Individualized Care Coordinator- SED Experience Required
Child and Family Services - Buffalo, NY

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Individualized Care Coordinator- SED Experience Required Position Summary: The Individualized Care Coordinator (ICC) is responsible for engaging the child and family in a partnership of shared decision-making and service plan implementation throughout their enrollment in the HCBS Waiver.

Major Responsibilities/Activities:
  • Ensures and coordinates a comprehensive set of supports, resources and strategies for each child and family.
  • Works closely with outpatient clinics, day treatment programs and other providers to assure that Waiver services and clinical treatment modalities augment each other for optimal outcomes for children and families.
  • The ICC, child and family, treatment providers, Waiver subcontractors and natural supports work together on an on-going basis to:
    • Develop and periodically review individual service plans and treatment plans to ensure coherence between the two plans,
    • deliver services as indicated in the Individual Service Plan,
    • coordinate the development and implementation of a safety plan, and
    • design and coordinate discharge plans.
  • The ICC is responsible for compliance with Waiver fiscal and program guidelines through all phases of the child’s enrollment.
  • Caseload Minimum of 3 clients
  • Engagement of child and family throughout Waiver enrollment;
  • Intake and screening - the process of reviewing the referral packet from SPOA;
  • Initial assessment of strengths and needs - the preliminary process of assessing a child and family’s strengths and needs as a precursor to service plan development; this may include completing an initial CANS if not already completed by the SPOA;
  • On-going assessment and documentation of the child and family’s strengths and needs, progress towards achieving goals, and efficacy of delivered services;
  • Completion of the Child and Adolescent Functional Assessment Scale (CAFAS) within 30 days after assignment, every 90 days thereafter, at discharge and as needed;
  • On-going consultation with:
    • treatment providers to reciprocally inform both clinical treatment and Waiver strategies,
    • physical health care providers, schools and other relevant collateral sources,
    • Respite, Skill Building, Family Support, and Intensive In-Home workers and others (e.g., paid through flex dollars) who are involved in implementing the service plan.
  • Development and updating of services plans in partnership with the child and family that are:
    • reflective of the child and family’s priorities,
    • ndividualized, strength-based, and related to all life domains,
    • culturally sensitive and relevant,
    • complimentary with any psychiatric treatment received through other providers,
    • focused on developmental tasks, resiliency and wellness,
    • inclusive of safety issues,
    • targeted to address assessment indicators (e.g., CANS), and
    • oriented towards discharge readiness;
  • Oversight of all documentation in the case record;
  • Development and updating of a Safety Alert Plan with the child and family in collaboration with the treatment provider;
  • Coordination and monitoring of Waiver service delivery;
  • Discharge and after-care planning;
  • Linkage and referral to services and supports as specified in the service plan; this encompasses:
    • identifying local resources and services for use during both enrollment and discharge planning,
    • sharing information with the child and family concerning relevant resources and service providers, including local family support programs, advisors and advocates,
    • engaging the child and family in making informed choices,
    • facilitating connection with selected resources and providers;
  • Advocacy which includes:
    • the process of helping to empower children and families to initiate and sustain interactions that support their overall wellness,
    • interceding on their behalf when necessary to gain access to needed services and supports;
  • Maintenance of the approved HCBS Waiver budget designated for each child.
  • Models and practices sensitivity, fair treatment and acceptance of diversity in all interpersonal interactions
  • Shows willingness to learn about and implement skills related to diversity
  • Participates and contributes to program Quality Improvement process.
  • As a regular part of your job you must maintain and submit all of the required documents and you must comply with all aspects of the Vehicle Safety and Usage Policy.
      Minimum Requirements:
    • ICC’s hired after June ‘03 must have a Master’s degree in one of the following fields: audiology, child and family studies, communication disorders, community mental health, counseling, education, nursing, occupational therapy, physical therapy, psychology, recreation, recreation therapy, rehabilitation, social work, sociology, or speech and language pathology, human services, human development, criminal justice or other related degrees, or a NYS Teacher’s Certificate, and two years experience* providing direct services for children with one or more of the following primary diagnoses: mental illness, mental retardation, alcoholism, chemical dependency or substance abuse. OR
    • Bachelor’s degree in one of the above fields, or a NYS Teacher’s Certificate, and four years experience* providing direct services, or providing linkage to services, for children with one or more of the following primary diagnoses: mental illness, mental retardation, alcoholism, chemical dependency or substance abuse.
        *Qualifying experience may be pre- or post- degree. Candidates may qualify by meeting the qualifications for the NYS Intensive Case Manager position.
          Under extenuating circumstances, the LGU in consultation with the OMH Field Coordinator may request a review of the candidate’s credentials to determine their qualification requirements.
            Essential Physical Requirements:
          • Frequently move about inside and outside the office in reaction to situations and duties.
          • Frequently communicate accurate information with coworkers, clients and children who will use the agencies services.
          • Frequently operate a computer and other office machinery, such as a calculator, copy machine, printer and phone system.
          • Must be able to access multi-level buildings and travel to sites within the community.
              Essential Mental Requirements:
            • Must be able to understand the written and spoken word and respond effectively during the majority of time spent on the job;
            • Must be able to learn and comprehend basic instructions and orientation to job;
            • Must be able to multi-task on a frequent basis;
            • Frequently participate and coordinate with others regarding work situations and decisions;
            • Frequently interact appropriately and diplomatically with varied stakeholders such as volunteers, staff members, visitors, referral sources, etc.
                Equipment Used:
              • Copier, fax, computer, telephone system Environmental Working Conditions:
              • Multi-level buildings some travel possible, ability to access public transportation, abide by a smoke-free work environment.

                • To apply for this position, please complete the online application .

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                  Child & Family Services began in Newport, Rhode Island as two separate agencies: the Home for Friendless Children, later called the...