Ambulatory care coordinator jobs in New York

Job Title : Care Coordinator - Managed Care Duration : 3 Months Education : High School diploma or equivalent (GED) Shift Details : 9:00 AM - 5:00 PM Specific Skills : Complete missing or conflicting information from member documentation. Handle incoming calls on the MLTC and MAP ACD phone lines and place outbound calls as necessary. Maintain and track member files and membership status. Serve as liaison and HHA/PCS/CDPAS vendors regarding member benefits. Enter prior approvals, authorizations, and services into system according to program benefits. Notify vendors of member service start dates. Track and monitor key information identified by team leads for quality purposes. Track member admissions to hospitals, nursing homes, ER visits, and unexpected outcomes. Monitor short-term absences of members from geographic areas. Report common trends identified during member contact. Notify Care Manager if a member cannot be reached. Perform additional tasks as assigned by the Team Lead or management team. General Description: The Care Management Associate provides coordinator support to members in the MLTC and MAP lines of business. The role includes managing in-bound member calls, processing requests received via fax, and supporting the coordination of member care in collaboration with other MLTC/MAP team members.

MDS Manager (RN) Type: Full-Time, Permanent Salary Range: $85,000 - $95,000 annually Sign-On Bonus: $5,000 (with 2-year work commitment) Join Our Compassionate and Skilled Healthcare Team We are seeking a dedicated and experienced MDS Manager to lead our clinical documentation and reimbursement efforts in our long-term care facility. If you're an RN with a strong background in MDS coordination and a passion for improving resident outcomes, we'd love to hear from you! Key Responsibilities Maintain current MDS status for all residents in compliance with state/federal regulations (OBRA, Medicare PPS, Medicaid payment systems). Provide ongoing MDS/RUGs training and education to staff. Conduct focused documentation audits to ensure regulatory, clinical, and financial compliance. Act as a liaison between providers, residents, families, and payers to support optimal reimbursement. Review residents and records to identify those needing enhanced or acute care. Ensure accurate and timely medical documentation and clear interdisciplinary communication. Coordinate care conferences to support proper services and level of care. Participate in government agency and payer audits, surveys, and inspections. Qualifications Current NYS Registered Nurse (RN) license required. RNAC certification preferred. Previous experience in long-term care/geriatric nursing is required. Strong working knowledge of MDS, PPS, Medicare/Medicaid regulations, and long-term care standards. Proficient in care planning, quality assurance, documentation review, and appeals processes. Excellent communication, leadership, and organizational skills. Competency in using EMRs, MDS software, and general office systems. What We Offer $5,000 Sign-On Bonus (2-year commitment) 24 days PTO in your first year 401(k) with company match Full benefits starting the 1st of the month following 30 days of employment Long-term disability and life insurance Supportive and collaborative work environment focused on quality care and continuous learning Ready to make a meaningful impact? Apply today and become a part of a team that values excellence, compassion, and professional growth in long-term care.

Health Home Plus (HH+) Care Manager Be the Bridge. Empower Lives. Thrive with Support. Are you driven to help individuals with complex health needs navigate life's most critical transitions? Do you excel when you're out in the community - meeting clients where they are and guiding them toward stability? We're seeking passionate HH+ Care Managers who specialize in transitions of care, with a readiness to be in the field and make real, face-to-face impact. Your Mission: Guide Clients Through Critical Transitions As a Health Home Plus Care Manager, you'll work with individuals living with serious mental illness and chronic conditions, helping them move safely from hospital to home, inpatient care to community support, or detox to ongoing treatment. Extensive fieldwork is at the heart of this role - you'll be on the ground, advocating, coordinating, and walking alongside your clients at every step. What You'll Do ✔️ Coordinate safe, smooth transitions from hospitals, detox/rehab centers, and psychiatric inpatient facilities ✔️ Conduct frequent field visits to client homes, shelters, hospitals, and community agencies ✔️ Develop and manage comprehensive, individualized care plans addressing medical, behavioral, and social needs ✔️ Collaborate closely with providers, discharge planners, and community partners to ensure continuity of care ✔️ Connect clients with housing, benefits, outpatient treatment, peer supports, and other vital services ✔️ Monitor risk factors, ensure follow-ups, and advocate fiercely for each client's stability and wellness ✔️ Support clients in navigating complex healthcare and social systems with compassion and clarity What You'll Bring ✅ Bachelor's degree in Social Work, Nursing, Psychology, or a related human services field (Master's/licensure is a plus!) ✅ At least two (2) years working with individuals with serious mental illness, co-occurring disorders, or chronic conditions ✅ Strong background in care transitions, discharge planning, community outreach, or case management ✅ A self-starter who is comfortable with extensive fieldwork and building community relationships ✅ Excellent communication, organization, and problem-solving skills ✅ Commitment to trauma-informed, person-centered care Why You'll Love This Role ✨ Supportive supervision: Experienced leaders who offer mentorship, guidance, and real-time support ✨ Hands-on, impactful work: See the difference you make every day in the field ✨ Collaborative, mission-driven team that values your voice and expertise ✨ Opportunities for professional growth: Ongoing training, and career advancement ✨ Competitive salary + comprehensive benefits

Role and Responsibilities The Home Care Coordinator (HCC) effectively participates in communication and discharge planning in patient's transition both to and from acute care and home care settings. Collaborate with hospitals to prevent patient rehospitalization. Manage referrals and coordinate safe home care services for patients, in accordance with physician. Accountable for developing positive relationships with referral sources Essential Functions Cultivate relationships to help physicians and hospitals identify the best Home Care solution for their patients. Exhibit active listening skills in order to conduct a comprehensive assessment including physical, psychosocial, and anticipated environmental needs. Interview patient and family/designated back-up. Communicate with PCP to safely transition to home and secure follow up appointment with PCP within seven (7) days of hospital discharge. Obtain a copy of the patient's Hospital Discharge Instructions to facilitate medication reconciliation with physician. Collaborate with the acute care setting's interdisciplinary team members to facilitate referrals and resulting in timely sharing of patient information during transitions to and from home care. Provide accurate and timely documentation via HomeCare HomeBase (HCHB) to facilitate the referral process. Develop an initial plan of care for each patient. Obtain insurance authorization and verify physician signing home care orders. Document according to facility/agency regulatory guidelines. Function as a team with fellow HCCs, agencies, and other HCR departments. Invoke the nursing process, identify qualifiers for home care, provide sufficient overview of both hospital course and identified initial home care need. Assist others as needed, displaying flexibility and effective problem-solving techniques in response to fluctuating patient volume and vacation coverage. Effectively communicate with internal business partners to ensure a safe, effective home care plan for all HCR patients. Attend required HCR meetings, in-services, and functions. Conduct education activities with physicians and hospitals. Be knowledgeable and conversant in all HCR programs and services, including specialty programs. Work in conjunction with community outreach staff, as needed. Meet agency referral metrics. Use outreach tools to effectively communicate with referring sources. Ability to clearly articulate an understanding of reimbursement issues and their relationship to home care. Demonstrate continuous professional development and participation in self and peer evaluation. Other duties as assigned. This job description reflects management's assignment of essential functions; and nothing in this herein restricts management's right to assign or reassign duties and responsibilities to this job at any time. Education Requirements Current, valid nursing license issued by NYS Department of Education. Associate's Degree in nursing is required. Bachelor's Degree in nursing is preferred. Qualifications and Requirements Current, valid RN license from NYS Department of Education required. Two years of community health/home care, hospital, or equivalent Home Care Coordinator experience preferred Excellent interpersonal communication skills. Work Environment The Home Care Coordinator is primarily in an office setting and may be exposed to outdoor conditions. The working conditions are classified as light work: Light work - Exerting up to 20 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Light work involves sitting most of the time. Physical Requirements The following is a description of the physical requirements on a daily basis for the Home Care Coordinator. While performing the duties of the job the employee is regularly expected to: Stand Sit Hear Walk Talk Stoop or kneel Repetitive motion This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned. EOE/AA Minority / Female / Disability / Veteran

New York Psychotherapy and Counseling Center (NYPCC) is a leading non-profit organization in New York that has been caring for the community for over 40 years. We are founded on the belief that everyone, no matter age, race or socioeconomic status, is entitled to the best possible mental health treatment. With seven treatment facilities within Brooklyn, Queens, and the Bronx, we assist children, families, and individuals with behavioral and emotional challenges in becoming more productive, independent members of society. Why Work at NYPCC? Medical, Dental, and Vision Insurance is Paid for by NYPCC 100% Paid Time Off and Company Paid Holidays Annual Rate Increases We pay down your student loans! Loan Forgiveness 403B Retirement Plan Professional Development through NYPCC Academy Are You a Good Fit? We are currently seeking an energetic, bright, and self-motivated Care Coordinatorto join our team. This is a full-time position that will be based out of our state-of-the-art Child and Family Health Center located at 579 Courtlandt Ave, Bronx, NY. Gateway to Wellnessis a Health Home Care Management initiative being implemented by New York Psychotherapy & Counseling Center (NYPCC) to supplement and enhance the current behavioral health services we offer and provide throughout the NYC area. Job Responsibilities: Manage a 85+ caseload of Health Home Care clients Assist in developing a Comprehensive Care Plan Address various service needs (e.g. Housing, Benefits, medical care, transportation, education, employment, Crisis Intervention and other supportive services to enhance client's quality of life) Work as a member of Care Team including; Supervisor, Clinicians, verbal Psychotherapists, and Psychiatrists Successfully execute advocacy, assessment, service planning, creating linkages/referrals and ongoing documentation and monitoring of Electronic Health Records Contact individuals diagnosed with mental illness, substance abuse disorders and chronic medical conditions that significantly impact functioning on a monthly basis in person and by phone Job Qualifications: MUSTbe bilingual (English/Spanish) Bachelor's Degree required Experience with GSI Health Home Software required Experience with HARP clients preferred Possess knowledge of various resources and services within a community to assist with overall service delivery and linking members to the services they need or want based on a client-centered service plan Possess excellent verbal and written communication skills to be able to provide linguistically appropriate services to their assigned caseload Communicate with other professionals, a network of providers and managed care organizations regarding client statuses, level of functioning and needs for additional services NYPCC is a fast-paced, energetic, dynamic environment that employs people with a passion for our mission. We offer a very competitive salary with full benefits including; Medical, Dental, Vision, Paid Time Off, Salary Increases, Bonuses, 403b Retirement Plan and more. Perkins and other loan forgiveness may also be available, in addition to our Student Loan Pay Down incentive. NYPCC is an Equal Opportunity Employer

