Health Home Care Coordinator
Listed on 2026-01-12
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Healthcare
Community Health, Mental Health, Health Promotion
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Base Pay Range$26.00/hr - $26.00/hr
Organization: People USA – Non-Profit Peer Run Behavioral Health, Mental Health, Recovery, Wellness
Position: Westchester County Health Home Care Coordinator
Job Location: 10 School St., Yonkers NY 10701
Work Schedule: Monday through Friday – 8:30 AM to 4:30 PM (40 Hours Per Week)
Payrate: $26.44 per hour
Job SummaryThe Westchester County Care Coordinator will work with Medicaid-enrolled individuals, living with mental illness or multiple chronic conditions, to get connected to care and services in their local communities. By connecting high-risk Medicaid individuals to resources and supports, we aim to reduce duplicate services, reduce emergency department visits and inpatient admissions, and lower costs, thus improving the health and well‑being of lives throughout Westchester County.
The population served has unmet mental health, addiction, or social determinant of health needs and does not typically engage with the traditional systems of care. The goal of the care coordinator will be to work collaboratively with the Yonkers Mobile Crisis Response Team (YMCRT) team in supporting individuals to identify goals and make connections to needed services.
- Assists participants with psychiatric diagnoses to participate in diverse, person-centered, self-directed services and meaningful activities that promote empowerment and robust recovery.
- Collaborating with the YMCRT (Yonkers Mobile Crisis Response Team) to assist participants with getting connected to appropriate community resources.
- Maintains regular contact, outreach, curriculum development, group facilitation, counseling, mentoring, systems navigation, community oversight, and crisis support.
- Provide Care Management outreach and engagement with eligible individuals in coordination with Hudson Valley Care Coalition.
- Provide screenings and evaluations using trauma-informed, person-centered skills with the Hudson Valley Care Coalition’s service tools, along with individual advocacy, peer support, and systems navigation.
- Educates participants on useful health & wellness topics, including but not limited to Peer/Self-help, smoking cessation, and advocacy.
- Resources, Recovery from Mental Health Challenges (from a Psychiatric Rehabilitation perspective), Wellness & Whole Health (SAMHSA’s Eight Dimensions of Wellness), Community Resources (across all domains of health, e.g.: physical, mental, substance use, socio-economic determinants of health), Trauma & Healing, Wellness Planning & Prevention (e.g. WRAP), Natural Supports (developing/maintaining).
- Helps participants identify barriers to their recovery journeys or personal wellness, including access, quality of care, people’s rights, lack of basic needs, and stigma & discrimination.
- Advocates for participants side-by-side to overcome identified barriers, making sure their voices are heard, and their decisions are understood and respected.
- Builds peer-to-peer connections/relationships based on mutuality (shared lived experiences), empathy, and hope for recovery/wellness (peers-as-proof).
- Assist Participants to identify & accomplish whole health goals related to the Eight Dimensions of Wellness (emotional, social, physical, environmental, financial, intellectual, occupational, spiritual).
- Directly connects participants to the services and supports they need through direct bridging/linking (as opposed to referrals only).
- Develops and maintains positive working relationships with other provider agencies and local housing providers (landlords) within the county and its surrounding environments.
- Documents all meaningful interactions with participants in electronic records software and maintains hard copies in participants’ files daily for audit purposes.
- Responsible for submitting monthly reports on timely manner and attend related meetings.
- Align all behaviors with core values that promote trauma-informed care, customer engagement and satisfaction, mutuality &…
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