Little Flower Children and Family Services of New York·Wading River, New York
The Care Coordinator manages a caseload of patients to ensure comprehensive access to medical, behavioral, and social services. Key duties include developing Individualized Plans of Care, conducting needs assessments, and coordinating discharge planning from hospitals.
Little Flower Children and Family Services of New York is a nonprofit organization that has worked to improve the well-being of children, youth, families, and people with developmental disabilities across New York City and Long Island since 1929. Our staff of more than 500 provides prevention services, foster care, residential treatment care, adoption services, medical and mental health services, and programs and services for individuals with developmental disabilities.
A career with Little Flower can be rewarding in so many ways. We are looking for conscientious and caring people who are ready to commit to the work of strengthening families and supporting the well-being of children and adults with developmental disabilities. If you’re looking for a career where you can truly make a difference, we hope you will consider joining our team.
Care Coordination is a 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 Coordinator" who oversees and provides access to all 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 Care Coordinator is responsible for the overall provision and coordination of services to their assigned caseload (caseloads will be determined by children’s acuity level). The Care Coordinator guides program enrollees and their caregivers through the health care system by assisting with access, developing relationships with service providers, and tracking interventions and outcomes.
Principle Responsibilities
Obtains required enrollment consents from the individual or legal guardian
Completes initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual’s most appropriate level of care coordination.
Responsible for the overall management of the patient’s Individualized Plan of Care. Through the creation of an Individual Plan of Care the Care Coordinator is able to:
Coordinate the enrollee’s provision of services
Support adherence to treatment recommendations
Monitor and evaluate a patient’s needs, including prevention, wellness, medical, behavioral health treatment, care transitions, and social and community services where appropriate.
Meets documentation requirements in a timely and accurate manner by effectively utilizing designated Care Coordinator Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs) as needed
Maintains required contact with participant and their families and conducts face-to-face support team and/or family meetings as required
Functions as an advocate for clients within the agency and with external service providers
Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences
Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences.
Participates in care planning meetings/conferences as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care
Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services
In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge
Arranging appointments, transportation, and interpreter services when needed
Accompany the child to appointments as needed
Conducting follow-up activities to ensure appointments are kept.
Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Coordinator position
Other duties as assigned as the program is implemented and develops
Travel Requirements & Locations
This position is located in Wading River with some travel throughout Long Island. A valid NYS Driver’s License if using personal vehicle or agency vehicle to drive on agency business.
*****Salary will commensurate with experience & skills
Diversity, Equity, Inclusion and Belonging Statement
With more than 250 years of combined experience, Little Flower Children and Family Services of New York and St. John’s Residence for Boys have a long-standing history of serving children, youth, adults and families of color. Our mission, vision and values are grounded in elevating the shared humanity of every staff member, community partner and those with whom we engage. We recognize that our DEIB work is continuously evolving as we strive for equity and inclusion for individuals of all races, ethnicities, genders, sexualities, ages, abilities, religions and lived experiences.
Market context
Care Coordinator roles in New York are often tied to hospitals, clinics, behavioral health, and community-based services, where employers look for candidates who can manage referrals, follow-ups, and documentation across care teams. These roles are competitive because they usually require both direct-service experience and comfort with Electronic Health Records and Microsoft Office. Review the AI-summarized requirements and benefits on this page to save research time, then tailor your application to show care coordination, documentation, and patient communication experience.
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