Managed Care Coordinator jobs at Memorial Sloan Kettering Cancer Center - 276 jobs

The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator with case management responsibilities. The candidate is the primary liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax, email, scan documents, phone calls) with case managers to provide concurrent updates as requested by Insurance Companies, handles Third Party appeals, peer to peers as applicable and with clinical oversight provided by the LPN/RN MDS Coordinator. Attends team meetings at the discretion of the MDS Coordinator. Responsibilities Managed Care Coordinator Essential Job Fuctions Able to successfully interact with HMO Case Managers in a professional manner. Duties include scanning the documents from the EMR after the MDS Coordinator reviews. Participate in interdisciplinary team meetings as needed by the MDS Coordinator. Understands the organization's quality management program and the care coordinator's role within that program, with compliance of all policies and procedures. Maintains privacy, as per policies and procedures within a secure environment of documentation and communication. Embraces change; maintains an open mind and is flexible and adaptable in the face of ambiguity and change. Utilizes electronic timekeeping system as directed. Arrives to work on time, regularly, and works as scheduled. Recognizes and follows the dress code of the facility including wearing name tag at all times. Follows policy and procedure regarding all electronic devices, computers, tablets, etc. Supports and abides by Elderwood's Mission, Vision, and Values. Abides by Elderwood's businesses code of conduct, compliance and HIPAA policies. Performs other duties as assigned by supervisor, management staff or Administrator. Qualifications Managed Care Coordinator Educational Requirements and Qualifications Minimum of High School Diploma 1 - 2 years of experience within the HMO Managed Care Insurance Companies Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care Coordinator Skills and Competencies Demonstrated proficiency with Microsoft Office Bilingual English/Spanish speaking preferred This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Job Description About the Role: The Care Coordinator plays a crucial role in ensuring that patients receive comprehensive and coordinated care throughout their healthcare journey. This position involves collaborating with healthcare providers, patients, and their families to develop and implement individualized care plans that address medical, emotional, and social needs. The Care Coordinator will monitor patient progress, facilitate communication among all parties, and advocate for patients to ensure they receive the necessary resources and support. By effectively managing care transitions and follow-ups, the Care Coordinator aims to improve patient outcomes and enhance overall satisfaction with the healthcare experience. Ultimately, this role is vital in bridging gaps in care and promoting a holistic approach to health management. Minimum Qualifications: Bachelor's degree in human servies, social work, or a related field. Experience in a healthcare setting, preferably in care coordination or case management. Strong communication and interpersonal skills to effectively interact with patients and healthcare professionals. Preferred Qualifications: Experience with electronic health record (EHR) systems. Knowledge of community resources and support services available to patients. Responsibilities: Develop and maintain individualized care plans in collaboration with patients, families, and healthcare providers. Coordinate appointments, referrals, and follow-up care to ensure seamless transitions between different levels of care. Monitor patient progress and adjust care plans as necessary, providing ongoing support and education to patients and their families. Act as a liaison between patients and healthcare providers, facilitating communication and addressing any concerns or barriers to care. Document all interactions and updates in the patient management system to ensure accurate and timely information sharing. Skills: The required skills of communication and interpersonal relations are essential for building trust and rapport with patients and their families, ensuring they feel supported throughout their care journey. Organizational skills are utilized daily to manage multiple patient cases, appointments, and follow-ups efficiently. Problem-solving skills come into play when addressing barriers to care, allowing the Care Coordinator to find effective solutions tailored to each patient's unique situation. Familiarity with healthcare regulations and policies is crucial for navigating the complexities of patient care and ensuring compliance. Preferred skills, such as knowledge of community resources, enhance the Care Coordinator's ability to connect patients with additional support services, further improving their overall health outcomes. ***A $1,000 sign-on bonus is available for this position. $500 will be paid upon hire, and the remaining $500 will be paid following successful completion of the six-month introductory period***

About the Role: The Care Coordinator plays a crucial role in ensuring that patients receive comprehensive and coordinated care throughout their healthcare journey. This position involves collaborating with healthcare providers, patients, and their families to develop and implement individualized care plans that address medical, emotional, and social needs. The Care Coordinator will monitor patient progress, facilitate communication among all parties, and advocate for patients to ensure they receive the necessary resources and support. By effectively managing care transitions and follow-ups, the Care Coordinator aims to improve patient outcomes and enhance overall satisfaction with the healthcare experience. Ultimately, this role is vital in bridging gaps in care and promoting a holistic approach to health management. Minimum Qualifications: * Bachelor's degree in human servies, social work, or a related field. * Experience in a healthcare setting, preferably in care coordination or case management. * Strong communication and interpersonal skills to effectively interact with patients and healthcare professionals. Preferred Qualifications: * Experience with electronic health record (EHR) systems. * Knowledge of community resources and support services available to patients. Responsibilities: * Develop and maintain individualized care plans in collaboration with patients, families, and healthcare providers. * Coordinate appointments, referrals, and follow-up care to ensure seamless transitions between different levels of care. * Monitor patient progress and adjust care plans as necessary, providing ongoing support and education to patients and their families. * Act as a liaison between patients and healthcare providers, facilitating communication and addressing any concerns or barriers to care. * Document all interactions and updates in the patient management system to ensure accurate and timely information sharing. Skills: The required skills of communication and interpersonal relations are essential for building trust and rapport with patients and their families, ensuring they feel supported throughout their care journey. Organizational skills are utilized daily to manage multiple patient cases, appointments, and follow-ups efficiently. Problem-solving skills come into play when addressing barriers to care, allowing the Care Coordinator to find effective solutions tailored to each patient's unique situation. Familiarity with healthcare regulations and policies is crucial for navigating the complexities of patient care and ensuring compliance. Preferred skills, such as knowledge of community resources, enhance the Care Coordinator's ability to connect patients with additional support services, further improving their overall health outcomes. * A $1,000 sign-on bonus is available for this position. $500 will be paid upon hire, and the remaining $500 will be paid following successful completion of the six-month introductory period*

Job Description Care Management Coordinator Job Title: Care Management Coordinator Reports to: Chief Program Officer Job Category/ EEO: Exempt, FT 12 months, on call, Manager Department: Residential Services Remote: No Pay Range: $65,000 Position Overview Oversees the day-to-day operations of the care management team providing Health Home and deficit funded services to adult with a serious mental illness. The Care Management Coordinator manages a team of care managers who provide comprehensive assessment and evaluation, care planning and coordination, outreach and crisis intervention, linkage to medical, financial, social, rehabilitation and psychiatric services, advocacy, development of social supports and procurement of needed resources. The coordinator monitors and assures performance of the team in the areas above and assures that team/program outcomes are met. Reporting Relationships The Care management Coordinator reports directly to the Chief Program Officer PRINCIPAL DUTIES AND RESPONSIBILITIES Service Administration and Coordination: Ensures that program activities are coordinated and carried out and that all service and statistical records are adequately maintained according to federal, state and agency regulations. Audit records are regularly kept by staff to ensure adherence to federal and state regulations. Reviews documentation problems with staff in a timely manner and initiates necessary corrective actions. Ensures that all residents receive the appropriate services. Schedules, coordinates, and assigns all activities of the staff based on resident and program needs. Ensure all Electronic Medical Record (EMR) systems are updated and accurately reflect monitored data. This includes maintaining current and accurate entries in AWARDS, SPOA, CAIRS, HealtheLink, Netsmart, and Medent. Supervision of Care management Oversee admission and orientation of new case assignments; assure timely processing of all related paperwork. Ensure timely development and implementation of Individualized Service Plans. Ensure continuity of clients' entitlements through timely submission of required forms and documentation, including initial certifications and re-certifications. Oversee care management discharges; ensure timely processing of related paperwork, including but not limited to discharge summaries and financial summaries. Develop effective working relationships with other service providers. Assure timely reporting and review of untoward incidents and events. Participate in regular and unplanned case reviews. Assure that the rights and dignity of clients are maintained at all times; assure that resident grievances are processed in a timely manner. Staff Supervision Always ensure program coverage. Provides supervision, coaching and instruction to staff through individual and group conferences and direct participation in the provision of services (e.g. co-case management) in order to assure appropriateness and quality of services being provided. Evaluates staff performance. Orient staff to Agency and program specific mission, philosophy, policies, and procedures. Coordinate regularly with ECDMH, NYSOMH and Health Home Agencies on case related issues. Schedule and conduct regular staff meetings. Assure that staff receives appropriate training. Requirements Master's degree in human services related fields with a minimum of 3 years' experience supervising staff providing care to persons with mental illness, chemical dependency, developmental disabilities or a chronic medical condition. Preference will be given to candidates licensed to practice in NYS (i.e LCSW/LMSW/LMHC) One (1) year of paid supervisory/administrative experience in a human service setting with experience supervising a staff of 3-5 individuals. Must have use of an automobile and valid driver's license with evidence of good driving record. Must have a flexible schedule. Other Knowledge/Skills/Abilities Ability to work independently and initiate change. Possess an even temperament. Have strong organizational and time management skills. Work effectively within a team setting. Have strong computer, data management and analysis skills. Have superior interpersonal and conflict resolution skills. Value cultural difference, collaborative efforts, and person-centered services. Demonstrate excellent verbal and written skills. Strong negotiation, judgment, problem solving, and time management skills are essential to success at this position.

Part-time Description SUMMARY: Assists in the investigations of incidents involving people supported and program quality, in adherence to applicable laws, regulations and agency policies. Assists in the continuous development of quality standards and in the maintenance of CQL accreditation. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Conducts investigations and writes reports on notable occurrences, significant incidents, and allegation of abuse incidents. Assists staff in the classification of incidents and ensures proper notifications. Assists Director of Quality Management in training staff in regulation and agency policy, and in the development of trend reports. Maintains knowledge of all pertinent laws and regulations including but not limited to NYS Mental Hygiene Law regarding standards of quality of program. Attends all training in investigations and regulatory compliance. Attends and presents incident investigations at monthly Incident Review Committee meetings. Benefits include but not limited to: 401K Employer Match Health, dental and vision insurance Group Life Insurance Paid Time off Tuition Assistance 12 paid Holidays Requirements EDUCATION and/or EXPERIENCE: Bachelor's degree preferred; Or equivalent education and experience at hiring managers discretion- High School Diploma/GED equivalent required with 5 years investigatory experience and/or 5 + years in the DDSO Field About The Arc: The Arc Madison Cortland is a non-profit agency whose sole purpose lies in the support of people with special needs. We provide leadership in the field of disabilities, supporting people in every manner possible, and developing the necessary human and financial resources to allow all members of our community to achieve their full potential. The Arc of Madison Cortland is an Equal Opportunity Employer. All candidates for employment and employees receive equal consideration without regard to age, race, religion, color, national/ethnic origin, gender, gender identity, marital status, disability, military/veteran status, criminal conviction status (provided such conviction does not prevent the employee from being eligible to hold the position or pose a danger or threat to the individuals we support), pregnancy, domestic violence victim status, paid family leave or family medical leave status, sexual orientation, genetic information, or any other characteristic protected by law. Salary Description $25.00 Hourly

