Health Homes - Care Coordinator - Troy NY

Trinity HealthTroy, NY
2d$21 - $29

About The Position

We are looking for an energetic individual to join our Health Home Care Management Team! The ideal candidate will be someone who exercises compassion and dedication to serving the vulnerable members of our community. Our philosophy is that recovery happens through therapeutic relationships. The sooner we can connect individuals who need ongoing Care Coordination, the sooner the member can begin to reach his or her potential. This includes the promotion of preventative care to reduce preventable emergency department and inpatient utilization, as well as an opportunity to address any social determinants of health. Position Summary: The Care Coordinator will develop a professional and trusting relationship with our members and community providers to ensure coordination and collaboration of services supporting positive outcomes. The Care Coordinator is responsible to provide a full range of services to members and their families, to include care coordination and collaboration, advocacy, information/education, referral to community resources and providers, as well as visits to the member’s home. Upon enrollment, a Care Coordinator collects information via a comprehensive assessment that will support developing a comprehensive plan of care with the member. The assessment will include their medical and behavioral health needs, substance abuse, activities of daily living, their socio-economic and housing status, and provides an opportunity to understand their social determinants of health. Additional responsibilities include conducting developing a person-centered care plan that coordinates and integrates a comprehensive array of a member’s needs and services in collaboration with an interdisciplinary care team. The aim is to assist the member in reaching optimal wellness and recovery.

Requirements

  • Bachelor's Degree in Human Services, or related field, required.
  • Two years or more working with individuals with chronic medical conditions and behavioral health issues.
  • Extensive planning, organizational skills, and excellent communication with collateral contacts, referral and networking.
  • Ability to interview members to assess decision making, coping skills, and barriers to managing their healthcare needs.
  • Adhere to policies and procedures as developed by the lead health home and NYS DOH.
  • Must be able to work closely with others and work with members in both routine and stressful situations related to their medical conditions and social determinants of health
  • Ability to work independently, setting priorities to coordinate care plan efficiently. As well as the ability to work in a team environment.
  • Requires the ability to drive, must possess a valid driver’s license and automobile that is insured in accordance with New York State Requirement.

Nice To Haves

  • Five years experienced strongly preferred.

Responsibilities

  • Develop a professional and trusting relationship with our members and community providers to ensure coordination and collaboration of services supporting positive outcomes.
  • Provide a full range of services to members and their families, to include care coordination and collaboration, advocacy, information/education, referral to community resources and providers, as well as visits to the member’s home.
  • Collect information via a comprehensive assessment that will support developing a comprehensive plan of care with the member.
  • Conduct developing a person-centered care plan that coordinates and integrates a comprehensive array of a member’s needs and services in collaboration with an interdisciplinary care team.
  • Assist the member in reaching optimal wellness and recovery.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Number of Employees

5,001-10,000 employees

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