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Care Coordinator

Sheltering Arms strengthens the education, wellbeing, and development of high-need children, adults, and families across the New York metro area. We serve nearly 20,000 people a year from the South Bronx to Far Rockaway. Through compassion, innovation, and partnership, we respond to our community’s greatest needs and enable individuals to reach the greatest heights of their potential. Joining our team is an opportunity to collaborate with hundreds of dedicated colleagues who represent diverse backgrounds and talents as we work together to make a measurable impact for our neighbors in need. Every role at Sheltering Arms brings with it new opportunities for advancement and development so that team members can achieve their professional goals while helping others reach for theirs.

Sheltering Arms is currently seeking Care Coordinator that would be responsible to support individuals receiving services to: 1) live in the most integrated setting, 2) have meaningful and productive community participation, 3) experience personal health, safety and growth, 4) develop meaningful relationships with others, 5) have choice about their service providers, 6) support individuals with opportunity to self-direct their services, and 7) to ensure the changing needs of the people served are met.

Essential Functions

  • Ensure that the six health home core services are implemented to meet the person centered needs of the individuals receiving services. Including but not limited to the developing, writing, monitoring, and implementation of the Life Plan.
  • Support the individuals receiving services to facilitate Life Plan meetings.
  • Provides advocacy for people receiving services to assist them to reach their full potential.
  • Ensure benefits are maintained (Medicaid).
  • Record and maintain records in the Care Management Platform.
  • Attends department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy.
  • Completes all required trainings.
  • Travel throughout the designated service area to meet with people receiving services and their interdisciplinary team.
  • Maintains confidentiality.
  • Oversee and coordinate clinical issues.
  • Review, monitor and revise the Life Plans to reflect the changing needs, choices and preferences of the individual, minimally on a semi-annual basis and more often as requested by the individual, family and/or advocate. Forward copies of Life Plans to all relevant parties in a timely fashion.
  • Ensure that all services described in the Life Plan are delivered in a timely and appropriate manner. Ensure quality service delivery, as well as, regulatory compliance.
  • Act as liaison between outside service providers and the individual. Encourage integration, individualization, independence, productivity and individual satisfaction in all community activities.
  • Document all contacts and service coordination activities. Prepare monthly service coordinator notes.
  • Ensure documentation is up-to-date, complete, comprehensive, and filed in the individual’s record at all times.
  • Upload all pertinent information utilizing the MEDISKED system.
  • Attend conferences, in-services and informational meetings.
  • Maintains caseload as assigned by supervisor.
  • Record keeping:  keeps records up-to-date including case notes, Level of Care Eligibility Determination (LCED), medical reports and correspondence with collateral’s, notes of phone contacts.
  • Maintains training requirements per Care Coordination regulations.
  • Other related tasks that may be assigned.


  • A Bachelor of Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a Master’s degree with one year of relevant experience.
  • Absolute sense of integrity and personal commitment to serving people with I/DD and their families.
  • Excellent interpersonal, public speaking, and written communication skills.
  • Ability to work autonomously.
  • Demonstrate professionalism, respect and ability to work in a team environment.
  • Participation in required Care Coordination training.
  • Knowledge of community resources.
  • Must be familiar with ICF/MR regulations and waiver requirements.
  • Valid NYS State Driver’s License preferred.


It is the policy of Sheltering Arms Children and Family Services  that the Agency wholly complies with the equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual’s perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, gender identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment.

Physical Requirements: Must have the ability to complete all standard administrative and support tasks including but not limited to climbing up and down stairs, operation of computers/phones/fax/printer/copy machine, and the ability to lift boxes, furniture, and equipment up to 30lbs. Must be able to travel from the various locations and sites of Sheltering Arms Children and Family Services.

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