Care Coordinator

Alliance for Positive Change

About the organization

The Alliance for Positive Change transforms lives of New Yorkers living with HIV/AIDS and other chronic illnesses. We help people access medical care, manage and overcome addiction, escape homelessness, get back to work, and find community. By addressing the underlying issues that contribute to poor health, Alliance’s individualized, full-service approach and harm reduction philosophy help New Yorkers lead healthier, more self-sufficient lives.

Duties

DUTIES & RESPONSIBILITIES:
• Works collaboratively to ensure thorough and timely monitoring of up to 60 clients and their progress toward Care Plan goals.
• Reviews Care Plan and confirms intensity level of identified client to ensure service needs are met.
• Interacts with client and client caregivers to ensure continuity of care, patient adherence to care plans, and identifications of barriers preventing adherence to care plan.
• Tracks all medical, behavioral substance use and other network referrals made for clients and ensures clients follow up on referrals and attend scheduled appointments, through accompaniment when necessary.
• Provides phone and physical outreach to clients who have been non-adherent to necessary treatment appointments or have missed appointments for initial visits with new providers. Makes reminder phone calls to patients for all appointments.
• Provides outreach via phone to clients to ensure appropriate follow up regarding self-care, medication refills, Care Plan adherence, scheduled office visits, test results/lab work, and all other pertinent psycho-social issues
• Ensures relevant care team members receive important client alerts, including ER visits, hospitalization admission/discharge information and other urgent care notifications.
• Tracks/monitors client progress through a combination of written work, agency databases, health home data system and case conferences with the Care Team. Documents and maintains case records in database

Qualifications

Bachelor’s Degree in health or human services field required and one-year working with an underserved population through employment, volunteer work, and internships; Experience with chronic disease including HIV/AIDS; Substance user; Mentally Ill; and Lesbian, Gay Bisexual and Transgender (LGBT). Bi-lingual in French and/or Spanish preferred. Excellent written and verbal communication skills required.

Application instructions

Contact email: [email protected]

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Equal Opportunity Employment

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