The goal of the Health Home model of service delivery is to enhance coordination of medical, behavioral health and specialty care, monitor functioning across multiple domains and to build linkages to other community and social supports for children/adolescents with chronic illnesses, severe emotional disturbances and/or complex trauma. The position will oversee and coordinate access to all of the services, supports and benefits (i.e. medical, behavioral health, specialty, educational, social, etc.) an enrollee requires in order to improve overall functioning and maintain stability through regular visits in the community and related documentation requirements as dictated by New York State's Department of Health (NYS DOH). The HHSC program serves eligible individuals who reside in NYC and lower Westchester County. As such, this position will be expected to complete home and community visits where eligible individuals and enrollees reside based on their availability. 


  • Bachelor’s Degree in a health or human services field from an accredited college or university, min of 2 years' experience working with children, adolescents and families in the field/community. 
  • Position will require home visits and community based service provision. Valid NYS driver's license preferred but not required.
  • Working knowledge of children's system of care, community based resources and public benefits. 
  • Ability to travel to various locations for face-to-face meetings with enrollees outside of traditional business hours (8:30-5 pm) as per enrollee's availability/needs. Weekly schedule will be flexed and adjusted to accommodate evening visits. Schedule will be maintained by the department.
  • Ability to provide and experience providing culturally sensitive, person-centered community based services to children, adolescents and families. 
  • Fluency in Spanish highly preferred. 
  • Experience with EHRs, databases, HCS and CANS -NY preferred. 


Department: CMO Bargaining Unit: 1199 Campus: MOSES Employment Status: Regular Full-Time Address: 55 East 208th Street, Bronx
Shift: Day Scheduled Hours: 9 AM-5:30 PM Req ID: 214205 Salary Range/Pay Rate:   $35.10 


For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.


To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here


Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us. 


Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 




To heal, to teach, to discover and to advance the health of the communities we serve.

To be a premier academic medical center that transforms health and enriches lives.

Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity