Health Home Plus Care Coordinator Job Description
Overview
The Health Home Plus Care Coordinator is responsible for Health Home Plus qualified individuals in the following categories: Serious Mental Illness (SMI), HIV/AIDS, Homelessness, and High inpatients ED utilization. The Care Coordinator will also responsible for case retention activities and maintain a caseload at 20 HH+ members or as determined by DOH. Adjustments to case load will be made according to DOH recommendations. Provide follow-up services according to the standards or care and tracking for their caseload.
Responsibilities
· Maintain full responsibility for caseload including Assessments, Care Plans, HML’s, timely documentation; Conduct home visits and fieldwork on an ongoing basis and in accordance with the DOH guidance on minimum standards for Health Home Plus; Conduct case conference to review POC with members, HCBS providers and supporting team. Obtain necessary records from all primary agencies that are involved with the clients.
· Ensure follow-up by monitoring the quality of services, verifying and ensuring client participation; Provide education and supportive counseling to ensure that clients understand and follow up with services to which they are referred.
· Ensure that ALL required services are delivered for each member monthly. Services should be prioritized and specific to members’ needs and not prescriptive.
· Ensure that documentation is completed in a timely manner including progress notes written and document the billable and non-billable services within 24 hours. Be specific and include comprehensive notes for every service provided.
· Participate in the agency quality improvement and professional development programs, attending internal and external training courses and committees.
· Attend weekly care management meetings facilitated by the Care Coordinator supervisor. Work with your supervisor to ensure that your caseload is covered when you are out of the office.
· Available for evening and weekend telephone crisis intervention and coverage for other staff as needed.
· If bilingual, translate for non-English speaking clients. Additional duties as assigned.
Qualifications
· Master’s Degree in health or human services related field and 1 year of experience in behavioral health setting OR
· Bachelor’s Degree in health or human services related field and 2 years of experience in behavioral health setting; Or a wavier provided through DOH.
· Experience working with HIV/AIDS; mental illness; or those returning to independent living from institutional care; Interest in chronic illnesses, substance abuse and homelessness.
· Awareness of and sensitivity to cultural and socioeconomic characteristics of populations served.
· Ability to work collaboratively with other professionals.
· Excellent writing and oral communication skills. Good management and organizational skills. · Basic computer skills required.
· Able to work onsite, Monday through Friday during normal business hours, or as needed to carry out the job responsibilities.
Job Type: Full-time
Pay: $25.00 - $26.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Life insurance
- Opportunities for advancement
- Paid time off
- Paid training
- Referral program
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
- In-person
- Office
- Outpatient
Education:
- Bachelor's (Required)
Experience:
- Human services: 2 years (Preferred)
Work Location: In person