Medical Respite Case Manager
About this role
Job DetailsJob Location: New York, NY 10039Position Type: Full TimeEducation Level: 2 Year DegreeSalary Range: $18.00 - $27.48 HourlyTravel Percentage: NoneJob Shift: DayJob Category: Professional Services
The Medical Respite Case Manager is responsible for coordinating care and providing support to patients discharged from hospital settings into the Medical Respite Program. The Case Manager ensures that individuals adhere to medical and behavioral health follow up care, develop independent living skills, and successfully transition to permanent or stable housing.
The role includes developing individualized Service Plans, facilitating linkage to internal and external providers, supporting patients with activities of daily living when needed, and collaborating closely with multidisciplinary partners, including medical providers, Housing Navigators, and program staff to promote recovery, wellness, and housing stability.
Essential Duties
Care Coordination & Service Planning
Conduct comprehensive biopsychosocial assessments and identify medical, behavioral health, substance use, and social service needs.
Develop, implement, and monitor individualized Service Plans based on patient goals.
Coordinate referrals to internal support, primary care, behavioral health, specialty services, and community providers.
Provide short term counseling, motivational support, and psychoeducation on recovery, health literacy, and treatment adherence.
Serve as the primary liaison between patients, providers, hospitals, and community partners.
Patient Support & Independent Living Skills
Support patients in building self care routines, medication adherence, and health management skills.
Assist patients with daily living tasks when required (e.g., mobility support, meal assistance, hygiene prompting).
Escort patients to medical or social service appointments as needed.
Promote skill development in budgeting, household management, and community reintegration.
Documentation & Compliance
Maintain complete, accurate, and timely documentation within electronic medical records.
Prepare narrative summaries, incident reports, and required statistical reports.
Ensure that all documentation meets program, agency, and regulatory standards.
Participate in quality improvement activities, audits, and program evaluation processes.
Discharge Planning & Housing Support
Collaborate with Housing Navigators to support patients in meeting their Housing Agreement and discharge goals.
Assist in developing discharge plans, including aftercare appointments, community referrals, and follow up care needs.
Provide support for up to 90 days’ post discharge when applicable.
Program Operations & Safety
Contribute to maintaining a safe, therapeutic, and supportive environment.
Participate in crisis intervention and emergency responses.
Follow all agency policies and utilize personal protective equipment as required.
When shift coverage issues arise, remain on duty until appropriate replacement staff are secured.
Qualifications
EDUCATION & EXPERIENCE
Associate degree required (Bachelor’s preferred).
High School Diploma with 5 plus years of relevant experience with working with people living with substance use, chronic medical conditions and homelessness may be considered.
CPR, First Aid, and Crisis Prevention certifications (or obtained shortly after hire).
Minimum one year of experience in residential, community based, or medical respite settings.
Experience working with individuals with disabilities, mental illness, or complex health needs.
Knowledge of basic medical tasks, vital signs monitoring, and NYS Home Care guidelines preferred.
Comunilife is an EEO employer and provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Company at a glance
For 37 years, Comunilife (started in 1989) has been committed to improving the quality of life and creating a healthier tomorrow for New Yorkers with special needs in the Hispanic and broader communities, by providing culturally competent health and human services and a continuum of affordable and supportive housing. In 2025, Comunilife met the needs of more than 4,000 low-income and vulnerable New Yorkers. Roughly 90% of our clients have incomes below the federal poverty line; 90% are African-American or Latino; and 50% have Spanish as their primary (or sole) language. All struggle with profound challenges, i.e. chronic homelessness; HIV/AIDS and other major medical issues; serious mental illnesses and substance abuse.
Comunilife’s affordable and supportive housing programs address the need for safe, affordable, service enriched housing for a low-income population that has difficulty maintaining stable housing. A majority of our housing clients have a history of homelessness and/or long-term hospitalizations. Many are living with mental illness, HIV/AIDS and other chronic illnesses. Comunilife has 2,829 apartments/units in 13 supportive residences, 3 low-income apartment buildings and 1,068 scatter site apartments in the Bronx, Brooklyn, Queens and Manhattan. Our Medical Respite program provides short-term supportive housing and case management services to multiply-challenged patients leaving hospital care without a viable home in which to recuperate.
Comunilife is a leader in the field of Latina adolescent suicide prevention. Our Life is Precious™ Program, which opened in 2008, provides non-clinical services to girls’ ages 12 to 17 in the Bronx, Brooklyn, Queens, Manhattan, Poughkeepsie, Yonkers, Hempstead, and Amsterdam. Activities include academic support, creative arts therapies, music lessons, wellness activities and concrete family services, are designed to reduce the risk factors associated with Latina adolescent suicide.
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