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 plan development. Provide comprehensive care management services. Engage, enroll, assess patients”
Industry & Context.
On-call rotation
What They're Looking For.
Must Have
Bachelor's degree in human services, 1 year experience direct services, Valid NYS driver's license, NYS automobile insurance, Satisfactory driving record, Access to reliable vehicle
Nice to Have
Experience in outreach and care management, Experience in home visiting, Experience working with healthcare professionals
What You'll Do.
Provide comprehensive care management services
Develop and implement care plan
Conduct patient level data analyses
Track patient adherence with treatment
Provide non-clinical interventions
Assist patients in developing service plans
Communicate and collaborate with patients
Adapt and refine support
Enhance health outcomes
Complete Children’s Health Home consent
Engage patient/family in CANS-NY assessment
Develop preliminary care plan
Address physical and mental health needs
Address growth and development needs
Address education needs
Address parenting needs
Address home environment stability
Address social relationships needs
Provide face to face contact
Provide telephonic contact
Advance the plan of care
Address compliance with medical
Address compliance with behavioral health
Avoid preventable ED visits
Avoid preventable hospitalizations
Provide information and referrals
Monitor attendance at appointments
Reassess plans of care
Identify situations requiring reporting
Inform Senior Social Worker
Escalate care management
Transport patient with guardian
Complete required documentation
Complete monthly billing sheets
Meet with Senior Social Worker
Meet with Quality Manager
Collaborate with community providers
Obtain needed services and supports
Create sustainable support system
Participate in team meetings
Participate in patient meetings
Coordinate care with ambulatory staff
Coordinate care with inpatient staff
Coordinate care with social workers
Coordinate care with home care
Participate in individual supervision
Participate in group supervision
Attend staff meetings
Attend CHHUNY trainings
Meet all required trainings
Participate in on-call rotation
How You'll Work.
Team & Collaboration
Collaboration with providers; Team meetings; Patient meetings; Ambulatory and inpatient staff; Social workers; Home care providers
Communication Scope
Oral communication; Written communication
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):**_ 601 Elmwood Ave, Rochester, New York, United States of America, 14642 _**Opening:**_ Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500382 Social Work-Peds/OB/Outreach 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:**_ Under general direction, but with significant independence, the Children’s Health Home (CHH) Care Coordinator provides comprehensive care management services to patients who are referred by CHHUNY. The CHH Care Coordinator provides comprehensive, care management services in collaboration with the enrolled child’s PCP and other involved providers. Upon receiving assigned referrals, the CHH Care Coordinator will engage, enroll, assess, develop and implement a care plan that addresses the participant’s medical, behavioral and psychosocial/SDOH needs and goals. Consistent with New York State regulations and policies for the provision of CHH services the CHH Care Coordinator conducts patient level data analyses to track patient adherence with treatment protocols and provides non-clinical interventions to assist patients in developing service plans to overcome barriers to access
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