Health Homes Care Coordinator

To coordinate services with the Health Homes for the purpose of decreasing high risk

medical and/or behavioral health costs for individuals being serviced in this Health Home.

SPECIFIC DUTIES & RESPONSIBILITIES

1. Provide services on a regular basis to individuals referred.

2. Coordinate Western New York Independent Living, Inc (WNYIL), staff to meet

established benchmarks in required amount of time, set by the Health Homes, for

individuals being served.

3. Maintain, encourage and identify, individuals being served by WNYIL, Inc. in a Health

Home, need for attendance at medical appointments, including appointments upon

discharge from a hospital.

4. Ensure WNYIL, Inc. staff follow-through on decreasing or eliminating barriers that

individuals may face in keeping appointments through coordination with WNYIL, Inc.,

direct service staff.

5. Coordinate WNYIL, Inc. direct service staff to collaborate with the individuals’

community and family support to meet identified social needs.

6. Coordinate with WNYIL, Inc., direct service staff to follow through with Quality

Assessments and Improvements at each visit.

7. Coordinate WNYIL, Inc., direct service staff to develop and implement Person

Centered Plans that involve the individuals’ social support with family and friends as

well as other identified community supports.

8. Enter all required data into all required program reporting databases (including but not

limited to, Care Plans, referrals, progress notes and assessments).

9. Make contact with all individuals at least monthly.

10. Verify Medicaid eligibility for assigned caseload monthly.

11. Track Medicaid recertification dates and assist individuals with recertification, if

necessary.

12. Assist individuals with change of provider/vendor, if necessary.

13. Finalize documents in all required program reporting databases.

14. Accurately document consumer services and required paperwork in WNYIL’s Service

Performance Record (SPR) database, as well as the Electronic Consumer Record

(ECR), within two (2) working days of the date of service.

2020-01-27

15. Attend Agency’s in-service training and staff meetings as well as any other agency related activities as required.

16. Participate in maintaining a neat, clean, and safe work environment.

17. Perform other job-related duties as assigned by the supervisor.

EDUCATION & TRAINING

Must possess a Bachelor’s degree in one of the following areas: Child & Family

Studies, Community Mental Health, Counseling, Education, Nursing, Occupational

Therapy, Psychology, Recreation, Recreation Therapy, Rehabilitation, Social Work,

Sociology or Speech and hearing.

OR

NYS licensure and current registration as a Registered Nurse AND a bachelor’s degree

OR

Bachelor’s level education or higher in any field with five (5) years’ experience working

directly with persons with behavioral health diagnosis OR a CASAC

Must have a Master’s degree in one of the fields listed above, with one (1) year experience

OR

Bachelor’s degree identified above with two (2) years’ experience in the following: either

providing direct services to persons diagnosed with mental disabilities, developmental

disabilities, alcoholism or substance abuse

OR

Linking persons who have been diagnosed with mental disabilities, developmental

disabilities, alcoholism or substance abuse to a broad range of services essential to

successfully living in a community setting.

SKILLS & ABILITIES

• Must have intermediate level of knowledge of computers including the use of Excel

spreadsheets, databases, word processing and networks.

• Bilingual candidates are encouraged to apply.
• Netsmart/Medicaid Analytics Performance Portal (MAPP) database experience

preferred.

• Perform in a professional, conscientious, and efficient manner for the purpose of

ensuring a better quality of life for persons with disabilities.

WORK ENVIRONMENT

PHYSICAL

DEMANDS OF

THE JOB

Office/ Community

HOURS / SHIFTS Sitting for extended periods of time.

Occasional lifting of not more than 15 pounds.

2020-01-27

CLASSIFICATION 37.5 – 40 hours per week M– F 8:30 am – 5:00 pm.

Overtime is rarely required.

BENEFITS Full-time, salary, non-exempt, Professional staff.

Salary: $42,000- $46,000

OTHER

Agency provided group health insurance.

Vision, dental, life, supplemental insurances available.

PTO and paid holiday package.

403(b) retirement with Agency match.

Employee Assistance Program

JOB POSTING

Western New York Independent Living, Inc. values our employee

safety and follows all recommended NYS required Infectious Disease

Prevention Protocols.

Western New York Independent Living, Inc. is an Equal Opportunity

Employer.

Reasonable accommodationswill be made for people with disabilities.

Western New York Independent Living, Inc., is a scent-free agency

Pay: $42,000.00 - $46,000.00 per year

Benefits:

• 403(b)
• 403(b) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $42,000 - $46,000