At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary Job Summary: The Care Coordinator is responsible to assist with patient needs. Assist with managing care and addressing social determinants of health for Medicaid recipients with chronic health conditions. Responsibilities Build and maintain relationship with patients Conduct face to face assessments for all patients to assess their medical and social needs Create a care plan in adherence with providers and caregivers Provide community resources to patients to ensure health and well being Promote timely access to appropriate care Increase utilization of preventative care Schedule appointments and transportation Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s) and community resources Facilitate patient access to appropriate medical and specialty providers Educate and refer patient to community resources Keep detailed up to date documentation Qualifications 2-years experience in the Medical field Case Management or Care Coordinator experience preferred Bachelor's degree needed Associate's degree ok but must have experience in healthcare or social services Equal Opportunity Employer Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients (about half the population of Wyoming) annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary The HARP Care Coordination Supervisor will be responsible for the supervision of Care Coordinator operations within the Health Home Division. The HARP Supervisor monitors the departmental phone queue to ensure quality of calls between the care manager, members and providers. The HARP Care Coordination supervisor conducts new hire training and continued training for all clinical staff. The HARP Care Coordination Supervisor participates and interacts with all staff in a supportive role as it relates to care management and coordination daily operations. The HARP Care Coordination will enhance communication and processes within the clinical and non-clinical areas within and between other internal operating departments, to ensure that all member and employee needs are met. Responsibilities Provides guidance within the HARP Department, particularly as it pertains to new processes and workflows which support program operations Promotes and facilitates a multidisciplinary approach, supporting HARP coordinated care operations amongst disciplines. Oversee clinical program training/retraining and creation and updating of departmental training tools/workflows and resources Adhere to clinical standards of care through collaboration with providers in order to ensure appropriate outcomes Practice and adhere to departmental and state guidelines in order to protect self, members, and organization Provide crisis intervention when necessary Maintains a tracking tool which logs unacceptable inconsistencies and errors observed during quality reviews of recorded calls via the queue and care management documentation, care planning, follow up and interventions Performs quarterly audits of Staff's chart documentation Works collaboratively with HARP management team to ensure program goals, projects and initiatives are implemented and meet departmental workflows and policy standards Supports Care Management staff as needed when management is in meetings and/or working on other program initiatives Follows best practice and clinical standards, and adheres to departmental and State guidelines. Performs all other duties or actions as required Qualifications MSW/MA/MS Master's Degree or equivalent required LMSW, LCSW, LMHC, LMFT, RN preferred Two years' experience working with Behavioral Health and/or Substance abuse required Prior supervisory experience required At least 3 years previous managed care experience Ideally 2 years specific to Behavioral Health/HARP Previous Managed Care experience required in Medical Management/HARP Operations Knowledge of the Collaborative Care Model Experience with chronic condition management, particularly Diabetes, HIV, Heart Disease Experienced user/reviewer of the HCS/MAPP systems for Health Home member status preferred Knowledge of Psyckes, E-Paces, HCS (UAS) MAPP, Microsoft Teams Video knowledge preferred. Excellent written and oral communication skills required Ability to multi-task well while maintaining a positive “can do” attitude Demonstrated ability to manage large caseloads in a fast-paced environment while building and enhancing team productivity Demonstrated professionalism and leadership skills along with the ability to develop, direct and support staff Computer literacy: Proficiency with Word and Excel. Equal Opportunity Employer Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Brooklyn, NY $50K-$60K • Full-Time, Onsite A growing home care agency is seeking a motivated and service-oriented Home Care Coordinator to support staffing and scheduling needs for clients. This role ensures seamless communication between caregivers, clients, and internal teams, helping deliver high-quality care on time and with compassion. Training is fully provided-no prior experience needed. The Ideal Candidate Fluent in English and Chinese (Mandarin or Cantonese) Warm, patient, and passionate about helping others Strong communicator with excellent follow-through Quick learner with a proactive, can-do attitude Team player who thrives in a fast-paced environment Organized, reliable, and detail-oriented Key Responsibilities Coordinate caregiver schedules to meet client needs Communicate with caregivers and clients to confirm shifts and availability Maintain accurate records in the scheduling system Support onboarding, documentation, and compliance tasks Provide excellent customer service to clients and families Qualifications & Must-Haves Fluency in English and Chinese (Mandarin or Cantonese) Strong communication and organizational skills Positive attitude, professionalism, and willingness to learn Ability to multitask in a fast-moving environment No previous experience is required-training will be provided Apply Now: email resume to: **********************

