Health Home Care Coordinator

Easterseals Midwest•Maryland Heights, MO

About The Position

The Health Home Care Coordinator gathers and processes information for the Health Home program, provides information and referrals for services, maintains and monitors program data, and reports program-related data. The role ensures program outcomes and objectives are met and that services comply with organizational guidelines, funder requirements, and accreditation standards. This position fulfills the Health Home Facilitator role under DMH Health Home guidelines. The coordinator supports program enrollments, transfers, and discharges; monitors hospital admissions and discharges; extracts and tracks metabolic screening information; answers questions about Health Home services; evaluates eligibility for community services and makes referrals; and maintains reporting and tracking systems. The position also supports census management, re-engagement outreach, and reporting on high emergency-care utilizers. The coordinator cross-trains on assigned tasks and keeps workflows updated. The position typically works weekday daytime hours, with evenings or weekends possible as needed. Travel between program offices or to community locations may be required for meetings. A current driver's license and proof of insurance are required, as are completion and maintenance of required trainings and certifications and handling confidential information in accordance with HIPAA regulations.

Requirements

  • High school diploma or equivalent.
  • At least 1 year of experience working with individuals with disabilities.
  • Experience using the Microsoft Office suite and intermediate-level skill with Excel.
  • Knowledge of disabilities, medical care, and behavioral supports.
  • Ability to gather and interpret data from various electronic health records to create reports.
  • Ability to multitask and prioritize daily activities to meet timelines.
  • Ability to establish and maintain successful interpersonal relationships, work cooperatively in groups, and work effectively in a team-based environment.
  • Intermediate-level proficiency with Microsoft Office products, including Excel, and Electronic Health Record systems.
  • Current driver's license and proof of insurance.
  • Ability to maintain confidential information in accordance with HIPAA regulations.
  • Ability to work evenings and weekends as needed and travel between program offices or community locations for meetings.

Nice To Haves

  • Bachelor's degree in human services or a related field.
  • Previous experience working with Electronic Health Record systems or other data systems.

Responsibilities

  • Gather, research, and process program information for Health Home enrollments, transfers, and discharges; verify and enter required information within established timeframes and ensure state requirements and internal standards are met before submitting information to DMH.
  • Access hospital data portals and reports to monitor admissions and discharges, obtain information, create reports, and communicate hospitalization information to nursing staff daily.
  • Extract metabolic screening values from electronic records and enter them into DMH and internal systems; monitor screening due dates and communicate them to nursing staff.
  • Answer questions about Health Home services, evaluate eligibility for community services, make referrals as needed, and provide population-based healthcare materials according to individual needs.
  • Maintain tracking systems and data across multiple systems, ensure accuracy and currency, and run scheduled or requested reports for Health Home staff.
  • Manage census information, including DM and slot availability; research and obtain outreach data to support re-engagement in services.
  • Identify and research individuals with high emergency-care utilization for reporting purposes.
  • Cross-train on Health Home Care Coordinator tasks and maintain updated workflows for assigned tasks.
  • Participate in organizational, funder, and external training opportunities for ongoing growth and development.
  • Travel between program offices or to community locations to attend meetings as needed.
  • Maintain confidential information in accordance with HIPAA regulations and complete and maintain required trainings and certifications.
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