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Outreach Specialist, Health Homes

​CAMBA's Health Home program is an innovative new model of care management focused on improving the health outcomes for individuals with severe mental illness & other complex chronic illnesses through coordinated networks of medical, psychiatric, behavioral health, social service & housing providers. Staff will use cutting-edge health information technology & a unified plan of care to ensure all clients connect to & maintain primary medical care, prevent hospital stays, &/or reduce the length of hospitalizations. CAMBA's participation in health home places it at the forefront of a broad system wide change that will have a significant impact on many human services sectors.

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Responsibilities of the Outreach Specialist Include

  • Conduct outreach activities to identify and enroll eligible individuals
  • Assist eligible clients in attaining their goals by identifying and locating community resources for clients and by making referrals to appropriate services both within and outside CAMBA
  • Maintain professional relationships with clients and client confidentiality.
  • Practice Universal Precautions/Standard Protocol & Procedures.
  • Comply with any and all Federal, State, City and CAMBA security and privacy polices intended to protect the security and privacy of individually identifiable health information.
  • Conduct telephone and online directory searches to secure up-to-date contact information for eligible individuals.
  • Interview neighbors, friends, and relatives to elicit information pertaining to the current whereabouts of eligible individuals.
  • Educate eligible individuals about the health benefits of the program (i.e., email and/or mail program & enrollment information, make phone calls to individuals, their Health Home providers and family members).
  • Schedule intake appointments between the eligible individuals and the care management team as needed.
  • Assist eligible individuals with completing all CAMBA and Health Home enrollment and consent forms.
  • Conduct initial needs assessments of clients and clients' families.
  • Evaluate actual living conditions of clients through home visits.
  • Work with clients to break through barriers to their goals and to assist them in advocating for themselves and in moving toward self-sufficiency.
  • Assist clients in completing applications for benefits and entitlements (e.g. Medicaid, etc), and process applications on clients' behalf.
  • Monitor clients' progress towards their service goals, and document all interactions with clients via progress notes.
  • Create and maintain client files and make copies of all client documents.
  • Enter client data (i.e. client services, progress, outcomes, contact information, etc.) into automated database.
  • Provide all required information for weekly/monthly/quarterly/annual reports (i.e. client services reports, documentation ticker/ tracking reports, client contact reports, vehicle incident reports).
  • May plan, coordinate and facilitate social/peer support events, including group facilitation of clients.
  • May follow-up with clients for a period of time after successful completion of their primary goals to assure client stability.
  • Tasks may be modified, expanded and/or assigned over time.



Requirements of the Outreach Specialist:

  • High school diploma or G.E.D. and at least one year of applicable experience and/or equivalent experience.
  • Knowledge about, understanding of, and ability to work closely with, persons with chronic illness and related issues.
  • Knowledge of community resources and sensitivity toward persons with chronic illnesses
  • Ability to utilize CAMBA vehicle and/or public transportation to navigate the boroughs of New York City.
  • Must have Valid New York State Driver's License and excellent driving history.
  • Must complete NYS Approved Defensive Driving Classes every 3 years.
  • Must remain insurable based on CAMBA's point system throughout the duration of employment.
  • Acknowledge review of CAMBA's Transportation Policy.
  • Bi-lingual English with any one of the following languages: Spanish, Russian, Haitian-Creole, Chinese (Mandarin or Mandarin/Cantonese) preferred.
  • Some evenings and/or weekends may be required.


 

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