Project Summary:

Forward Leading IPA (FLIPA) has a unique opportunity for an individual to support individuals in the community in need of integrated medical, behavioral health, and social care supports through two grant-funded projects. The Maternal Community Behavioral Health Project is a 5-year program funded by the Substance Abuse and Mental Health Services Administration (SAMHSA). The goal of the project is to improve access to evidence-based, timely, and culturally relevant maternal behavioral health intervention and treatment by strengthening integrated care team approaches and community referral pathways. The Social Care Network is a multi-year state-funded Medicaid redesign project aimed at changing how social care is integrated into health care services. 

 

Job Summary:

The Care Coordination Facilitator (CCF) will be allocated 50% in the Maternal Community Behavioral Health Project and 50% in the Social Care Network. The CCF will assist the Project Director and project teams at each partner organization in ensuring day-to-day project implementation according to the approved narrative, timeline, and budget; schedule trainings and case conferences with care team members; provide a central point of contact for patient care coordination; and collect and report data. The CCF will also conduct outreach, screening and navigation, and ongoing care management to eligible individuals in the community seeking supports for social care needs. 

 

Organizational Overview:

FLIPA is a nonprofit membership association of safety net providers working in partnership to provide the highest quality healthcare to the most vulnerable populations in Upstate New York since 2017. FLIPA is renowned for its commitment to integrating primary care and behavioral health. Our growing membership includes a combination of federally qualified health centers (FQHCs), behavioral health providers, and a rural health network and serves individuals across Upstate New York.

 

 

Equal Employment Opportunity Statement:

At FLIPA, we value individuals’ unique backgrounds, experiences, and perspectives. We are committed to fostering an environment where all qualified applicants are encouraged to apply and will receive equal consideration for employment. We do not discriminate based on race, color, religion, age, sex, gender identity or expression, national origin, disability status, veteran status, or any other characteristic protected by federal, state, or local laws.
 
We believe that building a strong team starts with hiring individuals whose skills and perspectives reflect the communities we serve. We actively promote opportunity for all and strive to ensure that each team member’s talents and potential are recognized and valued. Our hiring decisions are based solely on individual merit.
 
FLIPA is committed to prioritizing the human element in healthcare. By encouraging different viewpoints and fostering innovative thinking, we aim to build empowered, healthy, and thriving communities. Join us in making a meaningful impact.   

 

Security Level:

Standard BSC/Standard WLC

 

Duties/ Responsibilities:

• Support Project Directors to develop and manage project schedule and workplan to align to program objectives and funder requirements
• Organize and communicate details of the project to team members and serve as a liaison between project teams and the Project Directors
• Ensure project activities are assigned to appropriate resources for completion
• Assist with schedule management
• Facilitate case conferences and meetings with individuals from multiple organizations, tracking actions and follow-ups, supporting appointments and communication with care teams and patients as needed
• Support implementation of project activities with partner organizations  
• Effectively work across multiple organizations and geographies to support project progress within different organizational cultures structures and communities
• Conduct outreach (e.g., email, phone call) to patients in need of information, screening, or navigation to resources
• Conduct warm handoffs as needed to community resources and care team members
• Provide direct case/care management services while maintaining accurate and verifiable documentation of services rendered; assist clients in accessing community-based supports, and provide crisis intervention and follow-up
• Leverage identified data collection platform(s) for timely and accurate submission of patient needs and information
• Provide ongoing support (i.e., case management) to a caseload of Medicaid Members seeking support for social care needs such as nutrition, housing, and transportation services
• Support the creation and maintenance of comprehensive project documentation, plans and reports
• Identify challenges and opportunities for improvement related to project implementation
• Support data collection as identified in data evaluation plans under guidance of the project Data Evaluator
• Other duties as assigned

 

Education & Experience:

• Bachelor's in related field, such as social work, public health or similar, or equivalent experience required
• 3-5 years of community collaboration, interdisciplinary coordination or related experience required
• Experience within the New York State health care system (population health, behavioral health, Federally Qualified Health Centers, or similar) required
• Experience working with pregnant and post-partum individuals with behavioral health needs

Skills, Knowledge, and Abilities:

• Excellent organizational and leadership abilities
• Ability to manage multiple priorities effectively with minimal supervision
• Outstanding communication and people skills that reflect person-centered best practices and individual autonomy
• Excellent proactive approach to following up with outreach to individuals, documentation requirements, and outstanding phone or email messages
• Conduct case/care management assessments and develop comprehensive service plans
• Strong interpersonal skills, independently resourceful and thrives in a fully remote environment
• Proven ability to complete projects according to defined timelines and objectives
• Proficient with MS Office and various business software 

Salary Range:

• Salary is commensurate to education and experience with a range of $$55,000- $65,000.

Additional Info:

•  This position will be remote with travel expected for on-site meetings or training within Rochester and/or Syracuse and occasional travel to other locations in New York State
• Current resident in Greater Rochester communities preferred 
• Experience within healthcare in Rochester city communities preferred 
•  
• Fluent in Spanish preferred

To apply please send resume and cover letter to: jobs@forwardleadingipa.org