • Recognize and embrace diversity through supporting and encouraging the strengths of each individual served.
  • Provide a minimum of 1 face to face contact meeting for each participant assigned monthly (meeting must occur in the participants home on a quarterly basis), to ensure all service plan goals are addressed to the satisfaction of the participants served and to monitor overall provider plans effectiveness.
  • Utilizing a team approach, maintain accessibility for clients during the workday.
  • Assist participants in the acquisition and maintenance of public benefits e.g., Medicaid, SNAP, Social Security, etc.
  • Provide linkage/referrals and coordination of resources/support for medical care, mental health, social, recreational and housing/basic needs, etc.
  • Remain current in the field, support and implement best practice service models within the program.
  • Make independent decisions and recommendations regarding immediate risk factors presented and provide crisis intervention and follow-up as needed.
  • Demonstrate flexibility to be available to clients in their homes/communities including working outside of normal business hours as needed.
  • Provide on-call availability via cell phone to the TBI and/or NHTD program as needed.
  • Serve as a participant advocate.
  • Ensure the assessment of need for a nursing home facility level of care on an annual basis.
  • Facilitate the…
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