Required Qualifications: (As evidenced by an attached Resume) Associate's Degree in Human Services or related discipline, or two (2) years of education in a matriculated bachelor's level program in human services. Bilingual English/Spanish. Valid NY State driver's license and ability to use one's vehicle for field work, and to transport clients to and from appointments when necessary. Preferred Qualifications: One year (1) of relevant paid mental health/social work experience, or one year (1) of relevant mental health/social work experience in an approved social work/human services internship program. Care management experience with adults with chronic physical or behavioral health conditions. Knowledge of health and other community resources, rights, entitlements and advocacy. Enrolled in a matriculated Master's level program in social work or related discipline. Brief Description of Duties: The Community Health Worker will provide culturally competent outreach and supportive care management services to adult persons with psychiatric disabilities and other chronic physical and behavioral health conditions that live in Suffolk County. In addition, the incumbent will assist in outreach to the Hispanic community and to provide culturally competent service to non-English speaking (Spanish speaking) individuals who are in need of and are eligible for Health Home Care Management Service. This includes the provision of telephonic and field based outreach services to potential Health Home enrollees in the Sayville Project's Medicaid Health Home Program. The Community Health Worker also provides assistance to the care management staff by assisting enrolled clients in the development and fulfillment of their health and recovery plan and other life goals; accessing necessary health, behavioral health, and other social services and supports; and compiling and linking clients to needed community resources. The overall goals of the Health Home Program are the improvement of health outcomes for persons with serious and chronic medical and behavioral health conditions through care coordination. The selected candidate will: Provide outreach services to identified persons with psychiatric disabilities and other chronic behavioral and physical health conditions in accordance with agency/SBU, NYS OMH, NYS DOH, Health Home, Suffolk County DMH, Medicaid MCO and Medicaid guidelines and regulations, policies and procedures. These services are provided to prospective clients in the field which requires use of one's own vehicle for travel to/from appointments. Prospective clients are identified by the NYS DOH (and the approved Medicaid MCO Plans) by way of rosters sent to the Health Home. Perform telephonic and community based foot outreach to prospective health home clients in the communities and towns of Suffolk County. Perform an initial assessment of prospective clients to determine eligibility for Health Home Care Management Services.These assessments are primarily performed in the field in the individual's home environment. Perform Health Home services and support enrolled clients in the development and fulfillment of life and recovery goals. Assist clients to improve health outcomes, and to reduce the use of unnecessary ER and inpatient utilization. Provide health education and resources to assist clients to increase health literacy and independent control over their lives. Complete required client and program record keeping and documentation in accordance with professional standards and the guidelines and regulations stipulated by the NYS DOH Health Home Initiative, the NYS OMH, Suffolk County Division of Community Mental Hygiene and the Office of Compliance and Audit for SBU. Develop a comprehensive knowledge of Health Home services, member eligibility criteria and the Health Home enrollment process. Adhere to privacy, confidentiality and HIPAA standards and regulations in all dealings with clients and with regard to documentation of work. De
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