- Under general direction and with considerable independence, performs complex care management services consistent with all URMC and NYS Regulations and Policies for the provision of Health Home Services. Establishes and maintains cooperative working relationships with community providers to obtain needed services and support for enrolled patients. Utilizes community and family resources to create sustainable support systems for patients. Develops, reviews and discusses plans with patient and care team, focusing on linking individuals to clinical and social services with system and community providers.
- Coordinates outreach and engagement activities focused on finding, connecting and retaining patients in Health Home Care Management Services. Interacts with patients via telephonic outreach and in person encounters, such as primary care settings, behavioral health clinics, home, jail, hospital, homeless shelters, and other community settings.
- Conducts assessments, as appropriate, for enrollees identifying service needs that contribute to developing the patient centered care plan. Develops a comprehensive Care Management Care Plan using person centered practices for each patient. Care plans highlight and support patient goals, objectives and care management interventions intended to increase self-efficacy and increase engagement with community providers that will support the achievement of patient's goals. Periodically reviews and discusses plan with patient and care team focusing on linking the individual to needed clinical and social services with system and community providers. Completes timely and thorough documentation of services in electronic medical records in compliance with all hospital policies and Health Home regulations. Assists with record reviews and quality initiatives.
- Monitors utilization of services and encourages enrollees to follow treatment recommendations, ensures that care is accessible, attended and effective.
- Partners with patients and community providers to reduce unnecessary emergency and inpatient services, supports patient in transitions of care, keeping all appointments and addressing barriers as needed. Supports population health initiatives. Performs other responsibilities and projects as assigned.
- Bachelor's Degree in an appropriate human services field.
- One year of experience in providing direct services to people with serious mental illness, intellectual/developmental disabilities, alcoholism/substance abuse, or experience effectively linking people with services that address social determinants of health or an equivalent combination of education and experience.
- Must possess and maintain a valid New York State driver's license, have a satisfactory driving record and have access to an automobile. Must pass NYS DOH Health Home and URMC background check requirements.
- Careers
- Sign In
- New User
-
Care Coordinator
2 days ago
Villa of Hope Rochester, United StatesJob Description · Job DescriptionCare Coordinator · Villa of Hope helps youth and families rebuild relationships, recover from trauma and renew Hope for their future. · JOB TITLE: Care Coordinator · POSITION GRADE: 80 80 [ salary range: 19.50hr-33hr commensurate with education an ...
-
Care Coordinator
1 day ago
Villa of Hope Rochester, United StatesCare Coordinator · Villa of Hope helps youth and families rebuild relationships, recover from trauma and renew Hope for their future. · JOB TITLE: Care Coordinator · POSITION GRADE: 8080 [ salary range: 19.50hr-33hr commensurate with education and experience] · DEPARTMENT: Chi ...
-
Care Coordinator RN
1 week ago
Rochester Regional Health Rochester, United StatesHOW WE CARE FOR YOU · At St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community. · SUMMARY · The C ...
-
Care Coordinator RN
1 week ago
Rochester Regional Health Rochester, United StatesHOW WE CARE FOR YOUAt St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.SUMMARYThe Care Coordina ...
-
Care Coordinator RN
1 week ago
Rochester Regional Health Rochester, United StatesHOW WE CARE FOR YOUAt St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.SUMMARYThe Care Coordina ...
-
Care Coordinator RN
2 weeks ago
Rochester Regional Health Rochester, United StatesHOW WE CARE FOR YOU · At St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community. · SUMMARY · The C ...
-
Care Coordinator II
1 day ago
Hillside Family of Agencies Rochester, United StatesWe have an incredible opportunity for a Relief Mobile Care Coordinator II position at our Rochester, NY location. If you are looking for a great part-time opportunity to pick up some additional pay or an off-hours position (working a minimum of 13 hours between the hours of 3pm-1 ...
-
Customer Care Coordinator
1 week ago
Numotion Rochester, United StatesCustomer Care Coordinator · Tracking Code Job Description By joining Numotion, you will be a part of the nations leading provider of Complex Rehabilitation Technology. Numotion is helping thousands of people with individually configured, medically necessary mobility products and ...
-
Care Coordinator RN
1 week ago
Rochester Regional Health Rochester, United States Full timeHOW WE CARE FOR YOU · We believe in empowering you to reach your full potential. Here are some of the ways in which we support our Nurses: · No Weekends or Holidays · Tuition Assistance and Loan Assistance · Clinical Ladder · Certification Support and Pay · Advancement Opportuni ...
-
Health Home Care Coordinator
1 day ago
The University of Rochester Rochester, United StatesUnder general direction, but with significant independence, the Health Home Care Manager provides comprehensive care management services to patients of URMC OB/ GYN practices who are referred by providers, the Greater Rochester Health Home Network (G Care Coordinator, Behavioral ...
-
Health Home Care Coordinator
1 day ago
University of Rochester Rochester, United StatesOpening · Full Time 40 hours Range URC 206 Psychiatry SMH Strong Ties · Schedule · 8 AM-4:30 PM · Responsibilities · General Purpose: · Provides professional comprehensive care management services to patients of the Strong Memorial Hospital, Health, and Health Home Care Managemen ...
-
rn, acute care coordinator
2 weeks ago
University of Rochester Rochester, NY , USA, United StatesResponsibilities · **General Description** : · The Acute Care Coordinator role is to serve as an adjunct to the multidisciplinary team. The Care Coordinator in partnership with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient ...
-
rn, acute care coordinator
1 week ago
University of Rochester Rochester, NY , USA, United StatesResponsibilities · **General Purpose:** · The Acute Care Coordinator role is to serve as an adjunct to the multidisciplinary team. The Care Coordinator in partnership with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient at di ...
-
hep c care coordinator
1 week ago
Trillium Health Loehmanns Plaza, NY , USA, United StatesTitle: Hepatitis C Care Coordinator · Division: Clinical Services · Department: Community Prevention Services · FLSA Status: Non-Exempt · Reports To: Manager, Hepatitis C and Community Prevention Services · Direct Reports: None · Purpose: Works with Trillium Health staff and outs ...
-
Manager RN Care Coordinators
2 days ago
Rochester Regional Health Rochester, NY, United States Full timeHOW WE CARE FOR YOU: · At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community. · Sign On B ...
-
Crisis Prevention Specialist/Care Coordinator II
2 weeks ago
Hillside Family of Agencies Rochester, United StatesWe have an incredible opportunity for a Care Coordinator at several of our NY locations. Level will be commensurate based upon years of relevant work experience and education. · As a Care Coordinator you will be responsible for the delivery of quality psycho-social care to the yo ...
-
University of Rochester Rochester, United StatesPOSITION SUMMARY: · Responsible to provide clerical and administrative support for patient and staff schedules. Provides scheduling support for home infusion nursing to ensure home nursing agencies have covered patient visits including chemotherapy takedown. Communicates visit ti ...
-
GreaterROC Rochester, United StatesWe have an incredible opportunity for a Care Coordinator at several of our NY locations. Level will be commensurate based upon years of relevant work experience and education. · As a Care Coordinator you will be responsible for the delivery of quality psycho-social care to the y ...
-
Home Infusion Nursing Care Team Coordinator
3 days ago
The University of Rochester Rochester, NY, United StatesResponsible to provide clerical and administrative support for patient and staff schedules. Provides scheduling support for home infusion nursing to ensure home nursing agencies have covered patient visits including chemotherapy takedown. Communicate Nursing, Infusion, Coordinato ...
-
The University of Rochester Rochester, NY, United StatesSeeking someone with effective communication skills who is highly motivated, organized and who can facilitate and coordinate daily discharges in conjunction with the whole health care team. Will perform as a liaison with the BMT and hematology-oncolo RN, Care Coordinator, Oncolog ...
Health Home Care Coordinator - Rochester, United States - University of Rochester
Description
ResponsibilitiesGeneral Purpose:
Provides professional comprehensive care management services to patients of the Strong Memorial Hospital, Health, and Health Home Care Management Program.
Collaborates with health, behavioral health and social service providers and is responsible for assessing patient's needs, developing and managing care plans with patients enrolled in care management.
Special focus will be serving the most complex, high utilizing patients that need comprehensive care management services.Health Home core services include, but are not limited to:
care coordination, heath promotion, comprehensive transitional care, enrollee and family support, referral to community and social supports, use of technology to link services.
Responsibilities:
Qualifications:
The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University's mission to Learn, Discover, Heal, Create - and Make the World Ever Better.
In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law.
This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.
How To Apply
All applicants must apply online.
_EOE Minorities/Females/Protected Veterans/Disabled_
Pay Range
Pay Range:
$ 42,786 - $ 57,782 Annually
_The referenced pay range represents the minimum and maximum compensation for this job.
Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
_Apply for Job
Location: Strong Memorial Hospital
Full/Part Time: Full-Time
Opening:
Schedule:
Health Home Care Coordinator professionals in Rochester
-
Siraya G
Student
-
Lisa M. Holmes
I am passionate about advocating being a service to others who need care and support out in the c ...
-
Peyton Miles
Biology Graduate
-
Jennifer Lippa
Youth Peer Advocate
-
Jagan Rengarajan
Siebel Administrator