Services for the Underserved

  • LPN/Case Manager

    Job Location US-NY-Bronx
    Behavioral Health
    Regular Full-Time
  • Position Overview

    Position Overview: Experienced Case Manager to work on a NY State Office of Mental Health (OMH) funded hospital-based care transition team that exclusively serves justice involved inpatients at Bronx Psychiatric Center (BPC). The role will involve addressing the preparatory needs of participants in the early stages of discharge planning, development of daily living skills, and coping mechanisms through group and individual work on the hospital units. The team will follow individuals into the community using the evidence-based Critical Time Intervention model of care to ensure that they become both linked and engaged with identified community providers and that their support network is sufficient to meet their needs. The role will require on call coverage and a willingness to work flexible hours.



    Job Functions:

    • Hospital engagement beginning on the unit, involvement in discharge planning, and a needs assessment of community transition supports essential to stabilizing the individual.
    • Individual or group support sessions with emphasis on prevention and preparing for independent community living and the promotion of optimum mental, emotional, and physical health. May require helping individuals deal with issues associated with addictions and substance use; family and social relationships; stress and symptom management; activities of daily living; medication management; healthy living practices; and housing readiness.
    • Work with recipients’ and their housing providers to resolve clinical issues that are impacting on the recipient’s ability to obtain, manage, and retain supportive housing.
    • Foster relationship and advocacy with community providers to ensure that recipients are connected with appropriate services as they transition back into the community and to expedite and solidify placement in community housing.
    • Community navigation including accompanying to first behavioral health and medical appointment, travel training, re-engagement in community care, referral to services with ability to identify and address potential services and barriers to obtain and maintain such services
    • Establish collaborative working relationships with inpatient treatment teams and other partners and plan with them for appropriate discharges for recipients
    • Provide intensive emotional and practical support to recipients as they transition back into their communities.
    • Provide out of hours crisis intervention services to recipients and their support network, including respite referrals and other diversion and stabilization services.
    • Attend and participate in team meetings and supervisory sessions.
    • Develop short term person centered treatment plans to assist recipient towards achieving their goals.
    • Monitor and record recipient’s progress with respect to treatment goals.
    • Assist and instruct individuals in attending to personal hygiene, grooming and laundry, nutrition and meal preparation, budgeting, and other daily living and socialization tasks and skills needed to live, work, and socialize successfully in the community environments of their choice and also in maintaining a safe living environment.
    • Assist client in organizing medications, while observing and recording effects and side effects.
    • Coordinate health related services for clients and collaborate with treatment providers as needed.
    • Comply with all required in-service training and staff development.
    • Perform other related duties as assigned.


    • Bachelor’s degree or higher, preferable in psychology, social work, sociology, or related field or be a New York State Licensed Practical Nurse (LPN). 
    • 2 years of case management work experience in a social service agency, preferable serving a mental health population.
    • Knowledge of mental illness and the needs of individual living with severe and persistent mental illness.
    • Demonstrated competency in written, verbal and computational skills to present and document records in accordance with program standards.

    Company Overview

    Services for the UnderServed (S:US) believes every New Yorker has the right to lead a life of purpose. Since 1978, S:US has been turning this belief into reality by advocating for people with life circumstances marked by homelessness, intellectual/developmental disability, behavioral health and addiction challenges, poverty, criminal justice involvement, and trauma. Our dedicated workforce of 2,400 provides services and supports to transform the lives of 35,000 individuals and families in New York City and Long Island. Learn more about S:US, our mission, and values by visiting


    Benefits Overview: We offer attractive compensation with comprehensive benefits including: Medical/Dental/Prescription/Vision/Life Insurance; 403(b); Credit Union; FSAs; Short-and-Long-Term Disability; Transportation Plan; Generous Paid Vacations and Holidays


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