This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet departmental time frames. Per department needs, may be responsible for additional hours. Essential Accountabilities: Level I Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge, members' specific health plan benefits, and efficient care delivery processes. Ensures compliance with corporate and departmental policy and procedure, identifies and refers potential quality of care and utilization issues to Medical Director. Utilizes appropriate communication techniques with members and providers to obtain clinical information, assesses medical necessity of services, advocating for members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care. Collaborates with hospital, home care, care management, and other providers effectively to ensure that clinical needs are met and that there are no gaps in care. Acts as a resource and liaison to the provider community in conjunction with Provider Relations, explaining processes for accessing Health Plan to perform medical review, obtains case or disease management support, or otherwise interacts with Health Plan programs and services. Makes accurate and consistent interpretation of required clinical criteria, medical policy, contract benefits, and State and Federal Mandates. May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical Policies. Accountable for meeting departmental guidelines for timeliness, production and metrics and meeting requirements established for audits to ensure adherence to regulatory and departmental policy/procedures. Maintains compliance with all regulatory and accrediting standards. Keeps abreast of changes and responsible for implementation and monitoring of requirements. Assists with training and special projects, as assigned. Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. Regular and reliable attendance is expected and required. Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) Offers process improvement suggestions and participates in the solutions of more complex issues/activities. Mentors staff and assists with coaching, as necessary. Provides consistent positive results on audits. Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health. Manages more complex assignments; cross-trained to review various levels of care and/or services. Participate in committees and lead when required. Level III (in addition to Level II Accountabilities) Displays leadership and serves as a positive role model to others in the department. Identifies, recommends and assesses new processes to improve productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. Assists in updating departmental policies, procedures, and desk level procedures relative to the functions. Expert and resource for escalations - Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems. Mentor (to others in department) - Provides guidance and leadership to the daily activities of the Utilization Management Department clinical staff. Acts as resource to Utilization Management staff, members and providers. Provides backup for the Supervisor, whenever necessary. Participates in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care. Assists Medical Director (MD) in projects as needed. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels Physical Health: Associates degree and active NYS RN license required. Bachelors degree preferred. Behavioral Health: Active NYS LMSW, LCSW, or LMHC license required with three years' behavioral health experience. Minimum of three (3) years of clinical experience required. Utilization Management experience preferred. Must demonstrate proficiency with the Microsoft Office Suite. Demonstrates general understanding of coding standards. Maintains current and working knowledge of Utilization Management Standards. Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred. Strong written and verbal communication skills. Ability to multitask and balance priorities. Must demonstrate ability to work independently on a daily basis. Deliver efficient, effective, and seamless care to members. Associates degree and active NYS RN license required. Bachelors degree preferred. Level II (in addition to Level I Qualifications) Minimum of 2 years in utilization management position. Demonstrates ability to escalate to management, as necessary. Demonstrates proficiency in all related technology. Ability to take on broader responsibilities. Ability to participate in training of new staff. Level III (in addition to Level II Qualifications) Must have been in a utilization management position or similar subject matter expert for at least 5 years. Broad understanding of multiple areas (i.e. UM and CM). Incumbent is required to know multiple functional areas and supporting systems. Expert in Utilization Management and ability to handle complex assignments, challenging situations and highly visible issues. Ability to lead the training of new staff. Demonstrated presentation skills. Physical Requirements: Ability to independently travel within regions. Ability to work at a computer for prolonged periods of time. ************ In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): E2: $62,400 - $96,081 E3: $62,400 - $106,929 E4: $65,346 - $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: The opportunity for remote work may be possible for all jobs posted by the Univera Healthcare Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Tuition Reimbursement for all full and part-time staff Generous paid time off, including your birthday! Affordable and comprehensive medical, dental and vision coverage for employee and family members Two retirement plans! 403(b) AND Employer Paid Pension Flexible spending And MORE! MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF) Responsibilities The Durable Medical Equipment (DME) Review Coordinator is expected to ensure high quality, cost-effective care, and services for Elderplan/HomeFirst members through the processing, review, and authorization of Durable Medical Equipment. The DME Review Coordinator is responsible for making first level determinations, under the support of a Registered Nurse, utilizing Medicare's National and Local Carrier Policy, Medicare based Interqual criteria for DME, internal Medical Policy, and physician/Medical Director support for medical necessity decisions. The DME Review Coordinator will manage the collection of supporting medical documentation, application of criteria, manage the physician advisor review process as needed, update the outcome of the review process in EP's case management system, and manage the member/provider notification of determination process, within CMS/DOH regulatory requirements. The position requires excellent communication, organizational skills, attention to detail, and knowledge of regulatory processes. Qualifications High School Diploma or equivalent; college degree preferred. Two years prior managed care experience required. Prior experience in a health care setting preferred. Familiarity with utilization management/case management. Excellent customer service including written and oral communication skills for communicating with vendors and providers Ability to us the telephone, fax, e-mail, scanner, Microsoft Word, Excel, and capacity to learn other programs as assigned Good analytical abilities for problem solving Ability to be empathetic and understanding Ability to handle confidential aspects of the position Ability to work closely maintain collegiate relationships with different professionals as part of an interdisciplinary health care team Ability to prioritize tasks and meet set deadlines Appropriately allocate resources, maximize efficiency, and contain costs Ability to work independently while recognizing issues having departmental or organizational impact Assess members' needs and identify opportunities for recommending levels of care Ability to handle a high volume of outbound phone calls along with written documentation Min USD $51,000.00/Yr. Max USD $58,000.00/Yr.

Title: Health Home Plus Client Care Coordinator Reports To: Client Care Supervisor FLSA: Non-Exempt Status: Full-time Supervisory Responsibility: Not Applicable About CHOICE: CHOICE is a leading Care Management Agency serving Westchester County in New York. Our Vision is a world where all people have a foundation to meet the challenges of everyday life. We are a dynamic not-for-profit organization which operates in the fast-changing environment of healthcare reform. Funded by Medicaid and government grants, we strive to maximize positive human outcomes as we deliver our services to our clients. CHOICE's core Mission is to help people restore and maintain their dignity and well-being regardless of their economic, mental, emotional, or physical conditions or limitations. We do this by providing Mental Health Advocacy and Peer Support, Homeless Outreach Programs and Services, and Mental Health Care Management and Support to those in need. Essential Functions of the Role: The Intensive Case Managers operate within a multidisciplinary unit and include Client Care Coordinators. All Intensive Case Managers have at least 2 years clinical experience, which includes client direct contact experience. function as an advocate, facilitator, outreach coach, educator, care coordinator, and motivational counselor for members and their families for members who have complex behavioral health and or medical conditions. The role of the Intensive Care Manager includes, but is not limited to the following tasks: Position Responsibilities: Providing a timely outreach to new referrals Engaging members into the program by providing compelling rationale on the benefits of the program to fit the unique member's needs. Completing members needs assessment to determine appropriate services and inform the care plan. Developing an individualized member centric comprehensive care plan with input from the member, provider, and family. The individual goals include recovery and resiliency, decreasing symptomatology and/or increasing functional ability in areas such as self-care, work/school, and family/interpersonal relations to reduce barriers to treatment. Providing monitoring and reviewing of cases through planned outreach, incoming contacts, care coordination and utilizing rounds, weekly reports, and individual supervision. Rounding or staffing with a supervisor takes place once per month at a minimum for difficult or challenging cases. Providing consultation and coordination with the behavioral health or medical providers, facility or family members, community agencies, or involved medical practitioners regarding treatment and/or treatment planning issues. Providing motivational counseling and encourage self-advocacy to help sustain members' commitment to their care plans and treatment adherence. Coordinating and consulting with the Care Manager as necessary. Attending regularly scheduled rounds to consult with a psychiatrist or health plan staff and discuss cases and the need for continued intensive care management and outreach. Sending outreach letters to members who are not telephonically accessible or who do not res pond to multiple telephonic outreach attempts. Frequency of outreach to the member, supports and provider(s) occur at a minimum one time per month, but more may be scheduled according to the member's clinical needs. Send outreach letters to members who are not telephonically accessible or who do not respond to multiple outreach attempts. Client's progress and Intensive Case Manager interventions are documented appropriately in the care management system. Provide case closure/discharge at the time of completion. Follow all workflows meeting regulatory and accreditation requirements. Maintain a consistent caseload within parameters as defined by clinical leadership. Communicate as needed with clinical supervisor to address caseload balancing. Position Requirements: Education: 1. A bachelor's degree in one of the fields listed below; or 2. A NYS teacher's certificate for which a bachelor's degree is required; or 3. NYS licensure and registration as a Registered Nurse and a bachelor's degree; or 4. A Bachelor's level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses; or 5. A Credentialed Alcoholism and Substance Abuse Counselor (CASAC). Qualifying education: includes degrees featuring a major or concentration in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing or another human services field. AND Experience Two years of experience: 1. In providing direct services to people with Serious Mental Illness, developmental disabilities, or alcoholism or substance abuse; or 2. In linking individuals with Serious Mental Illness, developmental disabilities, or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting (e.g., medical, psychiatric, social, educational, legal, housing, and financial services). A master's degree in one of the listed education fields may be substituted for one year of Experience. Licenses: Current valid and unrestricted Driver License. Salary Range: $42,500 - $47,000

The HCV Care Coordinator works within the Harm Reduction framework to support individuals with Hepatitis C Virus (HCV), particularly those in high-risk settings. High risk settings are defined as substance use disorder treatment programs, persons released from local jails, shelters, etc. The HCV Care Coordinator will work alongside the Advance Practice Provider (APP). This role involves providing comprehensive linkage and navigation services to facilitate access to HCV care and treatment, while addressing social determinants of health (SDOH) that may impact health outcomes. The HCV Care Coordinator will deliver HCV education and counseling, assist in scheduling medical appointments, and work to overcome barriers such as transportation challenges. Additionally, they will monitor treatment adherence to ensure successful HCV management and support patients throughout their care continuum.

Job Description About the Role: The Care Coordinator plays a crucial role in ensuring that patients receive comprehensive and coordinated care throughout their healthcare journey. This position involves collaborating with healthcare providers, patients, and their families to develop and implement individualized care plans that address medical, emotional, and social needs. The Care Coordinator will monitor patient progress, facilitate communication among all parties, and advocate for patients to ensure they receive the necessary resources and support. By effectively managing care transitions and follow-ups, the Care Coordinator aims to improve patient outcomes and enhance overall satisfaction with the healthcare experience. Ultimately, this role is vital in bridging gaps in care and promoting a holistic approach to health management. Minimum Qualifications: Bachelor's degree in nursing, social work, or a related field. Experience in a healthcare setting, preferably in care coordination or case management. Strong communication and interpersonal skills to effectively interact with patients and healthcare professionals. Preferred Qualifications: Experience with electronic health record (EHR) systems. Knowledge of community resources and support services available to patients. Responsibilities: Develop and maintain individualized care plans in collaboration with patients, families, and healthcare providers. Coordinate appointments, referrals, and follow-up care to ensure seamless transitions between different levels of care. Monitor patient progress and adjust care plans as necessary, providing ongoing support and education to patients and their families. Act as a liaison between patients and healthcare providers, facilitating communication and addressing any concerns or barriers to care. Document all interactions and updates in the patient management system to ensure accurate and timely information sharing. Skills: The required skills of communication and interpersonal relations are essential for building trust and rapport with patients and their families, ensuring they feel supported throughout their care journey. Organizational skills are utilized daily to manage multiple patient cases, appointments, and follow-ups efficiently. Problem-solving skills come into play when addressing barriers to care, allowing the Care Coordinator to find effective solutions tailored to each patient's unique situation. Familiarity with healthcare regulations and policies is crucial for navigating the complexities of patient care and ensuring compliance. Preferred skills, such as knowledge of community resources, enhance the Care Coordinator's ability to connect patients with additional support services, further improving their overall health outcomes.

🌟 Now Hiring: Health Home Care Manager Connecting People to Care. Empowering Health. Changing Lives. 💼 Job Type: Full-Time 🎓 Bachelor's Degree Required 💰 Starting Salary: $50,000/year At the heart of quality care is connection-and at New Horizon Counseling Center, that's exactly what we do. We're on a mission to ensure that individuals facing serious health challenges are never navigating the system alone. We are seeking a Health Home Care Manager who is passionate about removing barriers, closing care gaps, and uplifting the most vulnerable members of our community. 🩺 What You'll Do: As a Health Home Care Manager, you'll be a vital link between clients and the care they need to thrive. Your responsibilities will include: Transitional Care: Support clients as they move from hospital or rehab settings back into the community-ensuring continuity, safety, and support every step of the way. Care Plan Development and Implementation: Conduct initial and ongoing assessments of clients to document strengths, needs, goals and resources. Connectivity to Care: Schedule and coordinate timely follow-up with primary care and behavioral health providers. Addressing Gaps in Care: Identify missed appointments, medication lapses, or unaddressed needs-and take proactive steps to close the loop. Social Determinants of Health: Connect clients with resources such as housing, food security, transportation, and income/benefits support (SSI/SSD, SNAP, HEAP, etc). Collaborative Care: Work with a network of providers and support agencies to build individualized, person-centered care plans that truly make a difference. Engagement: Provide face to face outreach, engagement, and service planning in the field including clients' homes, shelters, and hospitals Documentation: Maintain documents, records, and other related reports in an organized, timely and accurate manner as per policy and procedure. ✅ What We're Looking For: Bachelor's Degree required (Social Work, Human Services, Psychology, Public Health, or a related field) Bilingual preferred (but not required-we welcome all qualified, compassionate applicants) One (1) year of related human services experience required in providing direct services to clients diagnosed with severe mental illness, HIV/AIDS or other disabilities, in order to link them to a broad range of services essential to successfully living in the community. You must have the ability and willingness to regularly travel, in some instances with clients in Agency vehicle to many locations using various modes of reliable and safe transportation Strong communication, organizational, and advocacy skills A deep sense of purpose and a commitment to serving vulnerable communities 🌱 Why Join Us? Mission-Driven Work: Every day, you'll play a key role in helping people overcome real obstacles and access life-changing care. Supportive Environment: Be part of a collaborative team that believes in mentorship, personal growth, and professional development. Community Impact: Your work will help reduce ER visits, improve health outcomes, and give people the tools to live healthier, more stable lives.

Spear Physical and Occupational Therapy is seeking a qualified, passionate Care Coordinator to join the team at our Dobbs Ferry clinic in Westchester. Care Coordinators are responsible for supporting patient care by making our patients feel welcomed and valued whilst also controlling the flow of the appointment. Care Coordinators are expected to respond to all phone calls and emails within 2 hours and always within 24hours. Care Coordinators will guide our patients through our out-of-network experience and greet all patients who enter the clinic with a smile. Care Coordinators are expected to execute 5-star customer service. Spear strives to foster a true community environment for both patients and team members; therefore, a collaborative spirit is valued to ensure everyone receives the care and support they need.Qualifications Previous customer service experience. Someone who is hospitable, welcoming, and team-orientated. Strong communication skills and ability to multi-task. A strong attention to detail and willingness to grow. BA.BS degree preferred, not required. What We Offer We know that exceptional patient service can only be achieved when our team is well cared for. We strive to create an environment that bolsters career growth while providing the flexibility and time necessary to simply be a human being. Further benefits include: One Medical paid membership. Learn more at onemedical.com/business Mental Health benefits that include paid time off and support services through Journey Live & employer sponsored EAP program. Medical, Dental, Vision Benefits, Commuter FSA Plan. 401(K) Safe Harbor Match: SPEAR will make a matching contribution equal to 100% of the first 3% of annual compensation, plus 50% of the next 2% of annual compensation. The total SPEAR matching contribution will not exceed 4% of your annual compensation Generous paid time including PTO, Floating Holidays, Company Holidays, Mental Health Commuter FSA Plans - pretax savings plans for travel to & from work Employee Perks: discounted rates for entertainment, travel, fitness, insurance plans, etc. Gym membership discounts with Blink & Crunch Fitness. Company Events - Annual Summer Picnic and Holiday Awards Celebration Physical Requirements Manual dexterity to manipulate office equipment and make written notations. Ability to use computer keyboard 90% of each workday. Hearing acuity to communicate over the telephone. Visual acuity to read information on computer screen. The ability to sit, stand, walk for extended periods of time Occasionally lift 10 pounds floor to waist We value empathy in our team members and a dedication to clinical excellence -- whatever your workstyle -- above all else. While we are looking for both entrepreneurial big-thinkers and those dedicated simply to the day-to-day of treatment, successful candidates will understand that being clear is kind and that actions express priorities. No matter where you are in your career, we are positive you will find your niche with us and grow. Further success factors may include: Passion for the field hospitality and customer service. Self-motivation and willingness to go above and beyond.Enjoyment of seeking out an opportunity to make an impact daily and connecting with people.A proactive, collaborative, team-oriented attitude because we don't work in silos. You celebrate wins and learn from losses with your patients, colleagues, and surrounding communities.A resonance with our SPEAR-IT values: Service Passion Empathy Accountability Respect Impact Teamwork ABOUT US:Spear Physical and Occupational Therapy is the nation's leading outpatient practice. With more than 40 clinics in the New York Tri-State Area and 25 years of experience, Spear provides unprecedented patient access to physical and occupational therapy through its robust list of services covered by most major insurances. Since its founding, Spear has been honored by some of the top medical, academic, and business communities. Among these accolades, they have twice been named the nation's top physical therapy practice by the American Physical Therapy Association and WebPT, received the Columbia Award for Leadership in Clinical Education, served as official therapists to Olympic teams and Broadway shows, and been featured for their expertise in The New York Times, CBS News, Good Morning America, The Today Show, and more. Learn more about Spear's history of excellence at spearcenter.com.

Are you E.P.I.C?! At Health System Services, we live by our core values: Empathy, Passion, Integrity, and Commitment -and we want YOU to join our dynamic team! We're hiring Care Coordinators for the following departments: Facilities - If you like ensuring patients are comfortable and supported in skilled nursing facilities, this is for you. Retail - If you love helping customers face-to-face, ensuring proper product fits combined with administrative work, you'll thrive here. CPAP Services - If you're passionate about helping clients achieve their best sleep, we need you! Outpatient Services - If you're someone who enjoys supporting patients after hospital or facility discharges, you might be a perfect fit. Resupply & Compliance Services - If you love keeping patients' therapy running smoothly by getting their supplies to them on time, this role has your name on it. Each position plays a vital role in delivering top-notch care and customer service! What You'll Do Provide Excellent Service : Offer exceptional customer care via phone, email, or in-person interactions, addressing inquiries on durable medical equipment and supplies. Educate Clients : Guide individuals and clients on product usage, insurance coverage, and best practices-whether in facilities, a retail storefront, or for CPAP needs. Coordinate and Collaborate : Work with internal teams, healthcare professionals, and insurance providers to ensure timely, compliant, and efficient service. Manage Documentation : Use electronic medical record systems and follow company policies/protocols to maintain accurate, up-to-date records. Ensure Compliance : Adhere to healthcare regulations, maintain product knowledge, and stay informed about new offerings in each department. What You Bring Communication & Empathy : Strong interpersonal skills to connect with clients, answer questions, and resolve concerns effectively. Team-Oriented Mindset : Willingness to collaborate across departments and support shared goals. Adaptability & Drive : Eagerness to learn, grow, and navigate diverse tasks-from assisting walk-in customers to verifying insurance details. Attention to Detail : Comfort with documentation, data entry, and managing multiple priorities in fast-paced environments. Minimum Education : High School Diploma or GED required. Associate or Bachelor's degree preferred What You Get - Benefits That Go Beyond the Basics Comprehensive Health Coverage - Medical, Dental, and Vision insurance to keep you and your family well Future-Ready Retirement Plan - 401K with 3% company contribution after one year and 1,000 hours worked Time to Recharge - Generous PTO, Vacation and 9 Paid Holidays Extra Support When You Need It - Short Term Disability (optional) and Company-Paid Long-Term Disability and Free Confidential Employee Assistance Program Education That Pays Off - Exclusive Tuition Reimbursement Program with Niagara University - save on master's degree programs Be Part of Something Bigger - Join an organization that values giving back through community programs Compensation $18.00 - $24.00 per hour, depending on experience Location Wheatfield, NY

Title: Health Home Plus Client Care Coordinator

Work Schedule: Part-Time, Saturday & Sunday, 3:00 p.m.-11:00 p.m. (Evening Shift) Part-Time, Saturday & Sunday, 11:00 p.m. - 7:00 a.m. (Overnight Shift) On-Call, Called to work on an as-needed basis Provide quality care to clients in our in-patient rehabilitation program. Responsibilities: Must be knowledgeable of the client's rights and ensure an atmosphere that allows for the privacy, dignity, and well-being of all clients in a safe, secure environment. Provide individualized attention, which encourages each resident's ability to maintain or attain the highest practical physical, mental, and psycho-social well-being. Knowledgeable of the individualized care plan for clients and provide support to the resident according to the care plan. Contribute to the care planning process by providing the Clinical Director other care planning staff with specific information and observations of the client's needs and preferences. Maintain the comfort, privacy, and dignity of each client in the delivery of services to them. Interact with residents in a manner that displays warmth and promotes a caring environment. Fully understand all aspects of the client's rights, including the right to be free of restraints and free of abuse. Responsible for promptly reporting to the Clinical Director incidents or evidence of resident abuse or violation of the client's rights. Complete records documenting care provided or other information in keeping with department policies. Perform all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials. Tasks: Adhere to all documentation regulations including but not limited to the EHR System, OASAS, AWARDS, incident reporting, daily logs, progress notes, and medication logging. Assist in maintaining a safe, neat, and clean environment; report environmental deficiencies to the Clinical Director such as lighting or equipment problems. Observe clients for changes in medical condition or behavior and promptly report these changes to the Clinical Director and Associate Area Director. Monitor and document patient medication as related to the facility DEA license and regulations including taking vital signs (TPR), applying creams/ointments, collecting laboratory specimens. Change and wash linens on each assigned shift. Conduct and document rounds on each shift. Obtain food handler license within 30 days of written notification from Clinical Director. Perform various tasks assigned by the Clinical Director as needed. Qualifications Requirements and Qualifications: A high School diploma or equivalent, previous Nursing Assistant experience or Certification preferred . Skills needed include Proficient use of computer and software applications, moderate reading, writing, grammar, and mathematics skills; proficient interpersonal relations, empathetic stance, and communicative skills; auditory and visual skills; ability to bend, stoop, sit, stand, reach, and lift items weighing 50 pounds or less Valid Drivers License Preferred

The Children's Care Coordinator (CCC) functions as a member of an interdisciplinary team to provide support to families and children with serious emotional disturbance, chronic conditions, or trauma experiences. CCC helps the children develop the highest level of functioning and wellness by assisting them to identify strengths and needs, and connecting them to resources in their community. Essential functions include: Ongoing assessment, evaluation and ensuring the provision of service needs for each case. Coordination and monitoring of all services inclusive of medical, mental health, and educational wellness/success through collaborative relationships. Home and field visits to provide counseling, crisis intervention, referral and advocacy services, coordination of services, and assistance with basic needs. Work collaboratively with each child and family to develop written care plans and crisis plans, as needed. Preparation of all charting, assessment forms, accountability forms and direct service requirements of state and city regulations. Attend regular supervisory and case conference sessions, trainings and other meetings, as assigned. What You Need Bachelor's Degree Required; Masters Degree Preferred in one of the following fields: Social Work, Psychology, Education, Rehabilitation, Human Services, Occupational Therapy, Counseling, Community Mental Health, Sociology, Physical or Recreational therapy. Degrees in other related areas may be considered. Training and successful certification as a CANS-NY Assessor needed within 30 days of start date. Skills and/or Experience Required: For B.A. level candidates, two (2) years OR for M.A. level candidates, one (1) year of related human services experience required in providing direct services or linking children with serious emotional disturbances to services. Excellent interpersonal, communication and time management skills, along with English-language writing skills necessary to fulfill state and city regulations for record keeping. Team player with creativity, commitment, and initiative to be a part a growing, dynamic program Ability and willingness to regularly travel, in some instances with clients in agency vehicle to many locations using various modes of reliable and safe transportation Preferred: Knowledge of Community Resources, Medicaid, and other entitlements Knowledge of Trauma, Child welfare and/or Child development Bilingual a plus Job Type: Full Time; Pay Range: Salaries start at $49,000 annually

Health Home Plus (HH+) Care Manager Be the Bridge. Empower Lives. Thrive with Support. Are you driven to help individuals with complex health needs navigate life's most critical transitions? Do you excel when you're out in the community - meeting clients where they are and guiding them toward stability? We're seeking passionate HH+ Care Managers who specialize in transitions of care, with a readiness to be in the field and make real, face-to-face impact. Your Mission: Guide Clients Through Critical Transitions As a Health Home Plus Care Manager, you'll work with individuals living with serious mental illness and chronic conditions, helping them move safely from hospital to home, inpatient care to community support, or detox to ongoing treatment. Extensive fieldwork is at the heart of this role - you'll be on the ground, advocating, coordinating, and walking alongside your clients at every step. What You'll Do ✔️ Coordinate safe, smooth transitions from hospitals, detox/rehab centers, and psychiatric inpatient facilities ✔️ Conduct frequent field visits to client homes, shelters, hospitals, and community agencies ✔️ Develop and manage comprehensive, individualized care plans addressing medical, behavioral, and social needs ✔️ Collaborate closely with providers, discharge planners, and community partners to ensure continuity of care ✔️ Connect clients with housing, benefits, outpatient treatment, peer supports, and other vital services ✔️ Monitor risk factors, ensure follow-ups, and advocate fiercely for each client's stability and wellness ✔️ Support clients in navigating complex healthcare and social systems with compassion and clarity What You'll Bring ✅ Bachelor's degree in Social Work, Nursing, Psychology, or a related human services field (Master's/licensure is a plus!) ✅ At least two (2) years working with individuals with serious mental illness, co-occurring disorders, or chronic conditions ✅ Strong background in care transitions, discharge planning, community outreach, or case management ✅ A self-starter who is comfortable with extensive fieldwork and building community relationships ✅ Excellent communication, organization, and problem-solving skills ✅ Commitment to trauma-informed, person-centered care Why You'll Love This Role ✨ Supportive supervision: Experienced leaders who offer mentorship, guidance, and real-time support ✨ Hands-on, impactful work: See the difference you make every day in the field ✨ Collaborative, mission-driven team that values your voice and expertise ✨ Opportunities for professional growth: Ongoing training, and career advancement ✨ Competitive salary + comprehensive benefits

🌟 Now Hiring: Health Home Care Manager Connecting People to Care. Empowering Health. Changing Lives. 💼 Job Type: Full-Time 🎓 Bachelor's Degree Required 💰 Starting Salary: $45,000/year At the heart of quality care is connection-and at New Horizon Counseling Center, that's exactly what we do. We're on a mission to ensure that individuals facing serious health challenges are never navigating the system alone. We are seeking aHealth Home Care Manager who is passionate about removing barriers, closing care gaps, and uplifting the most vulnerable members of our community. 🩺 What You'll Do: As a Health Home Care Manager, you'll be a vital link between clients and the care they need to thrive. Your responsibilities will include: Transitional Care: Support clients as they move from hospital or rehab settings back into the community-ensuring continuity, safety, and support every step of the way. Care Plan Development and Implementation: Conduct initial and ongoing assessments of clients to document strengths, needs, goals and resources. Connectivity to Care: Schedule and coordinate timely follow-up with primary care and behavioral health providers. Addressing Gaps in Care: Identify missed appointments, medication lapses, or unaddressed needs-and take proactive steps to close the loop. Social Determinants of Health: Connect clients with resources such as housing, food security, transportation, and income/benefits support (SSI/SSD, SNAP, HEAP, etc). Collaborative Care: Work with a network of providers and support agencies to build individualized, person-centered care plans that truly make a difference. Engagement: Provide face to face outreach, engagement, and service planning in the field including clients' homes, shelters, and hospitals Documentation: Maintain documents, records, and other related reports in an organized, timely and accurate manner as per policy and procedure. ✅ What We're Looking For: Bachelor's Degree required (Social Work, Human Services, Psychology, Public Health, or a related field) Bilingual preferred (but not required-we welcome all qualified, compassionate applicants) One (1) year of related human services experience required in providing direct services to clients diagnosed with severe mental illness, HIV/AIDS or other disabilities, in order to link them to a broad range of services essential to successfully living in the community. You must have the ability and willingness to regularly travel, in some instances with clients in Agency vehicle to many locations using various modes of reliable and safe transportation Strong communication, organizational, and advocacy skills A deep sense of purpose and a commitment to serving vulnerable communities 🌱 Why Join Us? Mission-Driven Work: Every day, you'll play a key role in helping people overcome real obstacles and access life-changing care. Supportive Environment: Be part of a collaborative team that believes in mentorship, personal growth, and professional development. Community Impact: Your work will help reduce ER visits, improve health outcomes, and give people the tools to live healthier, more stable lives.

Health Home Plus (HH+) Care Manager Be the Bridge. Empower Lives. Thrive with Support. Are you driven to help individuals with complex health needs navigate life's most critical transitions? Do you excel when you're out in the community - meeting clients where they are and guiding them toward stability? We're seeking passionate HH+ Care Managers who specialize in transitions of care, with a readiness to be in the field and make real, face-to-face impact. Your Mission: Guide Clients Through Critical Transitions As a Health Home Plus Care Manager, you'll work with individuals living with serious mental illness and chronic conditions, helping them move safely from hospital to home, inpatient care to community support, or detox to ongoing treatment. Extensive fieldwork is at the heart of this role - you'll be on the ground, advocating, coordinating, and walking alongside your clients at every step. What You'll Do ✔️ Coordinate safe, smooth transitions from hospitals, detox/rehab centers, and psychiatric inpatient facilities ✔️ Conduct frequent field visits to client homes, shelters, hospitals, and community agencies ✔️ Develop and manage comprehensive, individualized care plans addressing medical, behavioral, and social needs ✔️ Collaborate closely with providers, discharge planners, and community partners to ensure continuity of care ✔️ Connect clients with housing, benefits, outpatient treatment, peer supports, and other vital services ✔️ Monitor risk factors, ensure follow-ups, and advocate fiercely for each client's stability and wellness ✔️ Support clients in navigating complex healthcare and social systems with compassion and clarity What You'll Bring ✅ Bachelor's degree in Social Work, Nursing, Psychology, or a related human services field (Master's/licensure is a plus!) ✅ At least two (2) years working with individuals with serious mental illness, co-occurring disorders, or chronic conditions ✅ Strong background in care transitions, discharge planning, community outreach, or case management ✅ A self-starter who is comfortable with extensive fieldwork and building community relationships ✅ Excellent communication, organization, and problem-solving skills ✅ Commitment to trauma-informed, person-centered care Why You'll Love This Role ✨ Supportive supervision: Experienced leaders who offer mentorship, guidance, and real-time support ✨ Hands-on, impactful work: See the difference you make every day in the field ✨ Collaborative, mission-driven team that values your voice and expertise ✨ Opportunities for professional growth: Ongoing training, and career advancement ✨ Competitive salary + comprehensive benefits