Full-time Description Cornerstone Family Healthcare is actively recruiting for a HVC Care Coordinator to join our growing team in Monticello. RATE OF PAY/SALARY: $27.47 per hour STATUS: Full-Time CORNERSTONE BENEFITS: Competitive salaries I Health Benefits I Retirement plan I Paid Time Off I Sick Time I Flexible Spending I Dependent Care I Paid Holidays CORNERSTONE'S MISSION: Cornerstone Family Healthcare is a non-profit Federally Qualified Health Center with a mission to provide high quality, comprehensive, primary and preventative health care services in an environment of caring, dignity and respect to all people regardless of their ability to pay. For more than fifty years, Cornerstone has been responsive to meeting the needs of the communities in which we serve with a continued emphasis on the underserved and those without access to health care regardless of race, economic status, age, sex, sexual orientation or disability. Under the supervision of the Program Supervisor, the HCV Care Coordinator is responsible for supporting Hepatitis C (HCV) screening, testing and linkage to care. The HCC will be providing HCV screening, immediate phlebotomy for individuals with reactive antibody tests, and patient navigation to facilitate linkage and retention in care for individuals with chronic HCV. Key Competencies : Conduct outreach to individuals at high risk at the community level as well as within syringe support program, drug rehabilitation centers, shelters, soup kitchens, and other community-based organizations to publicize program services as well as recruit potential clients. Provide HCV counseling, testing (rapid fingerstick, venipuncture as appropriate), referrals, and partner services to clients at high risk. Comply with chart requirements and testing protocol such as making sure charts are complete and filled out properly in accordance with departmental/agency policy and procedures. Complete data entry into the AIRS system, data should be entered correctly for each intervention and service. Data must be entered in a timely manner. Description of Duties: Maintain program and agency standards as outlined in policies and procedures. Help clients schedule transportation for medical appointments and troubleshoot barriers to successful linkage to and retention in care. Track efforts to move patients through the HCV cascade of care through communication and coordination with medical providers, regular chart review and ongoing client contact. Provide clients with basic HCV treatment education including understanding labs, disease progression, and treatment. Provide ongoing counseling to address prevention and harm reduction strategies. Assess biopsychosocial needs, identify barriers to successful linkage, and connect clients to support services as appropriate. Engage in adherence and retention in care efforts for clients living with HCV which include conducting extensive community outreach efforts to locate lost to care clients; developing client specific strategies to address challenges to care and treatment; maintaining detailed records of all adherence and retention activities. Maintain ongoing relationships with administrators and staff at community-based agencies to promote program services. Conduct screening, intake, enrollment and follow-up of clients in the program and enter client data into the agency's AIDS Institute Reporting System (AIRS) in a timely manner consistent with agency policies. Responsible for quality assurance activities, including maintaining client charts within program standards and ensuring compliance with goals and objectives in the annual workplan. Complete the mandated continuing education trainings as selected and scheduled by the Program Supervisor and mandated by the agency. Participate in individual and team supervisions. Assist in program coverage as needed. Attend and participate in monthly department, All Staff and other required meetings. Be familiar with Cornerstone policies and procedures and the Employee Handbook. Maintain confidentiality of all aspects of Cornerstone including, but not limited to, patient confidentiality, financials, and employee relations. Perform other related duties as assigned. Requirements Bachelor's degree in Public Health, Education, Human Services, or similar field with experience in outreach, counseling and prevention. Or an Associates Degree with two years of experience in testing, counseling and education. Or High School Diploma with four years of experience in testing, counseling and education will be considered. Minimum of one year experience working with PWUD population, knowledge of HIV/HCV/STI, harm reduction, mental health and/or community resources. Salary Description 27.47 per hour

Ohel is seeking a Care Coordinator to manage the care of adults enrolled in Ohel's Health Home program. The Care Coordinator will assess the adult's physical, mental health and social services needs and will be responsible for developing an integrated plan of care, working collaboratively with medical, behavioral, educational and social service providers. The Care Coordinator will also provide care coordination and health promotion, transitional care and follow up, individual and family support, referrals to community and social support services as well as the use of health information technology to link services. Position requires a Bachelor's degree preferably in the Human Services field. Experience working with individuals who have behavioral health needs such as a serious emotional disturbance, mental health challenge, intellectual disabilities, or substance use disorder is preferred. This full time position is based in Brooklyn with home and hospital visits as needed. Salary: Bachelors Level $50,000 Masters Level $55,000

