Care Coordinator - Lewis County

Description

Summary/Objective:

By working with the eligible members, their families/supports, and a network of provider agencies, the Care Coordinator provides comprehensive and person-centered care coordination and care management services for members experiencing emotional and/or behavioral problems or those with complex combinations of chronic conditions/serious mental illnesses. CHJC and its dedicated Care Coordinators strive to improve the responsiveness, accountability, and navigation of the complex medical, behavioral, and social service system.

The Care Coordinator is responsible for conducting strength-based assessments, identifying and submitting referrals for needed services/community supports, and providing advocacy and support to individual members. To ensure the member receives quality services and maintains optimum healthcare without barriers, the Care Coordinator communicates with each member and their care team. Services are provided by a comprehensive network of provider agencies, delivering an array of medical, self-help, social, supportive, and rehabilitative services. Based on the individual needs of the member, individualized service plans are developed.

Essential Care Coordination Functions:

1. Assist members to identify strengths and develop problem solving strategies to further enhance those strengths

2. As determined by the individual member’s need, assist in the seamless transition to higher or lower levels of care

3. Ensure the delivery of high intensity care management services to members

4. Assist members to access various community services available

5. Beginning with a strength-based assessment, in collaboration with the member, family members and service providers, develop individualized service plans for each member

6. Taking an integrated approach to service planning and delivery, provide wraparound services and a service plan tailored to the member’s need

7. To minimize emergency room visits and subsequent hospitalizations, within one business day, follow-up/connect with the member

8. Responsible to maintain accurate records in the designated EMR, completes assessment and documentation timely, professionally, and accurately

9. Ensures eligibility and appropriateness for enrollment and continued enrollment

10. Collaborates with all members of the care team; schedules and facilitates Team Meetings

Work Environment:

Works both in an office setting and is required to complete off-site/in-home visits. May have contact with service recipients that are agitated and/or confused. Some risk involved working with service recipients with serious mental illnesses. Must possess visual and audio skills to complete job duties. Will work in a standard office environment with minimal exposure to noise, blood, and/or bodily fluids.

Physical Demands:

Standing, walking, memory, concentration, sitting for prolonged periods of time, hearing, carrying, speaking, writing, bending, pulling, problem solving, lifting, reaching, kneeling, running, seeing, reading, climbing, pushing, and driving.

Position Type/Expected Hours of Work:

Full-Time/37.5 hours per week

Some night and/or weekends required

Essential position

Non-exempt position

Travel:

Travel is required throughout service area (tri-county)

Required Education and Experience:

A Bachelor’s Degree with proper relevant experience, licensure, or certification in a related field such as LPN or CASAC may be substituted.

Requirements

Additional Eligibility Qualifications:

Successful completion of routine pre-employment requirements as mandated by the New York State Department of Health, Office of Mental Health and Office of Children and Family Services along with ongoing clearances and exclusion checks. These requirements are to include employment health requirements, Covid-19 vaccination or exemption, reference checks, criminal background checks/fingerprinting, State Central Registry clearance and your eligibility to work in the United States. Valid NYS Driver’s License with a good driving record.