Who is Bridging Access to Care, Inc.: Bridging Access to Care, Inc. (BAC) is a nonprofit, multi-service, community-based behavioral healthcare organization committed to building healthy communities, one person at a time.

In 2012, Brooklyn Aids Task Force changed its name to BAC and successfully made the transition from an AIDS-centered organization to a multi-service community-based healthcare organization. Brooklyn Aids Task Force was the very first HIV/AIDS organization in Brooklyn to prioritize serving persons living with HIV/AIDS (PLWHA) since 1986. Today, BAC provides mental health and substance use-related social services, comprehensive HIV/AIDS care, and coordinated health care and supportive services to under-served racial and ethnic minority communities in Brooklyn and other parts of New York City.

Bridging Access to Care, Inc. offers a competitive salary package, including health insurance, retirement plan, paid time off, and opportunities for professional development.

JOB SUMMARY: The Bilingual Care Manager provides essential services including referrals, advocacy, and crisis intervention in a psychosocial setting. The Bilingual Care Manager, Health Homes, is responsible for coordinating comprehensive care for individuals enrolled in the Health Home program. This role focuses on addressing medical, behavioral, and social service needs to improve overall health outcomes. The Care Manager serves as the central point of contact for clients, providing advocacy, support, and referrals while ensuring compliance with Health Home standards and guidelines.

EDUCATION AND WORK EXPERIENCES:

• MINIMUM: Bachelor’s degree in psychology, Sociology, Social Work, or another related field.
• MINIMUM: Two (2) years’ experience working in the case management field or setting providing direct services to persons with Serious Mental Illness, HIV, homelessness, or substance use disorder, or Linking individuals with Chronic Illnesses (including HIV/AIDS), Serious Mental Illness (SMI) or Serious Emotional Disturbance (SED) to a broad range of services essential to successful living in a community setting (e.g., medical, psychiatric, social, educational, legal, housing and/or financial services)
• Languages of preference: Spanish, Haitian Creole, or Russian Speaking

DUTIES AND RESPONSIBILITIES:

Care Management & Service Provision

• Provide monthly care management to up to 50 Medicaid users.
• Conduct case conferences with service providers to ensure effective care coordination.
• Make referrals for additional services as requested or needed by members.
• Ensure all services meet DOH Health Home and BAC standards.
• Coordinate patient care plans in collaboration with healthcare teams, ensuring continuity of care across different settings.
• Follow-Ups: Conduct regular follow-ups to assess progress, identify additional needs, and update service plans accordingly.

Field Work

• Conduct home visits and accompany members to medical and mental health appointments.
• Up to 75% of traveling required.

Documentation & Compliance

• Co-document all services and case conferences in State and internal databases within specified timeframes.
• Maintain accurate, up-to-date records of all assigned members.
• Create and manage member charts, including required consents and forms.
• Submit monthly HMLs (Health Management Logs).
• Ensure compliance with HIPAA regulations regarding patient confidentiality and medical records management.

Assessments & Plans of Care

• Complete comprehensive assessments and reassessments for all members.
• Develop and regularly update Plans of Care in line with State mandates.
• Acquire necessary consents for service provision and communication with other providers.

Meetings & Trainings

• Participate in weekly supervision and team meetings.
• Attending in-house and off-site training.
• Serve on agency committees as assigned.

Additional Responsibilities

• Perform other duties as required by needs of program and BAC requirements.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Health Home guidelines and procedures
• Possesses excellent judgment and the ability to maintain professional relationships and boundaries when working with clients and peers
• Strong knowledge of acute care, outpatient, inpatient, and managed care environments.
• Comfortable with digital tools and software for project management, data tracking, and communication, with a commitment to leveraging technology to improve program outcomes
• Proficient in collecting, analyzing, and interpreting data to inform program decisions and demonstrate impact.
• Excellent verbal and written communication skills, including the ability to convey complex information clearly and sensitively to diverse audiences.
• Strong understanding of and sensitivity to the diverse backgrounds, experiences, and needs of individuals living with HIV, including those from marginalized communities.

Job Type: Full-time

Pay: $25.48 per hour

Expected hours: 35 per week

Benefits:

• 403(b)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

People with a criminal record are encouraged to apply

Education:

• Bachelor's (Required)

Experience:

• Case management: 2 years (Required)
• Health Homes care management: 1 year (Preferred)
• EHR systems: 1 year (Preferred)
• working with high-need (Medicaid users) populations: 1 year (Preferred)

Language:

• Spanish (Preferred)
• Russian (Preferred)
• Haitian Creole (Preferred)

Willingness to travel:

• 75% (Required)

Work Location: In person