You've always wanted to work with Dogs?? Ruff Day Resort is looking for a Caregiver to join our team. The Caregiver is responsible for the physical care and emotional support of our canine guests who stay for the day, week or month with us. Supervising playtime and cleaning will be main responsibilities. This job does not start till January 6th. You must be available to continue working into the summer. The ideal candidate must be able to care for our guests and their property with dignity, patience, compassion, and respect. This person will encourage and remain empathetic to the guests and their people at all times. Responsibilities: Cleaning - Provide housekeeping, cleaning and sanitation of our facility is very important to the well being of our guests. Attention to detail is a must. Feeding and assist with medications. Prepare meals, trim nails and giving baths are all a part of the job. Personal services could include toileting, bathing, feeding and grooming. Companionship - Provide companionship by stimulating, exercising, encouraging and assisting our guests with group play, individual play, bedtime stories, tuck in and comfort and playtime. Playgroup supervisor - Provide a safe and fun place for our canine friends to play. Requirements: High school diploma preferred Multitasking abilities Must be able to complete a Criminal Background report. Ability to lift up to 50 pounds at a time Minimum 18 hours per week of hours starting time is 6 am! Ability to reach, bend, kneel and stand for (sometimes) a long period of time Ability to move quickly Social Media proficient Cell Phone is required Weekends and Holidays are shared responsibilities About Ruff Day Resort: Ruff Day is a canine organization dedicated to providing a safe and fun home away from home. Our employees enjoy a work culture that promotes integrity. Ruff Day Resort benefits include Health care, paid time off, paid training, continuing education, professional development. Location: Webster, NY

Requirements ESSENTIAL DUTIES AND RESPONSIBILITIES Outreach Determine member eligibility through ePaces or Medicaid Analytics Performance Portal. Actively outreach eligible members through phone, zoom, or in person meetings. Give educational presentations to a variety of Fountain House internal programs on care management services. Enroll 5 members per month until capacity of 50 members (HARP and non-HARP) is reached. (*subject to change) Actively engage caseload in service provision in accordance with care plans. Enrollment, Health Information Technology, and Documentation Maintain documentation for enrollment including the DOH 5055, PSYCKES, Healthix, and withdrawal of consent. Enroll member into Relevant (Electronic Health Record, EHR) Maintain and update demographics in the electronic health records for each individual served quarterly including upload of eligibility verification Document each and every service provided in progress notes entered no later than 48 hours after the encounter Conduct State regulated Eligibility Assessments for HARP members in UAS-NY (New York State platform) and complete the Plan of Care for HCBS/CORES referrals within 60 days of enrollment and annually thereafter Conduct initial and subsequent periodic needs assessments for care plans at initial enrollment meeting and every 6 months Conduct comprehensive assessments within 60 days and annually thereafter Complete extensive trainings for, including but not limited to, Relevant EHR, PSYCKES, Medicaid Redesign, HCBS, CORES, Housing, Benefits, MAPP, UAS-NY, and weekly Health Home value add webinars Member Supports Use resources or insurance databases to connect members to quality medical and behavioral health providers and specialists Connect members to supports for education, employment, legal, food insecurities, and other community supports Apply for and/or maintain benefits such as Medicaid, Food Stamps (SNAP), Social Security, and Social Security Disability Secure safe and affordable housing for low income, mental health (HRA 2010e, SPOA), and/or lottery apartments. Complete applications for one shot deals to ensure housing stability when appropriate Conduct case conferences with member, their service providers, and any consented supports Accompany and support members to and during appointments when follow-up and advocacy is necessary for success Assist with transitional care during and after hospitalizations, including but not limited to responding to hospitalization alerts within 48 hours, case conference with hospital and service providers, escort to and from the hospital and follow up appointments, increased reach out and service provision after hospitalization, alert services providers to hospitalization, assist in helping transition back to prior level of care Assess safety and conduct safety planning as needed Assist members in improving activities of daily living and goal setting, such as budgeting, hygiene, medication compliance, nutrition support Assist members in accessing transportation, including obtaining half-fare cards, applying for Medicaid transportation (MAS) and ACCESS-A-RIDE Improve health literacy and provide psychoeducation for health conditions Assist members in reading and understanding health care materials Connect individuals to long term care services, such as managed long term care plans and home health aide services Assist members in managing chronic health conditions Collaborate with support team including consented family members Operate using social practice and relationship building within the care management model REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES Excellent verbal and written communication skills, including ability to effectively communicate with internal and external care teams Excellent interpersonal skills and the ability to engage members effectively Excellent computer proficiency (MS Office - Word, Excel, and Outlook) Must be able to work under pressure and meet strict deadlines, while maintaining a positive attitude and providing high quality services Ability to work independently and to conduct assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices REQUIRED AND PREFERRED EDUCATION, EXPERIENCE, AND CREDENTIALS Bachelor's Degree required. Bilingual, Spanish speaking is a plus. 3 years of experience in the mental health field or Health Home Care Management preferred Community Health Work certification preferred Physical Requirements To perform this job successfully, an individual must be able to perform each essential duty and meet all physical requirements satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Salary Description 30.58

