Care Coordinator II

Spectrum Health & Human Services•Buffalo, NY

2d•$20 - $26•Onsite

About The Position

Spectrum Health & Human Services partners with adults, children, and families recovering from behavioral, emotional, mental health, and/or substance-related disorders. The Care Coordinator II applies case-management activities including assessment, planning, coordination, monitoring, and evaluation, along with comprehensive case management, care coordination and health promotion, transitional care, patient and family support, and referrals to community and social-support services. The role aims to reduce avoidable inpatient stays and emergency-room visits, improve outcomes for people with mental illness and/or substance use disorders, and improve disease-related care for chronic conditions. The position is full-time at 1298 Main Street in Buffalo, New York. It requires a bachelor’s or master’s degree in a human-services field and at least three years of human-services experience, or three years of experience at Spectrum as a Care Coordinator I with positive job performance. Qualifying experience is verifiable full- or part-time care coordination with people who have chronic illnesses and/or a history of mental illness. A valid driver’s license with a satisfactory driving record and a personal vehicle are required. Compensation is $20.08–$25.60 per hour.

Requirements

Bachelor’s or master’s degree in a human-service field and at least three years of experience working in the human-service field, or three years of experience at Spectrum as a Care Coordinator I with positive job performance.
Verifiable full- or part-time care-coordination experience with people who have a chronic illness and/or a history of mental illness.
Valid driver’s license with a satisfactory driving record.
Personal vehicle for job requirements.
Effective verbal and communication skills.
Ability to teach and influence others.
Ability to work effectively in a team environment.
Effective interpersonal relationship and customer-service skills.
Good organizational and time-management skills.
Ability to work effectively with people from diverse cultures and socioeconomic conditions.
Ability to listen actively and understand others’ perspectives regardless of barriers.
Critical-thinking ability.
Ability to handle protected health information in accordance with HIPAA.
Knowledge of computerized systems and local and surrounding-area resources.

Responsibilities

Complete comprehensive health assessments and reassessments covering medical, behavioral, rehabilitative, long-term-care, and social-service needs.
Develop and revise an individualized, patient-centered plan of care with the client, identifying needs and goals and involving family and other social supports as appropriate.
Consult with multidisciplinary teams, primary care physicians, specialists, and treating clinicians about client needs, care plans, and treatment.
Conduct outreach and engagement to assess emerging needs, promote continuity of care, and improve health outcomes.
Prepare client crisis-intervention plans and coordinate with service providers and health plans to secure care and share crisis and emergency information.
Link or refer clients to needed medical and behavioral health care, patient education, self-help and recovery resources, self-management support, and community and social services.
Conduct interdisciplinary case conferences to monitor and evaluate client status.
Advocate for services, assist with scheduling, and monitor, support, or accompany clients to medical appointments.
Follow up with hospitals and emergency rooms when notified of client admissions or discharges, and facilitate safe discharge planning and transitions from emergency, hospital, residential, or rehabilitative settings.
Notify and consult treating clinicians, schedule follow-up appointments, and assist with medication reconciliation.
Follow up with clients and families after discharge to ensure care-plan needs and goals are met.
Consult with clients, families, or caretakers about advance directives and provide education on client rights and health issues as needed.
Meet with clients and families and invite other providers to facilitate needed interpretation services.
Refer clients and families to peer supports, support groups, social services, and entitlement programs as needed.
Identify resources and link clients with community supports; collaborate with community-based providers to coordinate services according to client and family needs.
Maintain complete, current, and accurate member files in compliance with Health Home Standards and document member-related activity in a progress note by the conclusion of the next business day.
Perform other duties as requested.