OverviewProvides direct psychiatric evaluation, medical health assessment and intervention to clients admitted to Behavioral Health programs. Provides medication management and assessment on an ongoing basis. Provides consultation and education to other agencies and disciplines, including other VNS Health services. Assists in the overall management of the Behavioral Health program. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for clients in accordance with current State and Federal rules and regulations for nurse practitioner scope of practice and national standards of care, and specific program regulations/contract requirements. Works under general direction.What We ProvideReferral bonus opportunitiesInternal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of ProfessionalsWhat You Will DoPerforms psychiatric evaluations of identified clients.Assesses current administrative processes and clinical protocols; identifies opportunities for improvement relating to quality and cost while maintaining adherence to compliance and nursing standards of care.Provides medication management, ongoing assessment, and supportive counseling according to program requirements.Evaluates need for physical evaluations and/or medical services and make referrals, as indicated.Provides full scope of advanced nursing practice for targeted client populations. Evaluates client responses to therapy and interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes.Consults with other mental health providers and community agencies, including other VNS Health department/programs, as well as members of the Behavioral Health program, regarding individual clients.Participates in interdisciplinary team meetings and case conferences for the Behavioral Health program.Maintains client records in compliance with VNS Health, state, city and federal requirements.Evaluates clients for psychiatric hospitalization, as necessary.Provides clinical supervision and direction to Behavioral Health program staff, including on-site observation of direct patient care and participation as needed in direct care. Participates with Behavioral Health program staff and other appropriate VNS Health staff in the development and implementation of in-service trainings.Collaborates with program management to ensure the provision of the highest quality behavioral health services to clients. Participates in the formulation and update of clinical and administrative policies and procedures and the preparation of policy and procedure manuals.Encourages clients and/or family members to participate in the services they have chosen to include in their treatment plan.Participates in VNS Health and community programs and education, as requested.Assists program management and any related staff in the prevention, identification, and resolution of client crises.Participates in special projects and performs other duties as assigned.QualificationsLicenses and Certifications:License and current registration to practice as a Nurse Practitioner in New York State requiredBoard Certified Psychiatric-Mental Health Nurse Practitioner within one year in role requiredDEA license requiredValid driver's license may be required, as determined by operational/regional needs.Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP licensure. requiredMaster's Degree Psychiatric Mental Health Nurse Practitioner or any other specialized PMHNP degree. requiredWork Experience:Minimum of three years of clinical experience in treating clients in a behavioral health setting requiredFor Certified Community Behavioral Health Clinic (CCBHC): Minimum of one years’ experience in substance use treatment, including medications for addiction treatment requiredExcellent verbal and written communication skills requiredStrong computer literacy, including use of electronic systems for clinical record keeping requiredBilingual in English and Spanish preferredCompensation$64.88 - $87.00 HourlyAbout UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewVNS Health Advanced Practice Team Supervisors bring Nurse Practitioner expertise to redefine the standard of patient-centered care for New Yorkers while keeping them out of the crowded hospital system so they can heal and age where they are most comfortable- in their homes and community. These clinicians provide primary and palliative care across multiple phases of patients’ life journey through home visits for acute, annual, urgent, and end of life care as well as virtual visits to manage chronic conditions. Be part of our 130-year history and innovative Future of Care built by visiting nurses like you.What We ProvideGenerous paid time off (PTO), starting at 30 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities Referral bonus opportunities$12,000 Sign-on bonusWhat You Will DoManages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes.Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate.Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted.Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings.Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements.Qualifications Licenses and Certifications:Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner, required.Education:Master’s degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure), required.Work Experience:Minimum of two years of experience as a nurse practitioner utilizing full scope of practice, preferred.Clinical home care experience or two years managerial experience, preferred.Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services, required.Bilingual skills, as determined by operational needsCompensation$109,900.00 - $146,500.00 AnnualAbout UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewManages and oversees the administration of a Behavioral Health Services (BHS) program, including the appropriate utilization and management of staff and the quality of program participants care with an emphasis upon an inter-disciplinary team approach to the delivery of care. Works under general direction.What We ProvideAttractive sign-on bonus and referral bonus opportunitiesGenerous paid time off (PTO), starting at 30 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of ProfessionalsWhat You Will DoProvides clinical supervision to staff including assigning, monitoring and evaluating cases for clinical team(s). Conducts regularly scheduled team meetings. Provides back-up coverage for program leadership as required.Manages triage and case assignment procedures, new referrals, liaison activities, and staff scheduling to insure adequate coverage at all times.Collaborates with other team members and Behavioral Health Services (BHS) leadership in formulating clinical and administrative policies and procedures, preparing policy and procedure manuals, implementing and maintaining established policies and procedures, and proposing modifications and revisions of policies and procedures, as indicated.Collects, tracks, and monitors progress and outcomes for all staff assigned to the team(s); produces and maintains detailed reports for all data pertinent to the program. Reports relevant data to funders and central administration as needed.Oversees the maintenance of updated case records for team(s) through EMR and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with program policies/procedures, as well as VNS Health, city, and state standards and regulatory requirements.Monitors the program budget and is knowledgeable of all financial aspects of the program, including, but not limited to, reimbursement and purchasing.Ensures volume and productivity meet program standards and operations.Oversees compliance of quality and performance indicators, and supervises staff to achieve goals. Performs internal audits to ensure compliance with policies and procedures and takes corrective action, as necessary to address deficiencies.Provides clinical subject matter expertise and serves as a resource to supervisors, clinicians and staff.Provides assessment, direct services to program participants and families in the community; advises and consults in case conferences, staff meetings, and discharge planning as needed.Promotes positive relationships within VNS Health and other community service organizations. Serves as program liaison to other community agencies, negotiating formal liaison and organizing consultation and education for referral sources.Participates in 24/7 on-call coverage schedule and performs on-call duties, as required.Investigates complaints registered by program participants, completes Incident Reports and other safety and quality reports within required time frames.Collaborates with program leadership and other staff in the development and implementation of in-service education programs.Performs all duties inherent in a supervisory role. Ensures effective staff training, interviews candidates for employment, evaluates staff performance and recommends hiring, promotions, salary actions, and terminations, as appropriate.Oversees the development of systems and records for billing each MCO.Participates in special projects and performs other duties as assigned.QualificationsLicenses and Certifications:License and current registration to practice as a Nurse, Social Worker, Psychologist, Marriage and Family Therapist, Mental Health Counselor or other related license in the State of New York requiredFor IMT: LCSW requiredEducation: Master's Degree degree in Social Work, Psychology, Marriage and Family Therapy, Mental Health Counseling, Nursing or other related field requiredWork Experience:Minimum of five years of supervisory and administrative experience with demonstrated competency in program management, budget management, and community relations requiredStrong interpersonal and leadership skills required. Knowledge of Microsoft applications requiredFor Adult Services: Prior experience working in a community behavioral health care setting requiredExperience with EMR systems preferredKnowledge of city and state agency and/or managed care functioning preferredCompensation$77,200.00 - $96,500.00 AnnualAbout UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewProvides direct psychosocial services to mentally ill individuals in the community who are experiencing, or are at risk of, an acute psychological crisis or are in need of mental health treatment. Provides assessment, linkage, coordinates with, referral to and follow-up with appropriate ongoing service providers. Provides information and consultation to other community agencies and other disciplines, including other services of VNS Health. Assists in the overall administrative and clinical functioning of the program. Works under general direction.What We ProvideReferral bonus opportunitiesGenerous paid time off (PTO), starting at 30 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will DoProvides clinical supervision and direction to social work/ behavioral health team members and assumes responsibility for overall program functions in the Program Managers absence.Organizes various program components for the appropriate utilization and management of staff including triage and case management procedures, staff scheduling, referrals, outreach efforts, evaluations and liaison activities.Participates in quality assurance activities and ensures compliance with regulatory and contractual requirements.Screens referrals.Performs psychosocial evaluation and assessment of mental health service needs and emergency social service needs of identified patients and their families through professional knowledge, skills of observation and interviewing.Develops and implements short-term service plans for patients, in conjunction with other members of the team.Provides crisis intervention services to mentally ill individuals whose circumstances and condition require rapid intervention.Provides supportive counseling, case management and appropriate referrals for ongoing treatmentPrepares case histories and prepares and maintains case records, in accordance with the program’s record keeping protocols.Encourages service resistant clients to accept mental health services through intervention with clients and/or family members and friends concerned with the client's welfare.Participates in interdisciplinary team meetings, rounds and/or case conferences of the program.Provides linkage, referral and provision of information to appropriate mental health services and social services and social services providers,.Coordinates and follows up on linkages made between clients and other service agencies and mental health providers to ensure continuity of care.Liaison with, and consultation to, community agencies.Provides outreach services to mentally ill individuals referred to the program who are experiencing, or are a t risk of, an acute psychosocial crisis and require mental health intervention in their home or community.Serves as resource person to the programand other components of the Agency, when requested, pertaining to social services available to patients and establishes a file of community referral sources.Participates with the program and other appropriate Agency staff in the development and implementation of in-service training and education.Assists and collaborates with the Program Coordinator/ Program Manager in the overall functioning of the team.Assumes Program Coordinator’s/ Program Manager’s responsibilities in his/her absence, as requested.Participates in community programs, education and advocacy, as requested.Contributes to the formulation of clinical and administrative policies and procedures and the preparation on of policy and procedure manuals, as required.Participates in special projects and performs other duties as assigned.QualificationsLicenses and Certifications:Valid driver's license requiredLIC - Licensed Clinical Social Worker - New York State required orLIC - Licensed Mental Health Counselor - New York State required orLIC- Licensed Mental Health Professional required orLIC- Licensed Master’s Social Worker (LMSW) in New York State requiredEducation: Master's Degree in Social work, or other Human Services-related field requiredWork Experience:Minimum three years experience as an MSW working with patients in a mental health setting requiredCompensation$70,200.00 - $87,700.00 AnnualAbout UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewProvides care management for clients in collaboration with the Wellness case management team consistent with WeCARE and the VNS Home Care policy and requirements of the Wellness Care Management program. Facilitates the coordination of services between the varying providers for clients with complex psychiatric and/or co-morbid medical conditions who are deemed to be temporarily unable to work. Ensures efficient and successful access and linkage to the full array of necessary physical and behavioral health services. Coordinates effective communication between all providers to the ultimate benefit of the patient. Works under close supervision.What We ProvideReferral bonus opportunitiesGenerous paid time off (PTO), starting at 20 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of ProfessionalsWhat You Will DoReviews and utilizes completed medical and mental health assessments from the ResCARE clinical team when initiating the wellness plan for clients on the temporarily unable to work track. . Confirms acuity level of identified client and tailors services plan accordingly.Develops and monitors wellness plan on behalf of clients with untreated or unstable medical and/or mental health conditions adversely affecting the level of employability. Coordinates and integrates a written, coordinated wellness plan in cooperation with the client the client’s family, and/or other providers serving the client.Performs and maintains effective care management for a caseload of clients, as assigned, from wellness initiation to wellness completion. Meets with assigned clients to monitor progress and compliance with the wellness plan. Tracks/ monitors client progress and produces/maintains detailed, accurate and timely case notes. Reviews cases for completeness of documentation.Develops inventory of resources that will meet the clients’ needs as identified in the assessment process. Becomes familiar with service providers in the community where the clients resides in order to mitigate barriers to wellness plan compliance such as transportation, childcare etc.Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers. Participates in meetings with service providers to coordinate service and follow up to ensure client’s compliance with and timely completion of the wellness plans and required documentation.Works collaboratively with team members to provide outreach (Via Phone calls, Emails, Texts and Field visits) to clients who have failed to comply with the process of the initiated wellness plan and wellness care management services.Provides information and assistance through advocacy and education to client/family on availability and eligibility of entitlements and community services. Assists with arranging escorts and transportation for clients to appropriate facilities/agencies, as necessary.Participates in initial and ongoing trainings as necessary to maintain basic level of knowledge related to serious physical ailments as defined by HRA. Collaborates with the wellness health team to develop psycho-educational plans for client’s wellness plan process and medication compliance.Maintains updated clients’ case records through the WeCARE wellness care management and HRA platforms, and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with the wellness care management policies/procedures, agency standards and regulatory requirements.Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client requires an alternate level of care or is appropriate for discharge.Participates in special projects and performs other duties as assigned.QualificationsEducation: Bachelor's Degree in a human services or related field requiredMaster's Degree program in human services or related field preferredWork Experience:Minimum of two years of experience providing direct services to seriously mentally ill patients/clients requiredEffective oral/written/interpersonal communication skills requiredBilingual skills preferred, and may be required as determined by operational needs.Basic computer skills requiredCompensation$23.17 - $28.96 HourlyAbout UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewProvides care management for clients in collaboration with the Wellness case management team consistent with WeCARE and the VNS Home Care policy and requirements of the Wellness Care Management program. Facilitates the coordination of services between the varying providers for clients with complex psychiatric and/or co-morbid medical conditions who are deemed to be temporarily unable to work. Ensures efficient and successful access and linkage to the full array of necessary physical and behavioral health services. Coordinates effective communication between all providers to the ultimate benefit of the patient. Works under close supervision.What We ProvideReferral bonus opportunitiesGenerous paid time off (PTO), starting at 20 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of ProfessionalsWhat You Will DoReviews and utilizes completed medical and mental health assessments from the ResCARE clinical team when initiating the wellness plan for clients on the temporarily unable to work track. . Confirms acuity level of identified client and tailors services plan accordingly.Develops and monitors wellness plan on behalf of clients with untreated or unstable medical and/or mental health conditions adversely affecting the level of employability. Coordinates and integrates a written, coordinated wellness plan in cooperation with the client the client’s family, and/or other providers serving the client.Performs and maintains effective care management for a caseload of clients, as assigned, from wellness initiation to wellness completion. Meets with assigned clients to monitor progress and compliance with the wellness plan. Tracks/ monitors client progress and produces/maintains detailed, accurate and timely case notes. Reviews cases for completeness of documentation.Develops inventory of resources that will meet the clients’ needs as identified in the assessment process. Becomes familiar with service providers in the community where the clients resides in order to mitigate barriers to wellness plan compliance such as transportation, childcare etc.Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers. Participates in meetings with service providers to coordinate service and follow up to ensure client’s compliance with and timely completion of the wellness plans and required documentation.Works collaboratively with team members to provide outreach (Via Phone calls, Emails, Texts and Field visits) to clients who have failed to comply with the process of the initiated wellness plan and wellness care management services.Provides information and assistance through advocacy and education to client/family on availability and eligibility of entitlements and community services. Assists with arranging escorts and transportation for clients to appropriate facilities/agencies, as necessary.Participates in initial and ongoing trainings as necessary to maintain basic level of knowledge related to serious physical ailments as defined by HRA. Collaborates with the wellness health team to develop psycho-educational plans for client’s wellness plan process and medication compliance.Maintains updated clients’ case records through the WeCARE wellness care management and HRA platforms, and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with the wellness care management policies/procedures, agency standards and regulatory requirements.Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client requires an alternate level of care or is appropriate for discharge.Participates in special projects and performs other duties as assigned.QualificationsEducation:Bachelor's Degree in a human services or related field requiredMaster's Degree program in human services or related field preferredWork Experience:Minimum of two years of experience providing direct services to seriously mentally ill patients/clients requiredEffective oral/written/interpersonal communication skills requiredBilingual skills preferred, and may be required as determined by operational needs.Basic computer skills requiredCompensation$23.17 - $28.96 HourlyAbout UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewConducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditions. Ensures access and linkage to the full array of necessary physical and behavioral health services and other community based services to address social determinants of health. Coordinates effective communication between all providers for the ultimate benefit of the client/member. Works under general direction.What We ProvideReferral bonus opportunitiesGenerous paid time off (PTO), starting at 20 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of ProfessionalsWhat You Will DoUtilizes approved assessments to identify clients/members needs and develop initial and ongoing clinical plan of care.Updates plan at specified intervals, and as needed based on changes in client/member condition or circumstances.Performs and maintains effective care management for assigned caseload of clients/members. Tracks and monitors progress; maintains detailed, accurate and timely progress notes and other documentation.Develops inventory of resources that meet the clients/members needs as identified in the assessment.Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members.Works collaboratively with team members to provide outreach for and engage resistant/hard to reach clients/members to accept program services.Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility of entitlements and community services. Arranges transportation and accompanies clients/members to appointments as necessary.Participates in initial and ongoing trainings as necessary to maintain and enhance care management skills.Maintains updated case records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements.Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge.QualificationsEducation: Bachelor's Degree in a human services or related field requiredEnrollment/attendance in Master’s degree program in human services or related field preferredWork Experience:Minimum of two years of experience providing direct services to clients/members with Serious Mental Illness (SMI), developmental disabilities, substance use disorders and/or chronic medical conditions client required with a Bachelor’s degree; minimum of one year of experience with a Master’s degree.Effective oral/written/interpersonal communication skills requiredBilingual skills may be required as determined by operational needs.Basic computer skills requiredCompensation$23.17 - $28.96 HourlyAbout UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

OverviewProvides care management for clients in collaboration with the Wellness case management team consistent with WeCARE and the VNS Home Care policy and requirements of the Wellness Care Management program. Facilitates the coordination of services between the varying providers for clients with complex psychiatric and/or co-morbid medical conditions who are deemed to be temporarily unable to work. Ensures efficient and successful access and linkage to the full array of necessary physical and behavioral health services. Coordinates effective communication between all providers to the ultimate benefit of the patient. Works under close supervision.What We ProvideReferral bonus opportunitiesGenerous paid time off (PTO), starting at 20 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancement Internal mobility, CEU credits, and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals\What You Will DoReviews and utilizes completed medical and mental health assessments from the ResCARE clinical team when initiating the wellness plan for clients on the temporarily unable to work track. . Confirms acuity level of identified client and tailors services plan accordingly.Develops and monitors wellness plan on behalf of clients with untreated or unstable medical and/or mental health conditions adversely affecting the level of employability. Coordinates and integrates a written, coordinated wellness plan in cooperation with the client the client’s family, and/or other providers serving the client.Performs and maintains effective care management for a caseload of clients, as assigned, from wellness initiation to wellness completion. Meets with assigned clients to monitor progress and compliance with the wellness plan. Tracks/ monitors client progress and produces/maintains detailed, accurate and timely case notes. Reviews cases for completeness of documentation.Develops inventory of resources that will meet the clients’ needs as identified in the assessment process. Becomes familiar with service providers in the community where the clients resides in order to mitigate barriers to wellness plan compliance such as transportation, childcare etc.Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers. Participates in meetings with service providers to coordinate service and follow up to ensure client’s compliance with and timely completion of the wellness plans and required documentation.Works collaboratively with team members to provide outreach (Via Phone calls, Emails, Texts and Field visits) to clients who have failed to comply with the process of the initiated wellness plan and wellness care management services.Provides information and assistance through advocacy and education to client/family on availability and eligibility of entitlements and community services. Assists with arranging escorts and transportation for clients to appropriate facilities/agencies, as necessary.Participates in initial and ongoing trainings as necessary to maintain basic level of knowledge related to serious physical ailments as defined by HRA. Collaborates with the wellness health team to develop psycho-educational plans for client’s wellness plan process and medication compliance.Maintains updated clients’ case records through the WeCARE wellness care management and HRA platforms, and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with the wellness care management policies/procedures, agency standards and regulatory requirements.Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client requires an alternate level of care or is appropriate for discharge.Participates in special projects and performs other duties as assignedQualificationsEducation: Bachelor's Degree in a human services or related field requiredMaster's Degree program in human services or related field preferredWork Experience:Minimum of two years of experience providing direct services to seriously mentally ill patients/clients requiredEffective oral/written/interpersonal communication skills requiredBilingual skills preferred, and may be required as determined by operational needs.Basic computer skills requiredCompensation$23.17 - $28.96 HourlyAbout UsVNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives uswe help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.