Feb 18, 2024
$45,000 - $48,000 yearly
Evergreen Health The Health Home Plus Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support and Referral to Community & Social/Support Services) to patients within the Center for Care Coordination. The Health Home Plus Care Coordinator provides care coordination for patients with a diagnosis of Serious Mental Illness (SMI) and/or HIV patients with an unsuppressed viral load that are categorized as high risk, high need. The Health Home Plus Care Coordinator is responsible for the following outcomes: Reduce utilization associated with avoidable and preventable inpatient stays; reduce utilization associated with avoidable emergency room visits; improve outcomes for persons with mental health illness; and improve disease-related care...
Evergreen Health Buffalo, NY, USA Full time