Case Managers

Make a bigger difference


PURPOSE:
The case manager will assist people receiving services in sustaining recovery and gaining access to needed medical, social, legal, educational, housing, vocational, and other services and supports.

POSITION OVERVIEW:
The Staten Island Connected Care CCBHC is comprised of several community-based programs providing direct care to over 1500 clients annually, both on-site and in the community. The Patient Navigator is a member of the Facilitated Intake Team and will act as a link between clients and the range of services available through Staten Island CCBHC. The Patient Navigator will engage individuals with complex behavioral health needs to develop person centered care plans, provide care management services, track and arrange appointments, educate clients other aspects of clients’ health and community services.

KEY ESSENTIAL FUNCTIONS:
• Work collaboratively with clients, family members, social workers, and medical/psychiatric providers to provide clients with rapid access to evaluation and services.
• Complete Social Drivers of Health (SDoH) form with clients as assigned
• Help clients navigate the intake process and, as appropriate, assist clients in understanding resources available.
• Provide outreach to clients to facilitate engagement in services
• Help clients address barriers to care
• Provide specialized support and case management for veterans, ensuring access to mental health, substance use, housing, and employment services.
• Collaborate with veteran-serving organizations to coordinate care and connect clients with VA benefits and community resources.
• Maintain an updated directory of resources, local events, fairs, etc.
• Help clients navigate the intake process and, as appropriate, assist clients in understanding their diagnosis treatment options and resources available
• Provide resources and referrals to clients as appropriate
• Create and distribute a monthly/bi-monthly newsletter to staff & clients
• Provide outreach services to clients to increase engagement in services
• Development of community relationships with organizations and service recipients
• Prepare reports of community contacts and engagement efforts
• Function as an internal resource for clinical staff for the research and identification of client appropriate community-based services.
• Assesses service needs within a community and if necessary, may organize systems to meet those needs
• Support Community Advisory Board planning and meetings
• Ensure that documentation is completed within required timeframes in required systems
• Develop relationships in the community for potential client workforce development
• Attend scheduled team meetings and one-on-one supervision
• Participate in staff development and training activities
• Perform other duties as assigned

CORE COMPETENCIES:
1. Case Management and Care Coordination
• Developing, implementing, and monitoring individualized care plans.
• Coordinating services across multiple providers (e.g., therapists, psychiatrists, housing services).
• Navigating healthcare and social service systems effectively.
2. Communication and Interpersonal Skills
• Active listening and empathetic communication with clients and families.
• Collaborating with multidisciplinary teams.
• Advocating for client needs in various settings.
3. Cultural Competency
• Sensitivity to diverse backgrounds, including race, ethnicity, gender identity, and socioeconomic status.
• Adapting services to meet culturally specific needs.
4. Crisis Intervention and Problem-Solving
• Responding to mental health crises with appropriate de-escalation techniques.
• Making timely decisions under pressure.
• Connecting clients to emergency services when needed.
5. Ethical and Legal Knowledge
• Understanding confidentiality laws (e.g., HIPAA in the U.S.).
• Adhering to ethical standards in mental health practice.
• Recognizing signs of abuse or neglect and knowing reporting procedures.
6. Documentation and Administrative Skills
• Maintaining accurate and timely records.
• Writing clear case notes and reports.
• Managing caseloads efficiently.
7. Technology Proficiency
• Using electronic health records (EHRs).
• Communicating via telehealth platforms when necessary.


EDUCATIONAL/TRAINING REQUIRED:
• Bachelor’s degree in human service, public health, communications, or public relations field plus at least 3 or more years or experience required.

EXPERIENCE REQUIRED/LANGUAGE PREFERENCE:
• Familiarity with the Staten Island Community
• Strong interpersonal, organizational, leadership and communication skills
• Must demonstrate initiative, creativity, flexibility, and basic computer skills
• An appreciation of the social services environment and a commitment to providing high quality services to individuals and families receiving care at Staten Island CCBHC
• Ability to work flexible hours; some evening and weekend hours required.
• Ability to demonstrate strong advocacy skills including ability to work collaboratively with internal and external providers
• Ability to travel throughout New York City by public transportation

Computer Skills Required:
1. Microsoft Office Suite / Google Workspace
a. Word/Docs: Writing reports, treatment plans, and case notes.
b. Excel/Sheets: Tracking caseloads, appointments, and service utilization.
c. Outlook/Gmail: Managing email communication and calendars.
2. Telehealth and Communication Tools
a. Using platforms like Zoom, or Microsoft Teams for virtual sessions.
b. Familiarity with secure messaging systems for client communication.
3. Data Entry and Management
a. Accurate and efficient input of client data.
b. Understanding of data privacy and security protocols.
4. Internet and Research Skills
a. Locating community resources, services, and evidence-based practices.
b. Navigating government and nonprofit websites for referrals and support.


Work Environment / Physical Effort:

• Office-Based/Community-Based: Requires some travel to clients’ homes, schools, shelters, or other community locations.
• Hybrid/Remote: This position requires 1 to 2 days remote and 3 to 4 dyas in-person.
• Interdisciplinary Settings: Frequent collaboration with social workers, therapists, doctors, and legal or housing professionals.
• Low to Moderate Physical Demand:
◦ Mostly sedentary work (sitting at a desk, using a computer).
◦ Occasional walking or standing during site visits or community outreach.
◦ May involve lifting light materials (e.g., files, laptops, brochures).
• Travel Requirements:
◦ Driving or using public transportation to visit clients or attend meetings.
◦ Must be able to navigate various environments (e.g., apartment buildings, shelters).
• Emotional and Mental Stamina:
◦ High emotional resilience is needed due to exposure to trauma, crisis situations, and emotionally intense conversations.
◦ Ability to manage stress and maintain professional boundaries is crucial.


We are an equal opportunity employer that does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, veteran status, or any other status protected by applicable federal, state, or local law.