Wellness Care Coordinator

Jewish Home•Town of Brighton, NY

10d•$62,360 - $72,000•Hybrid

About The Position

The Wellness Care Coordinator is a professional position with Living Well Connections, a new program designed to assess and assist with coordinating services for Members, older adults living in the Greater Rochester community. The Wellness Care Coordinator will work with Members and potential Members to determine baseline, current and future service and care needs and evaluate intervention safety, efficacy, and appropriateness. Wellness Coordinators must possess excellent communication skills to guide Members with diverse backgrounds towards their individual goals to achieve improved health and quality of life. They guide Members through advocacy, care options, care planning, assessments, crisis intervention, education, healthcare planning, and problem solving. The Wellness Care Coordinator will typically work in Member homes but will also be asked to visit healthcare facilities where some Members may reside. The Wellness Care Coordinator will also engage other professionals as needed to assist members in interdisciplinary care plan development, care plan meetings, and level of care decisions. Care plans, notes, and staff communications will all be thoroughly documented in an Electronic Health Record.

Requirements

Bachelor’s degree required.
3-5 years of profession care coordination/management experience
Ability to work collaboratively as well as with a great deal of autonomy in a start-up environment.
Excellent customer service orientation and exemplary communication skills – both verbally and written; ability to present information in a clear concise manner.
High degree of professionalism and a thorough understanding of confidentiality.
Ability to prioritize and multi-task in order to meet deadlines in a fast-paced environment.
Excellent organizational, problem-solving and follow-through skills are essential
Agility in problem solving and an ability to anticipate and address big-picture issues.

Nice To Haves

Master's Degree preferred (preferably in the area of Social Work, Psychology, Gerontology, or Healthcare Administration)
1-2 years working in the field of aging services preferred.

Responsibilities

Assist with conducting presentations to prospective members and their families, clearly communicating the Program’s services, value, and enrollment process in both individual and group settings, including community events and home visits.
Support marketing outreach efforts by building relationships with referral sources such as physicians, hospitals, senior living communities, and community organizations; represent the Program at health fairs, community events, and other outreach activities to increase Program awareness and generate prospective member leads.
Guide prospective members and their families through the enrollment process, including completion of required intake documentation, coordination of initial assessments, and facilitation of a smooth transition into Program services; maintain accurate records of all prospective member interactions in the Electronic Health Record.
Conducts membership assessments for the purpose of obtaining baseline medical, cognitive, and functional evaluations.
Track and document Member’s status no less than quarterly throughout their membership in the Program
Prepare Care Plans for each Member to be updated quarterly and upon change(s) in Member status, health, and/or functional needs.
Visit and/or call Members for check-ins.
Make recommendations for medical adult day care, home-based services, assisted living, or skilled nursing transfers when safety is a concern.
Participate in care plan meetings with Program Staff and/or Member’s personal physician and/or Member(s) and/or Member Representative(s).
Participate in meetings regarding level of care decisions with Program Staff and Member’s personal physician and/or Member(s) and/or Member Representative(s). This will include changes in level of care decisions such as recommending transfers to assisted living or skilled nursing facility and appeal meetings regarding level of care determination and service recommendations.
Act as front-line communications with Members and/or Member representatives via telephone, e-mail, and additional media methods.
Process Program and Member paperwork per internal policy and procedures.
Develop Member health and functional goals and provide personalized health and wellness coaching/education, and outcome measurement.
Maintain HIPPA compliance and Member confidentiality
Address miscellaneous Member issues as needed.
Other duties as assigned.