Bond Vet is on a mission to strengthen the human-animal bond through better pet care. We offer primary and urgent care, so we're there for pets when they need us most. Our clinics are designed with pets and people in mind: warm, friendly, and highly sniffable. We balance this design with a strong focus on technology, all built in-house, which means we can easily innovate our systems to improve the veterinary team, pet, and client experience. Bond Vet is building the next generation of veterinary clinics from the ground up - and we're looking for a compassionate Care Coordinator to join our team. The Opportunity: Our Care Coordinators provide an amazing experience to both clients and pets when they visit our clinics for care. You're the first and last touchpoint for our patients, so you'll use hospitality and tact to ensure our clients are welcomed, comfortable, and supported throughout their time at our locations. This is a full time (40 hrs/week) position with a rotating schedule of four 10hr shifts per week. What You'll Do: Greet pet parents and their four-legged friends and ensure a smooth check in and check out experience Manage the schedule of daily appointments and walk-ins Take and make calls and communicate via email to other Vet Practices and clients as necessary Keep our common areas clean and well stocked Provide a high level of hospitality for our pet parents, answer questions and provide information and education as needed Perform other duties as assigned by your team leaders You Have: At least 1 year of experience in customer service, hospitality, or client facing receptionist positions Experience in the veterinary industry preferred Excellent written and verbal communication skills High attention to detail and ability to multitask with accuracy and efficiency A high comfort level typing and utilizing multiple computer systems Prior experience in veterinary practices or animal care is a plus We Offer: Competitive Pay | $17-$24/hr | Based on Experience 100% Tuition Reimbursement for staff pursuing LVT/CVT with our education partners Team-Based Profit Sharing Strong Team Culture Discount on In-Clinic Services for Pets Flexible Scheduling Models with scheduled released at least a month in advance Paid Parental Leave Commuter Benefits 401(k) contribution with partial employer match Support for your physical and mental wellness: medical, dental & vision plan options and access to mental health support programs A place to grow: culture that is centered in learning and development, career pathing, mentorships, empowerment and trust At Bond Vet, we're proud to be vet founded and vet led. We are on a mission to enhance the human-animal bond through innovative urgent and primary care combined with seasoned expertise, friendliness, and compassion. Our clinics combine modern design, seamless technology, and a collaborative culture. We believe veterinary professionals deserve a career they love, not just a job. Our unique offerings include work-life flexibility, competitive pay and the chance to shape your own path. With industry-leading NPS scores, our approach resonates. Join us for a rewarding career where we work happy, feel empowered and are obsessed with pets. bondvet.com By submitting an application, you agree to receive SMS messages from Bond Vet regarding your application and interview process, including, but not limited to, your interviews, scheduling, offers, reference checks, background checks, and general communication throughout the process. Opt out anytime by messaging STOP. Text HELP for help. Message frequency varies and message and data rates may apply. Find more information in our . Employment with Bond Vet is contingent upon the Company's completion of a satisfactory investigation of your background.

Who We Are At HCR Home Care, we believe care starts at home, for our patients and our team. For more than 45 years, we've been a trusted part of communities across 25 counties in New York, helping people live safely and comfortably where they feel most at ease. We're a team of caring professionals and dedicated leaders who take pride in making a difference every day. From nurses, therapists, and home health aides to scheduling coordinators, customer service specialists, administrative staff, and leadership, every person at HCR plays an important role in supporting our patients and one another. As a Home Care Coordinator based in the hospital, you'll serve as the vital link between acute care teams, patients, and home health services - ensuring continuity of care and reducing readmissions through proactive planning and compassionate communication. What You'll Do You will collaborate with physicians, discharge planners, and hospital staff to identify patients who would benefit from home care and coordinate their safe transition home. You will meet with patients and families to assess needs, answer questions, and develop individualized care plans that support recovery and independence. You will manage the referral process, ensuring timely communication, accurate documentation in Home Care HomeBase (HCHB), and seamless coordination across disciplines. You will educate hospital staff and physicians about HCR's programs and specialty services to strengthen partnerships and improve patient outcomes. You will advocate for patients, ensuring they receive the right care, at the right time, in the right setting. What You Bring You have a current, valid RN or PT license issued by the New York State Department of Education. You have a minimum of two years of experience in community health, home care, or hospital discharge coordination. You possess excellent communication and interpersonal skills with a patient-centered mindset. You have a strong understanding of home care eligibility and reimbursement processes. You are commitment to teamwork, accuracy, and quality outcomes. Why Choose HCR Home Care We are a mission-driven organization built on People-First values. We offer competitive pay, mileage reimbursement, and a full benefits package. You will have a great work life balance and ongoing professional growth opportunities. You will work with supportive, collaborative leadership that values your clinical judgment. You will have the opportunity to make a measurable impact every day - where patient care truly meets heart. Work Environment Hospital-based role supporting the transition from acute care to home. Classified as light work (occasional lifting up to 20 lbs). Involves regular sitting, walking, and interaction with hospital staff and patients. Be the connection between hospital and home. Join HCR Home Care and help patients take the next step toward recovery with dignity, safety, and confidence. Apply today and make a difference. EOE/AA Minority / Female / Disability / Veteran #ZR

