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Job Description Reports To: CTI Team Leader Program: Critical Time Intervention (CTI) Location: Tarrytown, NY/Mobile Hours per week: 35 FLSA Status: Full-time, Non-exempt Salary Range: $52,000 - $63,000 annually Summary Description: The Care Manager will work as part of a multidisciplinary team in the Critical Time Intervention (CTI) program serving adults with co-occurring behavioral health and physical health needs who frequent ED/inpatient settings. The Care Manager provides CTI services and carries a caseload. Care managers develop the person-centered care plan, share knowledge of community resources, provide linkage to resources, engage individuals in skill building, offer crisis management, collaborate with other providers, assist individuals in navigating complex systems, and work with informal supports. Responsibilities: • Manage a caseload of clients consistent with industry standards, meet regulatory expectations/ guidelines and reflect our client population's needs. The exact number of clients may vary based on factors such as case complexity and the availability of support resources. The care manager is expected to maintain a balanced caseload for high-quality care and effective case management., • Provide comprehensive care management and care coordination through face-to-face and telephonic services., • Complete assessments and approve applications for services and entitlements, • With client’s input, create individualized plans of care, • Assist in discharge planning during a client’s hospitalization and provide follow-up care as needed, • Consult with team members and other specialists, • Participate in meetings with community agencies and service providers., • Follow established agency policies and maintain professional standards., • Prepare required reports and documentation., • Provide after-hours emergency coverage and crisis intervention as needed., • Demonstrate flexibility with working hours., • Adhere to standards established by regulatory authorities., • Perform other duties as assigned. Competencies: • Knowledge of behavioral diagnoses and symptomatology., • Familiarity with community resources., • Effective client engagement skills., • Understanding of chronic disease/behavioral health interactions., • Ability to work independently and efficiently., • Proficiency in using Electronic Health Record systems., • Practice in a recovery-oriented, person-centered methodology. Key Performance Indicators (KPIs): • Upholds strong client engagement and provides consistent contacts based on CTI phase., • Establishes successful linkages to community resources., • Decreases client reliance on ED, CPEP, and/or Inpatient and Crisis services., • Meets prescribed timeframes for response and service delivery as outlined by CTI model., • Maintains timely and accurate documentation., • Completes and maintains all required trainings under the CTI model., • Positive client outcomes and satisfaction., • Effective collaboration with the support team. Requirements: • Bachelor's degree in a relevant field or equivalent preferred. E.g., social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing, or other human services field., • Two years of relevant experience or equivalent., • A master’s degree in one of the listed education fields may be substituted for one year of experience., • Valid Driver's License and satisfactory driving record., • Maintain New York State Defensive Driving certification within 30 days of hire., • Basic computer knowledge: typing, communication tools, scheduling tools, and web browsers., • Proficiency in Microsoft Office suite and database management systems., • Fluency in English (Reading, Writing, Speaking)., • Must be and maintain clearance by applicable regulatory clearances as required., • Legally eligible to work in the United States without sponsorship. Special Considerations: • This is a full-time, 35 hour per week position with a regular daytime schedule that will include an evening shift and rotating on-call responsibilities., • This position will require availability outside of the standard workday, and as such, must be ready and available at times to direct and support staff either by phone or in person if needed during the evenings, weekends, and holidays., • Hours Per Week, Reporting Structure, and Location are subject to change per program needs. Mandated Reporter: This is a Mandated Reporter position. The NYS Justice Center legislation defines anyone who has regular and substantial contact with any person with special needs as a “custodian” under the law and, therefore, a mandated reporter. You can be held liable by both the civil and criminal legal systems for intentionally failing to make a report. Greater Mental Health of New York is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Greater Mental Health of New York is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request a reasonable accommodation, contact the Human Resources Department.

