HEALTH HOMES CARE COORDINATOR

St. Mary's Healthcare System for Children; Uniondale (NY); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Excellent benefits

Generous paid time off

Tuition reimbursement

Life insurance

Flexible spending accounts

403(b) retirement plan

Job summary

St. Mary’s Healthcare System for Children is seeking a Health Homes Care Coordinator to oversee the coordination of pediatric care across services, ensuring comprehensive family-centered plans.

This role interfaces with physicians, nurses, social workers, and external agencies to secure timely care. The position requires a Bachelor’s degree in a health/human services field and a minimum of two years in case management or medical care coordination for children with chronic conditions.

Qualifications

• Bachelor’s degree in health or related field required
• Minimum 2 years of case management or care coordination experience with chronic conditions
• Experience in Early Intervention ongoing service coordination preferred
• Bilingual Spanish speaking preferred
• Valid NYS ID and/or driver’s license; willingness to travel across designated counties

Responsibilities

• Completes CANS assessment and develops a comprehensive plan of care
• Builds relationships with families and care teams to coordinate services
• Ensures visits/contacts to provide coordinated services
• Works with Medicaid provider and network enrollment
• Participates in team meetings to review and implement care plans
• Provides updates to management and suggests process improvements
• Attends team patient care conferences for complex cases
• Meets monthly care management data entry and documentation requirements
• Ensures productivity statistics comply with care management requirements
• Participates in required trainings and ongoing assessments

Skills

Case management

Care coordination

Communication

Team collaboration

Spanish language

Education

Bachelor's degree

Tools

Third-party reimbursement knowledge

Job description

Brief Description

The Health Homes Care Coordinator works towards achieving the six core care management functions of the designated health home. Responsible for the overall coordination of services to meet the goals of the child’s comprehensive patient/family focused plan of care with high/medium/low acuity levels. Builds relationships with the parent/caregiver and child’s care team (physicians, nurses, social workers, etc.) to coordinate and ensure the provision of services. Assists the parents/caregivers with navigating systems, access issues, and service coordination and empowers them to participate in all aspects of care. Acts as a liaison to outside agencies and a conduit for the transmission of information between St Mary’s care management and the assigned health home. Supports St Mary’s mission to provide the highest quality of care management services by complying with with NYS DOH and Health Homes’ regulatory regulatory guidelines and meeting agency standards.

Job Duties / Responsibilities

ESSENTIAL DUTIES

• Completes the Child and Adolescent Needs Assessment (CANS) to identify child’s medical, social, educational and psychological needs. Develops a plan of care that is comprehensive of all the child’s identified needs.
• Initiates and builds relationships with the parent/caregiver/family, designated health home and managed care service providers to coordinate services.
• Completes all required and necessary visits /contacts to ensure that the child is receiving coordinated services.
• Works with Managed Medicaid provider and internal supports to ensure Medicaid eligibility and medical provider network enrollment.
• Participates in team meetings with Health Homes Care Coordination Supervisor to review and implement plan of care.
• Provides communication to management team on any updates and identified problems and discusses enhanced work process.
• Initiates and attends team patient care conferences for complex and/or multi-disciplinary patients, whenever needed.
• Meets all Pediatric Health Homes data entry and documentation requirements.
• Ensures monthly productivity statistics are in accordance with Health Homes and St Mary’s care management requirements.
• Participates in all required Health Homes and St Mary’s care management trainings and ongoing assessment tool education.

Qualifications / Knowledge

Formal education and previous experience required:

A Bachelors in a health or human services field or related field required

Minimum of 2 years of job-related experience providing case management or medical focused care coordination services to individuals with chronic medical conditions.

Have a background in the Early Intervention Ongoing Service Coordination service delivery. Experience preferred

Bilingual Spanish speaking preferred

Valid NYS ID and/or Drivers license required; must be willing to travel throughout designated counties.

Knowledge And Abilities

• Knowledge of third-party reimbursement, and abilities to develop case management plans and negotiate payment rates required.

#SMSA123

Requirements

• Knowledge of third-party reimbursement, and abilities to develop case management plans and negotiate payment rates required.

Valid Drivers license required; must be willing to travel throughout designated counties.

Summary

Join our fabulous team of professionals where big hearts help little patients!

We RECOGNIZE ability and REWARD excellence. We offer a competitive salary and generous benefits:

• Excellent individual/family benefits
• Generous paid time off
• Tuition reimbursement
• Life insurance
• Flexible spending accounts
• 403(b) retirement plan

St. Mary’s Healthcare System for Children is committed to nurturing a compassionate environment that welcomes all children, young adults, families, and staff; built on the belief that what makes us different makes us stronger, and provides unity throughout our community.

St. Mary’s Healthcare System for Children is an Equal Opportunity Employer M/F/D/V/SO