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Home Visit Care Coordinator

MetroPlusHealth
Brooklyn, NY Full Time
POSTED ON 4/9/2025
AVAILABLE BEFORE 5/5/2025

Position Overview

MetroPlusHealth  is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

Under the direction of the Assessment Nurse Team Lead, and in collaboration with the member’s Care Manager, this role will conduct an in-person home visit for MLTC and MAP members at a 6-month interval from the member’s UAS. The home visit includes a brief health assessment on medical and behavioral health topics as well as a quick environmental scan of the member’s home. The information gathered during this visit will then be incorporated into the member’s subsequent person-centered service plan (PCSP). This home visit is a regulatory requirement for both MLTC and MAP and ensures that the member’s PCSP is completely aligned with their current needs, validated with the gathering of face-to-face data.

Job Description

  • Conducts home visits to all members assigned and ensures compliance with HIPAA verification
  • Schedules own home visits, optimizing efficiency
  • Utilizes the home visit assessment tool when speaking with the member
  • In the event that a member is unwilling to have someone visit them in the home, conducts telehealth home visit using the same tool
  • Escalates clinical and social issues to the members’ designated Care Manager
  • Accurately and timely documents member call interaction in the care management system Disease Care Management System (DCMS)
  • Provides printed educational materials as appropriate
  • Fulfills basic care coordination tasks for the member such as appointments, transportation, medication issues such as needing prescription or refill, DME, etc.
  • Conducts other supportive activities as assigned

Minimum Qualifications

  • Bachelor’s degree from an accredited college or university in a healthcare related field is required
  • Minimum of 2 years of work experience in care management / coordination, health education, health home or community-based organization required.
  • Managed Care experience preferred
  • Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional / Technical skills, knowledge of Excel, ability to navigate multiple systems
  • Written / Oral Communication
  • Salary : $50,000

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