Health Home Care Coord Position Available In Monroe, New York

Health Home Care Coord
Rochester, NY
As amunity, the University of Rochester is defined by a deepmitment to Meliora – Ever Better. Embedded in that ideal are the values we : equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure ourmunity is weing to all and is a place w all can thrive. Job Location (Full Address): 220 Hutchison Rd, Rochester, New York, United States of America, 14620

Opening:

Worker Subtype:

Regular Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500137

Psychiatry SMH Strong Ties Work Shift:

UR – Day (United States of America)

Range:

UR URC 206 H

Compensation Range:

$20.99 – $28.34 The referenced pay range represents the minimum and maximumpensation for this job. Individual annual salaries/hourly rates will be set within the job’spensation 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.

Responsibilities:

GENERAL PURPOSE

Provides professionalprehensive 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 mostplex, high utilizing patients that needprehensive care management services. Health Home core services include, but are not limited to: care coordination, heath promotion,prehensive transitional care, enrollee and family support, referral tomunity and social supports, use of technology to link services.

SCHEDULE

8AM – 4:30PM

ESSENTIAL FUNCTIONS

Under general direction and with considerable independence, performsplex 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 withmunity providers to obtain needed services and support for enrolled patients. Utilizesmunity 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 andmunity 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 othermunity settings. Conducts assessments, as appropriate, for enrollees identifying service needs that contribute to developing the patient centered care plan. Develops aprehensive 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 withmunity 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 andmunity providers. Completes timely and thorough documentation of services in electronic medical records inpliance 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 rmendations, ensures that care is accessible, attended and effective. Partners with patients andmunity 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. Other duties as assigned

QUALIFICATIONS

Required:

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 equivalentbination 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. The University of Rochester ismitted to fostering, cultivating, and preserving an inclusive and weing culture 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 ismitted 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 characteristic protected by federal, state, or local law (Protected Characteristics). Thismitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

Notice:

If you are a Current Employee, please log into myURHR to search for and to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward. Learn. Discover. Heal. Create. Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better. If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals At the University of Rochester, we aremitted to fostering, cultivating, and preserving an inclusive and weing culture and are united by a strongmitment to be ever better—Meliora. It is an ideal that informs our d mission to ensure all members of ourmunity feel safe, respected, included, and valued.