Position Summary:

The Health Home Care Coordinator is responsible for gathering and processing information for the Health Home program from individuals, providing information and referrals for services, maintaining and monitoring program data, and reporting program-related data. Ensures program outcomes and objectives are being met, and ensures services provided meet organizational guidelines, funder requirements and accreditation standards.

This position fulfills the Health Home Facilitator role per DMH Health Home guidelines.

Essential Functions:

• Gathers, researches, and processes Health Home program information from individuals for program enrollments, transfers and discharges. Responsible for ensuring all required information is obtained, verified and entered within established timeframes. Ensures all state requirements and internal standards are met before submitting information to DMH.
• Accesses multiple hospital data portals and reports to monitor program individuals' admissions and discharges. Obtains information, creates reports and communicates hospitalization information to nursing staff daily.
• Extracts metabolic screening values from electronic records and enters that information into DMH and internal systems. Monitors upcoming due dates for screens and communicates that information to nursing staff.
• Answers questions regarding the Health Home Program services. Evaluates individual's eligibility for community services and refers them to services as needed. Provides individuals with population-based healthcare materials based on individual need.
• Maintains multiple tracking systems in order to provide data to Health Home staff to better support individual needs and meet program goals. Maintains data in multiple systems and ensures that the data are accurate and up to date. Runs reports as scheduled and as requested.
• Manages census with breakdown of DM and slot availability. Researches and obtains outreach individual data for re-engagement of services.
• Identifies and researches high utilizers of emergency care for reporting purposes.
• Cross trains on all Health Home Care Coordinator tasks and maintains updated workflows for assigned tasks.

Position Competencies:

• Knowledge of disabilities, medical care and behavioral supports. Participates in organizational and funder trainings, and external training opportunities for ongoing growth and development.
• Able to gather and interpret data from various electronic health records to create reports.
• Able to multitask and prioritize activities daily to ensure timelines are met.
• Establishes and maintains successful interpersonal relationships and works cooperatively in group situations. Able to work effectively in a team-based environment.
• Intermediate-level proficiency with Microsoft Office products, including Excel, and Electronic Health Record systems.

Easterseals Midwest Core Competencies:

• Adaptability & Initiative: Adapts to changes in the work environment and prioritizes activities to manage work responsibilities.
• Communications: Communicates and exchanges accurate information through a variety of methods.
• Dependability: Executes job duties within specified timeframes in order to meet agency objectives.
• Job Knowledge & Quality: Maintains knowledge related to job responsibilities and ensures that output meets or exceeds established standards.
• Judgment & Problem Solving: Exhibits sound decision making skills and includes other staff in decision making when appropriate.
• Teamwork & Professionalism: Establishes and maintains effective relationships and works cooperatively in group situations.

Qualifications:

• Must have high school diploma or equivalent. Bachelor's degree in human services or related field preferred.
• Must have at least 1 year of experience working with individuals with disabilities.
• Must have experience using Microsoft Office suite, and intermediate-level skill with Excel.
• Previous experience working with Electronic Health Record systems or other data systems preferred.

Additional Requirements:

• This position typically works weekday, daytime hours. May work evenings and weekends as need.
• May travel between program offices or to community locations to attend meetings.
• Must have current driver's license and proof of insurance.
• Must complete and maintain all required trainings/certifications.
• Must maintain confidential information in accordance with HIPAA regulations.