Person Centered Services
Location
Rochester, New York
Salary
$26 / HOUR
The Care Coordinator is responsible for managing all aspects of an individual's care, including health, behavioral, and community support services. They must develop person-centered Life Plans, maintain accurate case records, and ensure compliance with all regulatory standards.
Candidates must hold a Bachelor's degree with 2 years of experience, a Registered Nurse license with 2 years of experience, or a Master's degree with 1 year of experience. Proficiency in both English and Spanish is required, along with a valid driver's license.
The Bilingual Care Coordinator has an overall responsibility and accountability for coordinating all aspects of the individual’s care, including but not limited to health and behavioral healthcare, community supports, and other services required to meet the needs of the individual. For individuals who are enrolled in the health home, the care coordinator will take a holistic approach to care by utilizing the core standards of service. These include: Comprehensive Care Management Care Coordination and Health Promotion Comprehensive Transitional Care Individual and Family Support Referral to Community and Social Support Services Use of Health Information Technology (HIT) to Link Services . Position Responsibilities Completes required assessments using person centered planning techniques, as well as gathers and incorporates all other relevant assessments. Develops a comprehensive, person-centered Life Plan with the individual and their circle of support, as well as their entire service provider team. Supports the individual in the planning process to ensure that the individual directs the process to the maximum extent possible and can make informed decisions and choices. Reviews the Life Plan with the individual’s entire interdisciplinary team no less than annually, and every time there is a life changing event. This review must occur during a face to face meeting, no less than annually. Accountable for coordinating all aspects of an individual’s care. Effectively manage a tiered caseload, while tailoring services to individual needs. Completes program enrollment and eligibility document. Completes and secures consents and authorizations to share information. Develops and maintains appropriate records. Completes and reviews paperwork necessary for case files and reports. Completes documentation and billing in a timely manner. Meet with individuals in their homes, physician/provider offices, and other public places in order to conduct assessments and provide services. Accompanies individuals to appointments in accordance with Person Centered Services policy. Collaborates with providers and service support team members. Initiate incident reports and follow-up to ensure compliance with regulations. Monitors individual satisfaction with supports and services. Ensures case files are in compliance with regulation and policy. Provide quality driven, cost effective, culturally appropriate services. Commits to a respectful, just, and supportive environment for individuals and coworkers aligning with the company’s commitment to diversity, equity, and inclusion. Work independently from home, as well as reporting to the office at least once per week but may require more depending on business needs. Other related duties, as may be assigned by the Care Coordinator Supervisor or Director of Care Coordination. Knowledge, Skills, and Abilities Knowledge of developmental disabilities, chronic disease and social determinants of health. Strong knowledge of OPWDD funded services and supports. Experience with motivational interviewing. Experience writing SMART goals. Knowledgeable of person-centered planning regulations. Ability to build relationships and effectively communicate. Encourages community integration. Demonstrates cultural competence. Demonstrates ethical and professional responsibilities and boundaries. Demonstrates capacity to use Health Information Technology to link services and facilitate communication. Knowledge of confidentiality regulations. Organizational and time management skills Ability to prioritize. Proactively approaches professional responsibilities. Completes work in a timely manner. Position Requirements Bachelor’s degree with 2 years relevant experience OR a Licensed Registered Nurse with 2 years relevant experience OR A Master’s degree with 1-year relevant experience required. A valid New York State driver’s license is required. If residing in a bordering state, a valid driver’s license from that state is acceptable for employment in New York. Bilingual in English and Spanish, required. Full Job Description #INDLP Person Centered Services has a commitment to equal employment opportunity for all staff and applicants for employment. Employment decisions including, but not limited to, those such as staff selection, performance evaluation, administration of benefits, working conditions, staff programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical hereditary cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.
Licensed Practical Nurse, Long Term Care (Full Time, Evenings/Nights)
Licensed Practical Nurse (LPN), Long Term Care (Full Time, Nights)
Licensed Practical Nurse (LPN), RRH Unity Living Center (Full-Time, Evenings)
Licensed Practical Nurse (LPN) Long Term Care (Full-Time, Evenings)
OASAS Residential Counselor Assistant
Service Coordinator
Registered Nurse (RN) - MS Telemetry
Phlebotomist II
RN-STAFF/CLIN NURSE-Radiology-Special Procedures- 40HR Day Shift (8-630 with rotation)
RN-STAFF/CLIN NURSE-4B-Medical Surgical- 36HR Night Shift
Phlebotomist II
RN Case Manager Hospice