Job Description Bilingual Home Care Coordinator (English/Chinese) Brooklyn, NY $50K-$60K • Full-Time, Onsite A growing home care agency is seeking a motivated and service-oriented Home Care Coordinator to support staffing and scheduling needs for clients. This role ensures seamless communication between caregivers, clients, and internal teams, helping deliver high-quality care on time and with compassion. Training is fully provided-no prior experience needed. The Ideal Candidate Fluent in English and Chinese (Mandarin or Cantonese) Warm, patient, and passionate about helping others Strong communicator with excellent follow-through Quick learner with a proactive, can-do attitude Team player who thrives in a fast-paced environment Organized, reliable, and detail-oriented Key Responsibilities Coordinate caregiver schedules to meet client needs Communicate with caregivers and clients to confirm shifts and availability Maintain accurate records in the scheduling system Support onboarding, documentation, and compliance tasks Provide excellent customer service to clients and families Qualifications & Must-Haves Fluency in English and Chinese (Mandarin or Cantonese) Strong communication and organizational skills Positive attitude, professionalism, and willingness to learn Ability to multitask in a fast-moving environment No previous experience is required-training will be provided Apply Now: email resume to: **********************

At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary The Health Home Plus Care Coordinator (Hybrid) is responsible for Health Home Plus qualified individuals in the following categories: Serious Mental Illness (SMI), HIV/AIDS, Homelessness, and High inpatients ED utilization. The Care Coordinator will also responsible for case retention activities and maintain a caseload at 20 HH+ members or as determined by DOH. Adjustments to case load will be made according to DOH recommendations. Provide follow-up services according to the standards or care and tracking for their caseload. Responsibilities Maintain full responsibility for caseload including Assessments, Care Plans, HML's, timely documentation; Conduct home visits and fieldwork on an ongoing basis and in accordance with the DOH guidance on minimum standards for Health Home Plus; Conduct case conference to review POC with members, HCBS providers and supporting team. Obtain necessary records from all primary agencies that are involved with the clients. · Ensure follow-up by monitoring the quality of services, verifying and ensuring client participation; Provide education and supportive counseling to ensure that clients understand and follow up with services to which they are referred. · Ensure that ALL required services are delivered for each member monthly. Services should be prioritized and specific to members' needs and not prescriptive. · Ensure that documentation is completed in a timely manner including progress notes written and document the billable and non-billable services within 24 hours. Be specific and include comprehensive notes for every service provided. · Participate in the agency quality improvement and professional development programs, attending internal and external training courses and committees. · Attend weekly care management meetings facilitated by the Care Coordinator supervisor. Work with your supervisor to ensure that your caseload is covered when you are out of the office. · Available for evening and weekend telephone crisis intervention and coverage for other staff as needed. · If bilingual, translate for non-English speaking clients. Additional duties as assigned. Qualifications Master's Degree in health or human services related field and 1 year of experience in behavioral health setting OR · Bachelor's Degree in health or human services related field and 2 years of experience in behavioral health setting; Or a wavier provided through DOH. · Experience working with HIV/AIDS; mental illness; or those returning to independent living from institutional care; Interest in chronic illnesses, substance abuse and homelessness. · Awareness of and sensitivity to cultural and socioeconomic characteristics of populations served. · Ability to work collaboratively with other professionals. · Excellent writing and oral communication skills. Good management and organizational skills. · Basic computer skills required. · Able to work onsite, Monday through Friday during normal business hours, or as needed to carry out the job responsibilities. $25.00-$27.00 an hour Equal Opportunity Employer Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

