Case Manager, CAMBA Care Connections (SDOH Pilot)

Full Time

Who We Are: CAMBA is a community of staff, volunteers, clients, donors, neighbors and partners who work together to build an inclusive New York City. CAMBA serves more than 65,000 individuals and families each year, citywide, including almost 13,000 youth. Our 180+ programs in over 100 locations improve the lives of a diverse cross section of New Yorkers. From homelessness prevention in Staten Island to supportive housing in the Bronx; from employment training in Manhattan to after school programs and college access in Brooklyn; from family shelter and support in Queens to increasing affordable housing across the city, CAMBA provides holistic services to help struggling New Yorkers stabilize their lives and become self-sufficient.

CAMBA Care Connections (SDOH Pilot): CAMBA is partnering with NewYork-Presbyterian Hospital (NYPH) in a pilot program focused on connecting NYPH patients to services that address a variety of social determinants of health (SDOH). NYPH refers “risking risk” patients, who have at least one social need and two emergency room visits in the past year to CAMBA Care Connections to connect them to care. This pilot program prioritizes needs related to food, transportation and housing, but other SDOH may be identified and addressed as well. The pilot program will be entering its second year this Spring and consists of a full-time Program Manager and Case Manager. This is a unique and exciting opportunity to work with CAMBA and NYPH to develop an efficient closed-loop referral and linkage system.

Position: Case Manager

Reports To:  Program Manager  

Location: 2244 Church Ave., Brooklyn, NY 11226

What The Case Manager Does:

  • Understand and remain up-to-date on all CAMBA programs and services that may be beneficial to NYPH patients.
  • Research external community programs and services that are complimentary to CAMBA programs and develop relationships with community partners.
  • Respond by phone to NYPH patient referrals within 48 hours.
  • Educate eligible individuals about service offerings and health benefits of the program.
  • Support completion of intake paperwork and comprehensive assessments with patients who consent to the program. This may be by phone, video, email, mail, or in-person (in office.)
  • Provide short-term case management services for approximately 3-6 months, with weekly follow-up.
  • Enter client data into CAMBA database within 24 hours (i.e. contact information, assessments, client services, progress, outcomes, etc.)
  • Work with clients to break through barriers to their goals and to assist them in advocating for themselves and in moving toward self-sufficiency.
  • Assist clients in completing applications for benefits and entitlements (e.g. Medicaid, etc.), and process applications on clients’ behalf.
  • Monitor clients’ progress towards their service goals, and document all interactions with clients via progress notes.
  • Create and maintain client files and make copies of all client documents.
  • Collaborate with other CAMBA programs, community partners and NYPH team members (such as: patient navigators, community navigators, social workers, care managers, and care coordinators) to improve patient outcomes.
  • Participate in all required SDOH Pilot Program meetings with CAMBA and NYPH leadership.
  • Participate in outreach, planning and execution of special events, including workshops, health fairs, and jointly agreed upon community events.
  • May follow-up with clients for a period of time after successful completion of their primary goals to assure client stability.


  • Bachelor’s Degree (BA or BS) and two years of applicable experience, and/or equivalent experience.
  • Bi-lingual English/Spanish or Creole required.


  • At least 2 years case management or direct client care experience, required.
  • Knowledge about, understanding of, and ability to work closely with, persons with chronic illness and a variety of needs related to the Social Determinants of Health.
  • Knowledge of community resources and sensitivity toward persons with chronic illnesses and multiple social needs.
  • Follow all HIPAA privacy rules as they relate to personal health information and documentation.
  • Ability to utilize public transportation to navigate the five boroughs of New York City.
  • Ability to utilize mobile technology as a tablet to document while performing field work.

Compensation: $45,000-$50,000 annually

Status: Full-Time (35 hours per week), some flexibility with 9am-5pm hybrid schedule of office and remote work.

Benefits: CAMBA offers a comprehensive benefits package including health insurance, dental insurance, 403(b) retirement plan with employer match, paid time off (vacation, personal, and sick time), and paid holidays.

CAMBA is an Equal Opportunity Employer. We value a diverse workforce and inclusive workplace. People of color, people with disabilities, and lesbian, gay, bisexual, and transgender people are encouraged to apply. We consider all applicants without regard to race, color, religion, creed, gender, gender identity, gender expression, national origin, age, disability, socio-economic status, marital or veteran status, pregnancy status or sexual orientation.

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