Care Coordinator - HYBRID Position

Person Centered Services • Silver Creek, NY

3d • Hybrid

About The Position

Person Centered Services is seeking a Care Coordinator to join their team. This role involves coordinating all aspects of an individual's care, including health and behavioral healthcare, community supports, and other necessary services. The Care Coordinator will take a holistic approach, utilizing core health home standards such as Comprehensive Care Management, Care Coordination and Health Promotion, Comprehensive Transitional Care, Individual and Family Support, Referral to Community and Social Support Services, and Use of Health Information Technology (HIT) to Link Services. The position offers a hybrid schedule after an initial onboarding period.

Requirements

• Bachelor’s degree with 2 years relevant experience OR a Licensed Registered Nurse with 2 years relevant experience OR A Master’s degree with 1-year relevant experience required.
• A valid New York State driver’s license is required. If residing in a bordering state, a valid driver’s license from that state is acceptable for employment in New York.
• Knowledge of developmental disabilities, chronic disease, and social determinants of health.
• Strong knowledge of OPWDD funded services and supports.
• Experience with motivational interviewing.
• Experience writing SMART goals.
• Knowledge of person-centered planning regulations.
• Ability to build relationships and effectively communicate.
• Encourages community integration.
• Demonstrates cultural competence.
• Demonstrates ethical and professional responsibilities and boundaries.
• Demonstrates capacity to use Health Information Technology to link services and facilitate communication.
• Knowledge of confidentiality regulations.
• Organizational and time management skills
• Ability to prioritize.
• Proactively approaches professional responsibilities.
• Completes work in a timely manner

Responsibilities

• Completes required assessments using person centered planning techniques, as well as gathers and incorporates all other relevant assessments.
• Develops a comprehensive, person-centered Life Plan with the individual and their circle of support, as well as their entire service provider team.
• Supports the individual in the planning process to ensure that the individual directs the process to the maximum extent possible and can make informed decisions and choices.
• Reviews the Life Plan with the individual’s entire interdisciplinary team no less than annually, and every time there is a life changing event. This review must occur during a face-to-face meeting, no less than annually.
• Accountable for coordinating all aspects of an individual’s care.
• Effectively manage a tiered caseload, while tailoring services to individual needs.
• Completes program enrollment and eligibility document.
• Completes and secures consents and authorizations to share information.
• Develops and maintains appropriate records.
• Completes and reviews paperwork necessary for case files and reports.
• Completes documentation and billing in a timely manner.
• Frequent travel meeting with individuals in their homes, physician/provider offices, and other public places in order to conduct assessments and provide services.
• Accompanies individuals to appointments in accordance with Person Centered Services policy.
• Collaborates with providers and service support team members.
• Initiate incident reports and follow-up to ensure compliance with regulations.
• Monitors individual satisfaction with supports and services.
• Ensures case files are in compliance with regulation and policy.
• Provide quality driven, cost effective, culturally appropriate services.
• Commits to a respectful, just, and supportive environment for individuals and team members aligning with the company’s commitment to diversity, equity, inclusion and belonging.
• Other duties as necessary or assigned.

Benefits

• 20 Days of paid time off (PTO) in your first year! Increasing to 25 Days in your second year!
• 13 Paid Holidays
• Comprehensive health insurance plans for you to choose what best fits your needs (Medical, Dental & Vision)
• 401(k) - the Company matches 50% of the first 6% up to a maximum of 3%
• Company paid benefits: basic life insurance, long-term disability, and a Lifestyle Spending Account with a benefit of up to $500 set aside for employees to spend on wellness eligible expenses!
• Employee Discount and Wellness Programs - Currently providing 3 paid hours per week for exercise, volunteering or personal wellness!
• Professional development opportunities including mentorship program options and ongoing coaching
• New Employee Orientation (NEO)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level