Go to our website »

Jobs at Sheltering Arms Children and Family Services, Inc.

Outreach Coordinator, Health Homes

Location: Astoria, NY

Department: CCF, Health Homes

Type: Full Time

Min. Experience: Entry Level

Care Management is service model whereby all of an individual's caregivers communicate and interface so that the patient's needs are addressed in a comprehensive manner. This is done primarily through a "Care Manager" who oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital.


The Outreach Coordinator is responsible for initial client outreach, client enrollment, and utilizes clinical skills and expertise to complete needed assessments to determine enrollee’s most appropriate acuity levels for care management services. The Outreach Coordinator is an important member of the care management team who collaborates with enrollees, their families, and program staff to establish care plans that are client-centric, with emphasis on enrollees’ healthcare, behavioral, and psychosocial needs.


Primary Duties and Responsibilities:

  • Conducts field, phone and mail outreach to new care management clients and/or their legal guardian
  • Conducts outreach and provide clients and internal/external providers with an overview of the
  • Care management service model
  • Actively manages appropriate referrals, access, engagement, follow-up and coordination of care management services
  • Creates and implements annual outreach plan that includes face-to-face presentations to prospective clients and service providers
  • Creates and maintains relationships with collaborative partners and cultivates new ones
  • Completes client detail intake
  • Pre-screenings
  • Obtains required Care Management enrollment consents from the individual or legal guardian
  • Timely completes initial needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual’s most appropriate level of care management
  • As needed assists client with non-active Medicaid through initial entitlement process
  • Collaborates with the care management team to develop enrollees’ Individualized Plan of Care
  • Meets Care Management documentation requirements in a timely and accurate manner by effectively utilizing designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs) as needed
  • Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences.
  • Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Outreach Coordinator position
  • Other duties as assigned


Qualifications and Competencies:

  • Bachelor degree required with relevant experience
  • Ability to positively influence others with respect and compassion
  • Even-tempered and able to adjust tasks in accordance with changing priorities
  • Bilingual is a plus


The candidate must possess the following Experience:

Relevant expertise and experience in serving children and families in child welfare, developmental disabilities, mental health, healthcare and/or other systems as well as those receiving preventive services
Experience providing service coordination and information, linkages, and referrals for community-based services 


In addition the candidate must demonstrate the following Competencies:

Excellent public speaking, writing, presentation, and organizational skills
A passion for serving children and families with special needs
Ability to travel to community-based agency offices, participant’s communities, and homes within assigned catchment area through the navigation of public transportation
Ability to receive feedback to professionally grow and/or improve
Proven self-management abilities, including meeting deadlines, ensuring compliance with agency policy and procedures, and overseeing complete and timely maintenance of agency records, in accordance with contractual requirements


Equal Employment Opportunity Statement

It is the policy of Sheltering Arms 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.

Forward this Position
Recipient email address (one)
Your name
Your email address
Enter a message (optional)
Human Check*
Apply for this Position
* Required fields
First name*
Last name*
Email address*
Phone number*

Attach resume as .pdf, .doc, or .docx (limit 5MB) or paste resume

Paste your resume here or attach resume file

Cover Letter*
What’s your highest level of education completed?*
Are you 18 years of age or older?*
In 150 characters or fewer, tell us what makes you unique. Try to be creative and say something that will catch our eye!*
What's your highest level of education completed?
Are you currently employed with Sheltering Arms?*
Have you ever been employed with Sheltering Arms?*
Are you being referred by an employee of Sheltering Arms?*
if you are being referred by a current employee, please provide the employee's name
Have you ever applied to Sheltering Arms in the past?*
Are you fluent in Spanish?*