Health Homes Care Coordinator

Order#: NY1701121 Health Homes Care Coordinator GENERAL JOB DESCRIPTION Perform outreach and enrollment activities to assist consumers in the community understand the benefits of, and enroll in, a Health Home. Coordinate services to decrease high risk medical and/or behavioral health costs for individuals being served in Health Homes. SPECIFIC DUTIES & RESPONSIBILITIES 1. Identify areas within the region where people with high medical risks are encouraged to seek health care, and conduct Western NY Independent Living (WNYIL), Inc. Outreach and Engagement. 2. Determine Medicaid eligibility through ePaces for all individuals; if Medicaid eligible, collaborate with Medicaid Application Assistance Program/Aged Blind and Disabled (MAAP/ABD) and work together to certify/recertify, if individual desires. 3. Coordinate WNYIL, Inc. staff to meet established benchmarks in the required amount of time, set by the Health Homes, for individuals being served. 4. Ensure WNYIL, Inc. staff follow-through on decreasing or eliminating barriers that individuals may face in keeping appointments through coordination with WNYIL, Inc. direct service staff. 5. Coordinate WNYIL, Inc. direct service staff to collaborate with the individuals community and family supports to meet identified social needs. 6. Recruit individuals who qualify for Medicaid and have two (2) or more chronic health conditions, serious mental illness, HIV/AIDS or significant risk factors that can be addressed with coordinated care (i.e. Homelessness). 7. Facilitate and document face-to-face referrals from community providers. 8. Contact potential Health Homes enrollees via phone, letter and face-to-face contact. 9. Enter all required data into all required program reporting databases (including but not limited to, Care Plans, referrals and assessments). 10. Maintain acceptable billing levels per month to achieve salary. 11. Accurately document consumer services and required paperwork in WNYILs Service Performance Record (SPR) database, as well as the Electronic Consumer Record (ECR), within two (2) working days of the date of service. 12. Participate in maintaining a neat, clean and safe work environment. 13. Perform other job-related duties as assigned by the supervisor. EDUCATION & TRAINING * Must possess a Bachelors degree in one of the following areas: Child & Family Studies, Community Mental Health, Counseling, Education, Nursing, Occupational Therapy, Psychology, Recreation, Recreation Therapy, Rehabilitation, Social Work, Sociology or Speech and hearing. OR NYS licensure and current registration as a Registered Nurse AND a bachelors degree OR Bachelors level education or higher in any field with five (5) years experience working directly with persons with behavioral health diagnosis OR a CASAC. * Must have a Masters degree in one of the fields listed above, with one (1) year experience OR Bachelors degree identified above with two (2) years experience in the following: either providing direct services to persons diagnosed with mental disabilities, developmental disabilities, alcoholism or substance abuse Western New York Independent Living, Inc. values our employee safety and follows all recommended NYS required Infectious Disease Prevention Protocols. Western New York Independent Living, Inc. is an Equal Opportunity Employer. Western New York Independent Living, Inc. is a scent-free Agency. Closing Date: September 15, 2025 To apply, forward cover Letter and Resume to: Human Resources Dept. WNY Independent Living, Inc. 3108 Main St. Buffalo, N.Y. 14214 [email protected]