Care Coordinator, Non-Clinical in Plainview, NY at Pride Health

Date Posted: 11/16/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Plainview, NY
  • Experience:
    Not Specified
  • Date Posted:
    11/16/2019

Job Description

Large health plan seeks a Care Coordinator to provide non-clinical support functions to participants in accordance with model of care, CMS’s and NYSDOH’s contractual managed care agreements in Nassau County.

Responsibilities:

  • Serve as the single point of contact for care coordination and management for participants;
  • Assist Care Manager with member assessments, including conducting CQL interviews and other member documents;
  • Assist in the development of Life Plans with members and in collaboration with IDT;
  • Coordinate implementation and monitoring of Life Plans including integration of all supports and services and equipment;
  • Link and refer members to service providers and activities, including community resources;
  • Alert Care Manager regarding any emerging physical or behavioral health issues;
  • Attend and assist facilitation at IDT meetings;
  • Coordinate/schedule all member meetings, appointments, and transportation as needed;
  • Provide visits to members’ homes as needed;
  • Provide assistance in orientation and education to members, families, IDT and other providers and stakeholders;
  • Flexibility with work schedule, including evening and weekend hours may be required as needed;
  • Adhere to all required timeframes for member telephonic and in person contacts, assessments, life plan meetings and follow up to ensure the effectiveness of care and service plans;
  • Provide all verbal, written and electronic communication with members/caregivers/families, IDT, providers and vendors in a timely manner and document accordingly;
  • Provide timely preparation and completion of all data entry, data collection, report production, and monthly service notes;
  • Assist members with maintaining and applying for benefits and entitlements such as Medicaid Spend Down, Food Stamps, HEAP, etc.;
  • Comply with all requirements model of care including the electronic record system, member alerts and service reports, and state and federal requirements;

Qualifications:

  • Bachelor’s degree in relevant field required
  • A minimum of year of work experience working with the Developmentally Disabled. 
  • Valid Driver’s License