Location: New York,NY, USA
NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities PURPOSE OF POSITION: With the support and supervision of the Director of Care Coordination, the Central Support Care Coordinator will complete tasks that aid the delivery of high-quality care coordination services by the NYC Health + Hospitals/ Community Care. AREAS OF RESPONSIBILITIES: MLTC/MAP Assessments for Home Visits Referral assignment High-Medium-Low (HML) assessment Telephonic outreach and calendar scheduling SUMMARY OF DUTIES AND RESPONSIBILITIES: Demonstrates proficiency in understanding the eligibility requirements of all Community Care's Care Coordination programs inclusive of Health Home, Health Home Plus, HARP, Department of Health and Mental Hygiene (DOHMH) Grant, and the Non-Medicaid Care Coordination program. Referral Assignment for programs, completing administrative functions and scheduling for field based staff to engage health plan members that are eligible for home and community based services. Telephonic Outreach of referred members to schedule intake appointments for Care Coordinators. This responsibility includes: a. Managing a list of referred patients; b. Calendar scheduling for intake appointments with care coordinators; Completes Health Home HML Assessments identified in the monthly Health Home Billing Report as missing or incorrect. This responsibility includes: a. Reviewing of patient notes for the month to identify whether billable service was completed; Reviews the monthly HARP report of discrepancies between the HARP code in the billing portal and Epic EMR and complete corrections to the Health Home Episode in the EMR as needed; ensures that member records are also reviewed in the Medicaid eligibility portal (ePACES) prior to completing corrections in the Epic EMR. Completes all required trainings relevant to execution of the above responsibilities. Performs other duties as assigned. Minimum Qualifications High School diploma required; Associate's Degree preferred Minimum of one year experience in outreach, sales or customer service; or in a healthcare or health plan organization. Additional Qualifications Strong communication skills (both written and verbal) Ability to thrive in a fast-paced, highly collaborative environment Ability to adapt to changing workflows and policy in a responsive and productive manner Ability to interact with external partners in a professional and productive manner Department Preferences EQUIPMENT/MACHINES OPERATED: Printer/Scanner/Copier/Fax machine, Laptop/Tablet COMPUTER PROGRAMS/SOFTWARE OPERATED: Proficiency/Experience in the following: Microsoft Office Suite (Outlook, Word, Excel) Epic Electronic Medical Record (EMR) System Various health and other information portals/systems If you wish to apply for this position, please apply online by clicking the Apply Now button or forward your resume to ...@nychhc.org noting the above Job ID # 106356. NYC Health and Hospitals offers a competitive benefits package that includes: