University of Rochester
Healthcare
HealthHomeCareCoord
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Health Home Care Coord at University of Rochester. Skills: Care management, Patient assessment, Care planning. Provide comprehensive care management services. Collaborate with health providers”
What You'll Achieve.
Reduce unnecessary emergency services; Reduce unnecessary inpatient services
Industry & Context.
Access to automobile
What They're Looking For.
Must Have
Bachelor's Degree in human services, 1 year experience in direct services, Valid New York State driver's license, Satisfactory driving record, Access to an automobile, Pass NYS DOH Health Home background check, Pass URMC background check
Nice to Have
Experience serving complex patients, Experience linking people with services
What You'll Do.
Provide comprehensive care management services
Collaborate with health providers
Serve complex patients
Perform complex care management services
Establish cooperative working relationships
Obtain needed services for patients
Utilize community resources
Create sustainable support systems
Review care plans with patient
Link individuals to clinical services
Link individuals to social services
Coordinate outreach activities
Engage patients in care management
Retain patients in care management
Interact with patients telephonically
Interact with patients in person
Conduct enrollee assessments
Identify service needs
Develop patient centered care plan
Highlight patient goals
Support patient goals
Increase self-efficacy
Increase engagement with providers
Review plan with care team
Complete documentation in EMR
Comply with hospital policies
Comply with Health Home regulations
Assist with record reviews
Assist with quality initiatives
Monitor utilization of services
Encourage enrollees to follow treatment
Ensure care is accessible
Ensure care is attended
Ensure care is effective
Partner with patients
Partner with community providers
Reduce unnecessary emergency services
Reduce unnecessary inpatient services
Support patient transitions of care
Keep all appointments
Address barriers to care
Support population health initiatives
Perform other responsibilities
How You'll Work.
Team & Collaboration
Collaborate with health providers; Collaborate with behavioral health providers; Collaborate with social service providers; Collaborate with community providers; Collaborate with care team
Full Job Description
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. _**Job Location (Full Address):**_ 2613 W Henrietta Rd, Brighton, New York, United States of America, 14623 _**Opening:**_ Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500134 Psych SMH Long Term Care Work Shift: UR - Day (United States of America) Range: UR URCA 207 H Compensation Range: $23.51 - $30.16 _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._ _**Responsibilities:**_ 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 **ESSENTIAL FUNCTIONS** * Under general direction and with considerable independence, performs complex care management services consistent with all URMC and NYS Regulations
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