🌟 Now Hiring: Health Home Care Manager Connecting People to Care. Empowering Health. Changing Lives. 💼 Job Type: Full-Time 🎓 Bachelor's Degree Required 💰 Starting Salary: $50,000/year At the heart of quality care is connection-and at New Horizon Counseling Center, that's exactly what we do. We're on a mission to ensure that individuals facing serious health challenges are never navigating the system alone. We are seeking a Health Home Care Manager who is passionate about removing barriers, closing care gaps, and uplifting the most vulnerable members of our community. 🩺 What You'll Do: As a Health Home Care Manager, you'll be a vital link between clients and the care they need to thrive. Your responsibilities will include: Transitional Care: Support clients as they move from hospital or rehab settings back into the community-ensuring continuity, safety, and support every step of the way. Care Plan Development and Implementation: Conduct initial and ongoing assessments of clients to document strengths, needs, goals and resources. Connectivity to Care: Schedule and coordinate timely follow-up with primary care and behavioral health providers. Addressing Gaps in Care: Identify missed appointments, medication lapses, or unaddressed needs-and take proactive steps to close the loop. Social Determinants of Health: Connect clients with resources such as housing, food security, transportation, and income/benefits support (SSI/SSD, SNAP, HEAP, etc). Collaborative Care: Work with a network of providers and support agencies to build individualized, person-centered care plans that truly make a difference. Engagement: Provide face to face outreach, engagement, and service planning in the field including clients' homes, shelters, and hospitals Documentation: Maintain documents, records, and other related reports in an organized, timely and accurate manner as per policy and procedure. ✅ What We're Looking For: Bachelor's Degree required (Social Work, Human Services, Psychology, Public Health, or a related field) Bilingual preferred (but not required-we welcome all qualified, compassionate applicants) One (1) year of related human services experience required in providing direct services to clients diagnosed with severe mental illness, HIV/AIDS or other disabilities, in order to link them to a broad range of services essential to successfully living in the community. You must have the ability and willingness to regularly travel, in some instances with clients in Agency vehicle to many locations using various modes of reliable and safe transportation Strong communication, organizational, and advocacy skills A deep sense of purpose and a commitment to serving vulnerable communities 🌱 Why Join Us? Mission-Driven Work: Every day, you'll play a key role in helping people overcome real obstacles and access life-changing care. Supportive Environment: Be part of a collaborative team that believes in mentorship, personal growth, and professional development. Community Impact: Your work will help reduce ER visits, improve health outcomes, and give people the tools to live healthier, more stable lives.

At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary Job Summary: The Care Coordinator is responsible to assist with patient needs. Assist with managing care and addressing social determinants of health for Medicaid recipients with chronic health conditions. Responsibilities Build and maintain relationship with patients Conduct face to face assessments for all patients to assess their medical and social needs Create a care plan in adherence with providers and caregivers Provide community resources to patients to ensure health and well being Promote timely access to appropriate care Increase utilization of preventative care Schedule appointments and transportation Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s) and community resources Facilitate patient access to appropriate medical and specialty providers Educate and refer patient to community resources Keep detailed up to date documentation Qualifications 2-years' experience in social services Associates degree required Bi-lingual Spanish strongly preferred $20.00-$24.00 an hour Equal Opportunity Employer Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Health Home Plus (HH+) Care Manager Be the Bridge. Empower Lives. Thrive with Support. Are you driven to help individuals with complex health needs navigate life's most critical transitions? Do you excel when you're out in the community - meeting clients where they are and guiding them toward stability? We're seeking passionate HH+ Care Managers who specialize in transitions of care, with a readiness to be in the field and make real, face-to-face impact. Your Mission: Guide Clients Through Critical Transitions As a Health Home Plus Care Manager, you'll work with individuals living with serious mental illness and chronic conditions, helping them move safely from hospital to home, inpatient care to community support, or detox to ongoing treatment. Extensive fieldwork is at the heart of this role - you'll be on the ground, advocating, coordinating, and walking alongside your clients at every step. What You'll Do ✔️ Coordinate safe, smooth transitions from hospitals, detox/rehab centers, and psychiatric inpatient facilities ✔️ Conduct frequent field visits to client homes, shelters, hospitals, and community agencies ✔️ Develop and manage comprehensive, individualized care plans addressing medical, behavioral, and social needs ✔️ Collaborate closely with providers, discharge planners, and community partners to ensure continuity of care ✔️ Connect clients with housing, benefits, outpatient treatment, peer supports, and other vital services ✔️ Monitor risk factors, ensure follow-ups, and advocate fiercely for each client's stability and wellness ✔️ Support clients in navigating complex healthcare and social systems with compassion and clarity What You'll Bring ✅ Bachelor's degree in Social Work, Nursing, Psychology, or a related human services field (Master's/licensure is a plus!) ✅ At least two (2) years working with individuals with serious mental illness, co-occurring disorders, or chronic conditions ✅ Strong background in care transitions, discharge planning, community outreach, or case management ✅ A self-starter who is comfortable with extensive fieldwork and building community relationships ✅ Excellent communication, organization, and problem-solving skills ✅ Commitment to trauma-informed, person-centered care Why You'll Love This Role ✨ Supportive supervision: Experienced leaders who offer mentorship, guidance, and real-time support ✨ Hands-on, impactful work: See the difference you make every day in the field ✨ Collaborative, mission-driven team that values your voice and expertise ✨ Opportunities for professional growth: Ongoing training, and career advancement ✨ Competitive salary + comprehensive benefits