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.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED