Care Coordinator Bilingual - Care Coordination

Why Work For Person Centered Services?

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) to choose from
• 401(k) with Company match: 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 eligible expenses
• Employee Discount and Wellness Programs, including 3 paid hours per week for exercise, volunteering or personal wellness
• Professional development opportunities including mentorship program options and ongoing coaching
• New Employee Orientation (NEO) offered Monday–Friday both onsite and online; day one includes in-person training at the West Seneca, NY office

Hybrid Schedule

• Care Coordinators are required to attend three onsite days per week during the first 90 days
• After successfully completing this period, team members may transition to a hybrid schedule for added flexibility
• Supervisors may extend the onsite requirement if needed

Position Summary

The Bilingual Care Coordinator has 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 individual’s needs. 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

• Completes required assessments using person-centered planning techniques and incorporates all other relevant assessments
• Develops a comprehensive, person-centered Life Plan with the individual, their circle of support, and their entire service provider team
• Supports the individual in the planning process so they direct the process to the maximum extent possible and can make informed decisions and choices
• Reviews the Life Plan with the individual’s interdisciplinary team at least annually and every time there is a life-changing event; this review must occur during a face-to-face meeting
• Coordinates all aspects of an individual’s care
• Manages a tiered caseload while tailoring services to individual needs
• Completes program enrollment and eligibility documentation
• 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
• Meets 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 follow-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
• Commits to a respectful, just, and supportive environment for individuals and coworkers, aligning with the company’s commitment to diversity, equity, and inclusion
• Works independently from home and reports to the office at least once per week (may require more depending on business needs)
• Performs other related duties as 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

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
• Valid New York State driver’s license 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