Health Home Care Coordination Program Manager - Specialty Mental Health/Assisted Outpatient Treatment (req 100994)
Whitney M Young Health
- Albany, NY
- $59,000-68,000 per year
- Permanent
- Full-time
- Provides program oversight and supervision for Health Home Care Coordinators serving , HH+/AOT including staff development and required training.
- Provides oversight assignments for internal/external referrals;
- Facilitates care manager admission process for the health home serving HH+/AOT, ensuring timely and appropriate case assignments.
- Performs utilization review and specialty chart audits necessary to ensure accurate/complete care coordination documentation.
- Monitors care coordination workflows for HH+/AOT embedment(s) across WYH network of care.
- Possesses a working knowledge and application of the electronic platforms adopted by the Lead Health Home(s) and other DOH reporting systems and is a super user/trainer for all software utilized for documentation purposes.
- Monitors care coordination caseloads to ensure stratification and acuity.
- Facilitates continuity of care meetings with Managed Care Organizations (MCO), Local Government Unit (LGU) regarding high risk, high service utilization for HH+/AOT.
- Submits monthly reporting and documentation as required by the lead health home, OMH, DOH and WYH, including but, not limited to care manager notes, specialty assessments, enhanced plans of care/AOT stipulations, census reports, HML reports and billing reports in a timely manner.
- Facilitates weekly WYH Care Coordination Case Conference.
- Serves as the HH+/AOT liaison to the Lead Health Home, LGU and Office of Mental Health; provides capacity reporting and stratification results.
- Monitors, reviews and ensures completion of care coordination activities and Action Boards
- Manages patient lists supplied by the Lead agency, LGU, community based and WYH referrals.
- Oversees outreach, diligent search and care coordination activities necessary to engage/re- engage patients in the program.
- Reviews and submits care coordination documentation as to ensure fulfillment of billing in accordance with Medicaid/DOH requirements.
- Serves as a resource for WMY departments and outside community based organizations to increase referral base and program census.
- Participates in the Interdisciplinary Team Meeting, Diversion Meeting and department meetings as assigned.
- Monitors, reviews and disseminates ADULT/HARPS assignments to ensure care coordinator fulfill of productivity standards.
- Ensures all patients receive monthly CORE care management services.
- Demonstrates excellence in both internal and external customer service.
- Displays an awareness and sensitivity to the diversity of the population to be served.
- Understands and is able to articulate HIPAA compliance, corporate compliance and patient confidentiality and DOH 5055.
- Ensures compliance with local, state, and federal regulation (i.e., Joint Commission, NCQA, NYSDOH, Lead Health Home).
- Adheres to the National Patient Safety Goals as defined by NCQA and Whitney M. Young Jr. Health Services.
- Completes other duties, as assigned.