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Care Coordinator

Partners Health Plan New York Full-Time
$45,000.00 - $53,000.00 / year
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Position Summary

Department:                     Care Coordination

 

Position Title:                  Care Coordinator

 

Reports To:                      Care Manager

 

 

Position Overview:

Provides care coordination and non-clinical support functions to PHP participants in accordance with PHPs’ model of care, CMS’s and NYSDOH’s contractual managed care agreements.  Member of a two-person team responsible for assisting clinically licensed care managers in the full continuum of activities, including assessments, care and service planning and ongoing monitoring and coordination for Plan Participants enrolled in PHP.

 

Duties and Responsibilities:

·       Serve as the single point of contact for care coordination and management for PHP participants;

·       Assist Care Manager with member assessments, including conducting CQL interviews and other member documents;

·       Assist in the development of Life Plans with members and in collaboration with IDT;

·       Coordinate implementation and monitoring of Life Plans including integration of all supports and services and equipment;

·       Link and refer members to service providers and activities, including community resources;

·       Alert Care Manager regarding any emerging physical or behavioral health issues;

·       Attend and assist facilitation at IDT meetings;

·       Coordinate/schedule all member meetings, appointments, and transportation as needed;

·       Provide visits to members’ homes as needed;

·       Provide assistance in orientation and education to members, families, IDT and other providers and stakeholders;

·       Flexibility with work schedule, including evening and weekend hours may be required as needed;

·       Adhere to all required timeframes for member telephonic and in person contacts, assessments, life plan meetings and follow up to ensure the effectiveness of care and service plans;

·       Provide all verbal, written and electronic communication with members/caregivers/families, IDT, providers and vendors in a timely manner and document accordingly;

·       Provide timely preparation and completion of all data entry, data collection, report production, and monthly service notes;

·       Assist members with maintaining and applying for benefits and entitlements such as Medicaid Spend Down, Food Stamps, HEAP, etc.;

·       Comply with all requirements of the PHP model of care including the electronic record system, member alerts and service reports, and state and federal requirements;

·       Practice and promote PHPs’ mission and values;

·       Utilize a person-centered approach and support members to be as self-directed as possible, and

·       Perform all other duties as assigned.

 

Qualifications:

Bachelor’s degree in relevant field required with a minimum of (1) year of work experience in health and human services also required.  Experience with persons with intellectual and other developmental disabilities preferred;

Excellent interpersonal, communication and organizational skills along with attention to detail required;

Working knowledge of Microsoft Word and Excel in a windows environment required; 

Excellent follow-up and problem resolution skills also required;

·       Proficiency with health-related computer applications desired;

·       Valid Driver’s License to travel within NYS preferred, and

·       Must be able to travel as necessary and adhere to PHP’s travel polices.

        Equal Opportunity Employer

E

Recommended skills

Scheduling
Human Services
Managed Care
Assessments
Medicaid
Attention To Detail
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