Health Home Care Coordinator

Catholic Charities of Buffalo • Olean, NY

16d • Hybrid

About The Position

Catholic Charities is seeking a full-time Health Home Care Coordinator for our Care Coordination Services Department through CHHUNY , Children's Health Home of Upstate New York . The ideal candidate will c oordinate both the recruitment of children identified with chronic physical and behavioral health conditions and the delivery of person-centered culturally sensitive New York State Health Home Care Management services for youth and families within Western New York. Care Managers work as part of a multidisciplinary team of providers to ensure youth and families have access to needed services to increase wellness self-management and reduce avoidable emergency room visits and/or hospitalizations. Catholic Charities is a non-profit organization offering a wide array of programs to empower individuals, children, and families. As the most comprehensive human service provider in Western New York, we serve the eight counties with dozens of programs at over 40 professionally staffed locations. Our services include comprehensive counseling for all ages, basic emergency assistance (including operating eight food pantries), mental health services, chemical dependency treatment, educational and job readiness services, services for older adults, marriage counseling, immigration and refugee assistance , and various programs addressing family issues. We strive to provide HOPE for all seasons.

Requirements

• Bachelor's degree in health or human service field, including Nursing, Social Work, Psychology, Community Mental Health, or related field.
• A minimum of two years of experience in a healthcare or behavioral health setting working with vulnerable populations.
• Written and oral fluency in English .
• Demonstrated interpersonal and communication (oral and written) skills, including ability to develop youth/family care plans with well-defined goals and objectives .
• Ability to interact with diverse people including health home members, their families, and community service providers.
• Demonstrated agility, initiative and ability to work independently and efficiently (effective organizational and time management skills).
• Adaptability with regard to scheduling, service location, travel, and responding to family needs.
• Ability to promptly implement service improvement strategies.
• In-depth familiarity with community health, behavioral health and social services systems, organizations and resources.
• Strong working knowledge of psychiatric rehabilitation, chronic medical conditions and pharmacology.
• Fluent in various computer applications (e.g. Word, Excel), including but not limited to electronic health records; Experience with Netsmart preferred.
• Requires travel- must possess valid NYS driver license and agency-required level of auto insurance coverage and be able to travel frequently within the eight county WNY region.

Nice To Haves

• CANS-NY certification & familiarity preferred.
• Bi-lingual ability preferred.

Responsibilities

• Employs a culturally sensitive , person-centered planning approach to service delivery
• Maintains regular and substantial home/community-based contact with families
• Conducts timely comprehensive assessments of youth and family strengths and needs as .
• Advocates for and develops family self-sufficiency plans (with clearly defined goals and objectives ) targeting assessment results, and utilizing natural and community services ( e.g. benefits, medical, behavioral, residential, health and wellness activities, etc.)
• Develops and updates service strategy care plans and conducts timely routine Interdisciplinary Team Meetings with all relevant service providers to facilitate coordination of services via an integrated care approach.
• Works with Care Manager Supervisor to identify and develop an inventory of resources to meet the needs of families.
• Completes and maintains client records and documentation in accordance with Catholic Charities, NYSDOH and Medicaid standards, including timeliness & comprehensive content, to enable third party reimbursement.
• With the Care Management team, develops, implements, and complies with CCB's Performance Quality Improvement (PQI) processes, activities and initiatives.
• Tracks service provision, output, outcome, and youth & family satisfaction in adherence of CCB's Care Management program and Encompass Health Home contract.
• With Care Management team, develops and implements strategies to raise family and community awareness about CCB's Care Management program and Encompass Health Home.
• Leverage CCB's services (e.g. programs serving youth and families; PR/Communications- social media and webpage promotion) to foster intra-agency collaboration, as well as to strengthen external collaborations.
• Represents Catholic Charities of Buffalo, the Care Management program and Encompass Health Home in the community and with other service providers
• Knows and exemplifies Catholic Charities' and Encompass Health Home's mission, vision, guiding principles, policies and procedures.
• Exemplifies and promotes service delivery with high ethical standards and regulations, consistent with Catholic Charities of Buffalo (CCB), NYS DOH, the NYS Justice Center, Encompass Health Home, and Council on Accreditation policies and procedures (including, mandatory background checks and onboarding requirements, Employee Policy & Procedures, Standards, Confidentiality, Client Rights, Transportation Policies and Procedures, Home Visit Safety, Reimbursement Procedures, Corporate Compliance Policies).
• Understands and adheres to Catholic Charities of Buffalo's Care Management program policies and procedures, (including, mandatory background checks and onboarding requirements, Employee Policy & Procedures, Standards, Confidentiality, Client Rights, Transportation Policies and Procedures, Home Visit Safety, Reimbursement Procedures, Corporate Compliance Policies).
• Adheres to CCB's professional development requirements, including participation in regularly scheduled individual supervision and CCB Care Management team meetings, completion of CCB's agency, NYSDOH and program-required trainings (including Relias), participation in CCB agency and community events/activities & other agency meetings as directed, active contribution to relevant Catholic Charities' committees and participation in other assigned activities.
• Participates in afterhours/weekend on call coverage as directed
• Performs other job-related activities as assigned

Benefits

• 35 hours per week, hybrid/flexible schedule
• 25 PTO days per year ( PTO is prorated based on start date)
• 13 paid holidays per year ( Part‑time holiday pay depends on the employee's regular schedule)
• Medical, dental, and vision insurance plans
• 403(b) retirement plan with employer contribution after six months
• Employer‑paid life insurance and Employee Assistance Program (EAP)
• Training & development opportunities

What This Job Offers

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