Care Coordinator

Care Coordinator

Unknown Employer

JOB SUMMARY The Care Coordinator (CC) may be required to deal with patients and, if appropriate, their carers, before or after the patient’s consultation with a clinician or other healthcare professional.   The CC’s role requires them to be able to work closely with the patient and their clinician or other healthcare professional and understand the roles of, a variety of different people working in the practice and across the PCN.    The CC will be involved in coordinating patients’ healthcare and directing them to the appropriate service to ensure that they get the most suitable care from whatever health or social care provider is appropriate   You may be given a caseload of identified patients and be required to ensure that their changing or present needs are addressed by taking into account local priorities, health inequalities and/or population health management risk stratification. RESPECTING ALL * Showing courtesy * Seeking to understand * Treating all fairly * Valuing each person as a unique individual * Being especially supportive to the vulnerable Working as a team *  Relating well within the team * Valuing the contribution of each team member * Building a mutually supportive environment * Co-operating with other teams * Encouraging responsible involvement by our patients Integrity * Speaking and acting truthfully * Being accountable for our actions Learning and improving * Adapting to change * Building on achievements * Developing our services Equality, Diversity & Inclusion A good attitude and positive action towards Equality Diversity and Inclusion (EDI) create an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.   Patients and their families have the right to be treated fairly and to be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.   Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect. Safety, Health, Environment and Fire (SHEF) This practice is committed to supporting and promoting opportunities for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.     Confidentiality This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect that all staff will respect their privacy and maintain confidentiality at all times. It is essential that if the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.  Quality & Continuous Improvement (CI) To preserve and improve the quality of our output, all personnel are required to think not only of what they do but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.   This practice continually strives to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.   Induction training On arrival at the practice, all personnel are to complete a practice induction programme.  Learning and development The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to participate in and complete mandatory training, as directed by the training coordinator, as well as participating in the practice’s training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and, ultimately, enable them to improve processes and service delivery.   Collaborative working All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential, and all staff must ensure that they communicate in a manner which enables the sharing of information in an appropriate manner. Service delivery Staff at DMC must adhere to the information contained within practice policies and regional directives, ensuring that protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.     Security The security of the practice is the responsibility of all personnel. Staff must ensure that they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks with anyone and they are to ensure that restricted areas remain effectively secured. Professional conduct At DMC staff are required to dress appropriately for their role.  Leave All personnel are entitled to take leave. Line managers are to ensure that all of their staff are afforded the opportunity to take leave each year and should be encouraged to take all of their leave entitlement.   Location  This role is split across two practice sites: *  Chadwick Road Surgery  *  Crystal Palace Road Surgery

Care Coordinator

Unknown Employer

Care Coordinator: HYBRID   JOB SUMMARY This caseload is located in the surrounding areas of Silver Creek, Dunkirk, Fredonia, South Dayton, Forestville, Stockton, and Mayville.       The care coordinator has an 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 needs of the individual. For individuals who are enrolled in the health home, the care coordinator will take a holistic approach to care by utilizing the core standards of service. These include: * 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     ESSENTIAL FUNCTIONS   * Completes required assessments using person centered planning techniques, as well as gathers and incorporates 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 that the individual directs the process to the maximum extent possible and can make informed decisions and choices.   * 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, no less than annually.   * Accountable for coordinating all aspects of an individual’s care.   * Effectively manage a tiered caseload, while tailoring services to individual needs.   * Completes program enrollment and eligibility document.   * 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 meeting with individuals in their homes, physician/provider offices, and other public places in order 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.   * Initiate 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.   * Provide 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. KNOWLEDGE, SKILLS & 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.   * 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.   * 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   EDUCATION & EXPERIENCE   * 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. * A valid New York State driver’s license is required. If residing in a bordering state, a valid driver’s license from that state is acceptable for employment in New York.    View Full  Job Description  [https://personcenteredservices.com/wp-content/uploads/2025/12/Care-Coordinator-Job-Description-updated-2025.pdf] #INDLP ff

Care Coordinator- Medical Assistant

CINQCARE

Why Join Grace at Home? Grace at Home is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care. Overview This position reports to the Clinical Support Supervisor. We are committed to serving through a Culture of Care. The core principles that drive Grace at Home in every market are the same, though they are expressed locally may vary: Humility, Partnership, Transparency, Creativity, Integrity, and Empathy. Duties & Responsibilities * The Care Coordinator will have the following responsibilities: * Order any acute imaging/labs for Provider. * Answers phone calls/messages from or pertaining to Grace at Home patients. * Provide support to designated provider in all patient care areas. * Communicating & collaborating with other Care Coordinators to ensure all work is completed. * Keep workspace within HIPPA compliance. * Communicate daily with Provider to encourage delivery of comprehensive care plan to each patient within the team and expedite workflow to facilitate Providers ability to see patients. * Check EHR messages regularly. Follow up on requests in a timely manner. * Send in prescription refills. * Communicate with community partners to facilitate care for patients. * Processing inactive patient information. Qualifications * Education: · High School Diploma or GED required. · Medical Assistant Certification required. Experience: · At least 3+ years of experience in a healthcare setting or a bachelor’s degree in a healthcare related field. · Prior experience using electronic health record. · Comfort with technology including the Microsoft Suite of products. Communication: · Excellent verbal, written communication, and presentation skills; ability to clearly articulate and present concepts and models in an accessible manner to Grace at Home team, investors, partners, and other stakeholders. Proficiency in all Microsoft Office applications. Relationships: · Ability to build and effectively manage relationships with business leaders and external constituents. Culture: · Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company. The working environment and physical requirements of the job include: Work is performed indoors in a setting with air conditioning and artificial light. Travel to and work in offices or other environments is required.  In this position you will need to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business. Equal Opportunity & Reasonable Accommodation Statement Grace at Home is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law. If you require reasonable accommodation during the application or employment process, please inform the recruiter during the hiring process. Disclaimer This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary. Our Benefits Financial Well-being * Competitive Compensation: We offer competitive salaries to attract and retain the best talent. * 401(k) with Employer Match: Plan for your future with our 401(k) plan and a generous 4% employer match. Health and Wellness * Comprehensive Medical Plan: We proudly offer a comprehensive medical option with an employer contribution. * Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife. * Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you. * Generous Paid Time Off: Enjoy ample time off for rest and rejuvenation with generous PTO, holidays, and wellness time. Additional Perks * Continuing Medical Education (CME) Allowance for APPs/MAs: Stay at the forefront of your field with our CME allowance. * Commuter Benefits: Save on your commute with our commuter benefits program. * Mileage Reimbursement: Get reimbursed for work-related travel expenses.