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Care Management Coordinator

Northwell Health

Job Description

  • Implement and sustain the evidence-based HealthySteps model in supporting families of children ages 0-5 with development, learning and growth, and overall wellbeing, in conjunction with the pediatric primary care team.
  • Joins and participates in in-person team-based well visits to reach families during primary care appointments.
  • Creates and maintains up-to-date community partnership and resource directory.
  • Maintains a HealthySteps family support line and responds to and track call requests within designated response time.
  • Provides appropriate referrals to families for support with individualized needs.
  • