Care Coordinator

Why Work For Us

When you join the Person Centered Services team, you can make a difference in the lives of people with intellectual and developmental disabilities, while also reaching your own career goals.

Benefits

• 20 Days of paid time off (PTO) in your first year, increasing to 25 Days in your second year
• 13 Paid Holidays
• Comprehensive health insurance plans (Medical, Dental & Vision)
• 401(k) with Company matching 50% of the first 6% up to a maximum of 3%
• Company-paid benefits: basic life insurance, long-term disability, and a Lifestyle Spending Account with up to $500 for wellness expenses
• Employee Discount and Wellness Programs (currently 3 paid hours per week for exercise, volunteering, or personal wellness)
• Professional development opportunities including mentorship programs and ongoing coaching

Schedule

• New Employee Orientation (NEO) offered Monday - Friday, both onsite and online, with day one including in-person training at the West Seneca, NY office
• Care Coordinators are required to attend three onsite days per week during the first 90 days
• After 90 days, team members may transition to a hybrid schedule for added flexibility
• Supervisors may extend the on-site requirement if needed

About the Role

The Care Coordinator has overall responsibility and accountability for coordinating all aspects of an individual’s care, including health and behavioral healthcare, community supports, and other services required to meet the needs of the individual. For individuals enrolled in the health home, the Care Coordinator will take a holistic approach using the core standards of service:

• 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

Responsibilities

Essential Functions

• Completes required assessments using person-centered planning techniques and gathers 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 they direct the process to the maximum extent possible and can make informed decisions
• 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)
• Accountable for coordinating all aspects of an individual’s care
• Effectively manages a tiered caseload, tailoring services to individual needs
• Completes program enrollment and eligibility documents
• 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
• Frequent travel to meet with individuals in their homes, physician/provider offices, and other public places 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
• Initiates incident reports and follows up to ensure compliance with regulations
• Monitors individual satisfaction with supports and services
• Ensures case files are in compliance with regulation and policy
• Provides quality-driven, cost-effective, culturally appropriate services

Other Duties

• Commits to a respectful, just, and supportive environment for individuals and team members aligning with the company’s commitment to diversity, equity, inclusion, and belonging
• Other duties as necessary or assigned

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
• Valid New York State driver’s license (or a valid driver’s license from a bordering state if residing there)

Skills & Qualifications

• 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
• Knowledge 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
• 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