Job Description:\n\n JOB SUMMARY: The Director of Wellness uses their specialized knowledge to insure the Resident’s care and management needs are being adequately and correctly met and assists the Executive Director, and the Director of Case Management as an additional liaison between Residents, the Residents Legal Representatives, their families, administrative staff, and community-based service providers. Responsibilities include the direct supervision of the Wellness and Reflections Unit; motivation, supervision and in-service training/education of the Resident Service Aides. The Director of Wellness will assure compliance with company policy and the State Health Department’s regulatory requirements for the admission and discharge procedure as well as appropriate documentation requirements. Additional responsibilities include: in-service education on health/wellness related topics and on the spot training to address identified performance concerns and/or improvements. As a member of a multi-disciplinary team the Director of Wellness facilitates development of the Resident’s individual plan of care under the direct supervision through collaboration with the Resident, the Resident’s family or Representative, the Resident’s primary care physician, the property Management Team, and any appropriate third-party providers. The Director of Wellness provides primary Resident supervision and acts as support to Residents, oversees admissions and discharges processes; provides orientation, social/emotional support, arranging for needed services; provides off-site visits and evaluations to residents in hospital and rehabilitation centers, and maintains Wellness/Reflections nursing notes as per company policy. DUTIES AND KEY RESPONSIBILITIES: 1. Administrative Services: a. Responsible for overall supervision of the Resident Services Department. i. The Director of Wellness will cross cover responsibility for the overall supervision of Wellness and Reflections b. Must be familiar with and able to implement emergency procedures as outlined in the Emergency and Disaster Plan. c. Responsible for the 24-hour, 7 days a week operation of the Wellness / Reflections Unit: i. Monitor proper scheduling and assignment of staff for Reflections Program in accordance with company policy and State Health Department regulations ii. Work collaboratively with RSC to ensure adequate coverage as needed in Wellness and Reflections d. Maintains on-going infection control surveillance, OSHA standards, universal precautions and basic sanitation and safety in Wellness Office and the Reflections Unit inclusive of the Resident’s apartments e. Assures the accuracy of Resident records and documentation in adherence with company policies as well as regulations of the State Department of Health f. Assures the medication management system adheres to State and local Department of Health laws and regulations and company policies, as well as Memory Care requirements: i. Assures thorough reviews of Medication Administration Records to include “chart to cart” audits, review of pre-MARs and final MARs. ii. Addresses all findings as a result of the review and develops appropriate training strategies to address such findings g. Follows the company policies and procedures related to incident reporting and notifications as well as State Department of Health Regulations i. Maintains incident report records ii. Informs Executive Director of all incidents h. Maintain active community and professional relationships to support positive promotion of the company. i. Develop contacts with community agencies serving senior citizens and clergy and refers residents where/when appropriate. ii. Maintain a liaison with facility and the community nursing homes, hospitals and assisted living facilities. i. Conducts, at the beginning of every shift, an observational walk-through of the entire Reflections Unit to insure no issue or concern needing immediate attention j. Conducts daily observational walk-through of the Main Dining Room/Reflections Dining Room to assure Residents are appropriately groomed and dressed k. Conducts supervised weekly scheduled checks of Reflections Resident’s apartments l. Performs other duties as assigned by the Executive Director. m. Monitor and maintain documentation on the Emergency Response System to ensure compliance, reporting findings to the ED as required 2. Resident Supervision: a. Acts as Resident advocate and assists Administrative staff in their continued service to the Resident i. Visits with each Resident to evaluate their concerns ii. Refers all Resident complaints and/or concerns to the Executive Director for immediate investigation and resolution b. Provides oversight to the admission process of the Resident to include: i. Appropriateness and accuracy of the Resident’s physician evaluation for sign off on same ii. Conducts (or delegates as appropriate) Initial Evaluation of Resident prior to admission into the community and follow-up evaluation as per company policy and State Department of Health regulations; • NJ only - If not licensed as an RN forwards Initial Evaluation to designated Registered Professional Nurse; iii. When indicated, assures completion of Behavioral Health evaluation as per company policy and State Department of Health regulation; iv. Provide initial and ongoing orientation to facility for new Residents; v. Acclimate Resident and introduces them to other Residents. vi. Encourage Residents to participate in social activities and insure that Wellness and Reflections front line staff is doing so also. c. Inform ED, Director of Case Management and Department Heads of the general well-being or Residents as well as their ability to live in the Assisted Living setting; d. Conduct as per company policy and State Department of Health requirements functional evaluations to identify Residents status and/or change in status and to determine the type and level of assistance needed: i. Develop and update each Resident’s service plan(s), evaluation, and other pertinent evaluations at specified intervals and when a change in Residents’ status warrants. • NJ only - If not licensed as an RN forwards all updated evaluations to the designated RN for sign off. ii. If delegated by ED, communicates change in Resident status to the Resident’s Representative and appropriate Administrative/Corporate Business staff; iii. Collaborate with a multidisciplinary team of providers, as well as the Resident and/or Resident’s Representative in the development of the Resident’s Individualized Service Plan on admission, appropriate revision within 30 days thereafter, and every 6 months; iv. Monitor the Wellness and Reflections Communication Logs daily for any unusual occurrences or changes in resident’s status and records and insures interventional strategies appropriately; v. Ensure all corporate policies and procedures and State Department of Health Regulations for Assisted Living Residences, Special Needs Program are followed and maintained; vi. Supervise Wellness and Reflections Unit staff to ensure that Residents receive appropriate care and activity program. vii. Ensure monthly support groups are conducted for families in the Reflections programs e. Coordinate care with the Department Heads, Resident’s physician, and other third-party providers: i. Collaborate with the Director of Case Management to assist residents with referrals to pertinent agencies when needed; i.e., Long Term Care insurance forms, nursing homes, social services agencies, Able Ride, etc. ii. Assist with hospital, skilled nursing facility, rehab centers, et al, with transfers and discharges and liaises external staff and discharge planner to determine suitability of Resident to return to facility: • Conduct off site visits as indicated/requested by ED/ Director of Case Management iii. Act as a liaison with Resident’s personal physician and other healthcare providers. iv. Refer Resident service problems to the appropriate Department Managers and Director of Case Management and Administration as necessary. f. Develop and keep accurate Resident records in compliance with company policy and regulatory rule: i. Collaborate in the development of the Resident service/care plans with Dietary Manager, (nutrition consult where indicated), Lifestyle Director, Director of Case Management, Resident’s primary care physician (and consultant specialists), third party providers (particularly home health) and the Resident’s family/Legal Representative; ii. Enter Wellness and Reflections Notes to include necessary social, recreational, physical, emotional, mental / behavioral health findings, needed and ordered interventions, and eventual outcomes iii. Review visiting and outside physician and provider notes and implement any changes in prescribed management as ordered by physician, g. Assure annual physician evaluations and where indicated behavioral health, pain, cognition, wander, fall, skin integrity evaluations; h. Oversee and document review of Residents who are self-administering medications to ensure continued competency and report all findings to ED, Director of Case Management, Resident’s physicians and Representatives – follow up as needed and indicated; i. Conduct skin observations on Residents, documenting findings to maintain compliance, and report findings for follow up. 3. Staff Education, Development, Supervision and Evaluation: a. At the request of the ED: i. Interview, recommend for hire and promotion, train, supervise, evaluate, discipline, and refer to ED for termination: ii. Supervise care staff as well as providing care to Residents iii. Conduct and/or schedule staff in-services to improve the quality of care by care staff to respond to both individual and global staff identified needs iv. Maintain in-service schedules to meet State Department of Health requirements as well as company policy v. Assure in-service training, competency observations vi. Assure Medication Aides are in compliance with all State Department of Health training, documentation of delegated tasks, and ongoing in-services requirements b. Assist in maintenance of personnel files including documentation of health evaluation, needed immunization and communicable disease clearances, certifications and/or licensure, et al; c. Conduct periodic health seminars for the Residents and/or Residents’ families in collaboration and coordination with the Lifestyle Director. d. Monitor and document scans of Electronic Health Records (EHR) and Emergency Response System to identify concerns, address findings, assure compliance and report findings to ED for follow up as needed e. Oversight of the staff audit process i. Conduct and monitor staff completion of audits including but not limited to: ERS, Controlled Substances, Medication Administration Records, Medication Carts, Resident medical files and Resident care ii. Report findings of the audits to the ED iii. Assist ED with plans of corrections based on findings; follow ups as required to ensure staff and findings are in compliance f. Follow all workplace injury procedures, including completion of reports for timely reporting and issuing corrective action when necessary. g. Adhere to and uphold company policies and procedures. 4. All other tasks as assigned by supervisor. QUALIFICATIONS: · Associate Degree at a minimum, Licensed Professional Nurse, preferred Bachelor Degree in Social Services, Nursing, Geriatric Health Services, Activities/Recreation or related field · Minimum of three (3) years’ experience working with the Alzheimer/dementia geriatric population · Experience managing care staff and medication technicians · Working knowledge of medical and nursing terminology · Level of proficiency with Microsoft Office and email · Some training or experience in use of computerized filing/data base management systems. · Ability to speak clearly and comfortably to and deal courteously, compassionately, and efficiently with Residents, Residents families, physicians, property personnel, and others · Ability to use discretion in handling confidential information · Ability and flexibility to tolerate frequent work interruptions, organize work and re-set priorities in order to complete work responsibilities in a timely manner; · Must be emotionally, mentally and physically able, with or without reasonable accommodations, to provide required services to residents, including verbally communicating with residents. · Must be able to speak, read, and write in English, which is the predominant language of a majority of our residents. · Must be able to listen attentively to residents' requests and preferences, ensuring exceptional customer service. · Excellent communications skills both verbal and written · Knowledge and demonstrated performance of in-service procedures. · Must complete all required annual trainings as directed. WORKING CONDITIONS & PHYSICAL REQUIREMENTS: · Responsible for the 24-hour, 7-day a week operation of the Wellness Department (Director of Wellness) · Responsible for the 24-hour, 7-day a week operation of the Reflections Unit - Special Needs Program. · Available and responsive to staff and/or Management and/or Residents families/providers for immediate consultation 24/7 and for off shift, on site visits to building when necessary. · Shift changes may be required depending on the needs of the Wellness Department and/or Reflections Unit · · Exposure to blood borne pathogens and body fluids. · Communication with Residents, Residents Families, physicians and other licensed providers · Acute sense of smell and intuitive nature · Listening for falls, cries, choking, door alarm, etc., 100% · Bending, squatting, kneeling and lifting occasionally. · Climbing stairs occasionally · Driving to off-site facilities/locations WORKING CONDITIONS: · Standing 10% · Walking 20% · Sitting 30% · Talking 30% · Driving 10% I have read and understand this position description thoroughly and will assume the responsibilities as indicated. I further understand that I may not refuse to do a job or task that is required to meet the standards of quality Resident care. I can perform these duties and responsibilities without accommodation: q Yes q No I will need the following accommodation to perform these tasks: Team Member’s Signature Date

Job Description Title: Health Home Plus Client Care Coordinator Reports To: Client Care Supervisor FLSA: Non-Exempt Status: Full-time Supervisory Responsibility: Not Applicable About CHOICE: CHOICE is a leading Care Management Agency serving Westchester County in New York. Our Vision is a world where all people have a foundation to meet the challenges of everyday life. We are a dynamic not-for-profit organization which operates in the fast-changing environment of healthcare reform. Funded by Medicaid and government grants, we strive to maximize positive human outcomes as we deliver our services to our clients. CHOICE's core Mission is to help people restore and maintain their dignity and well-being regardless of their economic, mental, emotional, or physical conditions or limitations. We do this by providing Mental Health Advocacy and Peer Support, Homeless Outreach Programs and Services, and Mental Health Care Management and Support to those in need. Essential Functions of the Role: The Intensive Case Managers operate within a multidisciplinary unit and include Client Care Coordinators. All Intensive Case Managers have at least 2 years clinical experience, which includes client direct contact experience. function as an advocate, facilitator, outreach coach, educator, care coordinator, and motivational counselor for members and their families for members who have complex behavioral health and or medical conditions. The role of the Intensive Care Manager includes, but is not limited to the following tasks: Position Responsibilities: • Providing a timely outreach to new referrals, • Engaging members into the program by providing compelling rationale on the benefits of the program to fit the unique member's needs., • Completing members needs assessment to determine appropriate services and inform the care plan., • Developing an individualized member centric comprehensive care plan with input from the member, provider, and family. The individual goals include recovery and resiliency, decreasing symptomatology and/or increasing functional ability in areas such as self-care, work/school, and family/interpersonal relations to reduce barriers to treatment., • Providing monitoring and reviewing of cases through planned outreach, incoming contacts, care coordination and utilizing rounds, weekly reports, and individual supervision., • Rounding or staffing with a supervisor takes place once per month at a minimum for difficult or challenging cases., • Providing consultation and coordination with the behavioral health or medical providers, facility or family members, community agencies, or involved medical practitioners regarding treatment and/or treatment planning issues., • Providing motivational counseling and encourage self-advocacy to help sustain members' commitment to their care plans and treatment adherence., • Coordinating and consulting with the Care Manager as necessary. Attending regularly scheduled rounds to consult with a psychiatrist or health plan staff and discuss cases and the need for continued intensive care management and outreach. Sending outreach letters to members who are not telephonically accessible or who do not res pond to multiple telephonic outreach attempts., • Frequency of outreach to the member, supports and provider(s) occur at a minimum one time per month, but more may be scheduled according to the member's clinical needs., • Send outreach letters to members who are not telephonically accessible or who do not respond to multiple outreach attempts., • Client's progress and Intensive Case Manager interventions are documented appropriately in the care management system., • Provide case closure/discharge at the time of completion., • Follow all workflows meeting regulatory and accreditation requirements., • Education: 1. A bachelor’s degree in one of the fields listed below; or 2. A NYS teacher’s certificate for which a bachelor’s degree is required; or 3. NYS licensure and registration as a Registered Nurse and a bachelor’s degree; or 4. A Bachelor’s level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses; or 5. A Credentialed Alcoholism and Substance Abuse Counselor (CASAC). Salary Range: $42,500 - $47,000

Job Description Clinical Supervisor (LCSW) - Wellness Center The Arc Westchester is the County’s largest organization supporting children, teens, and adults with developmental disabilities, including individuals on the autism spectrum. Our vision is a world of opportunity where people with developmental disabilities live, work, learn, and contribute. The Arc Westchester supports more than 2,000 people with IDD (Intellectual/Development Disabilities) with a broad range of innovative and effective programs and services designed to foster independence, productivity and participation in community life. We offer a wide spectrum of programs, including Residential, Day Services, Career and Employment, and Recreation and Respite, all tailored to best meet the needs of the people supported. We are seeking a highly competent and nimble Licensed Clinician to provide clinical and administrative oversight of the Wellness Center, The Arc Westchester’s OPWDD licensed Article 16 Clinic, supporting individuals with IDD to live to their fullest potential. Position Summary: The Clinical Supervisor of the Wellness Center is responsible for overseeing the day-to-day operations of The Arc Westchester’s Article 16 Clinic, and its clinical programs and staff. Reporting directly to the Assistant Executive Director of Community Innovations, the Clinical Supervisor provides leadership for and direct oversight of the array of clinical services and supports provided to individuals with disabilities and their families including PT, OT, SLP, psychotherapy, psychiatric services, and evaluations. The Manager may also conduct psychosocial assessments and provide on-going clinical services, within the scope of their license, to individuals with IDD. The Clinical Supervisor collaborates closely with the Treatment Coordinator and Medical Director to deliver a smooth and efficient referral and intake process and ensure the Wellness Center operates in full compliance with agency and regulatory requirements. Education, Knowledge, and Skills Requirements: • Bachelor’s degree in Human Services, Social Work or related field, OR Licensed Registered Nurse., • Valid NYS Clinical License in Clinical Social Work - LCSW., • Ideal candidates will have a minimum of 3 years’ experience working with individuals with intellectual/developmental disabilities., • Comprehensive knowledge of health and behavioral health care needs of individuals with IDD., • Candidates with prior supervisory experience will be strongly considered., • Excellent communication skills, both oral and written., • Demonstrated ability to manage multiple responsibilities simultaneously and ability to remain calm under pressure., • Highly organized, self-directed, and detail oriented., • Ability to effectively train and supervise staff with diverse professional backgrounds. Leadership and Supervision • Supervision/Training/Evaluation of staff including Treatment Coordinator and Clinicians., • Establish and maintain cooperative working relationships with internal and external stakeholders., • Develop new services, sites, and programs related to clinical services in response to agency and community needs., • Assure continuous quality improvement of program areas consistent with agency policies and OPWDD regulations., • Regularly monitor and analyze service volume, revenue, and expenses in relation to program budgets and make all necessary adjustments to maximize productivity and efficiency., • Oversee referral process, case tracking, and clinical documentation in Electronic Health Record. EOE Company DescriptionThe Arc Westchester is the largest agency in Westchester County supporting children, teens and adults with intellectual and developmental disabilities, including individuals on the autism spectrum, and their families. Over 800 hundred employees provide more than 2,000 individuals throughout the county with a broad range of innovative and effective programs and services designed to foster independence, productivity and participation in community life.The Arc Westchester is the largest agency in Westchester County supporting children, teens and adults with intellectual and developmental disabilities, including individuals on the autism spectrum, and their families.\r\n\r\nOver 800 hundred employees provide more than 2,000 individuals throughout the county with a broad range of innovative and effective programs and services designed to foster independence, productivity and participation in community life.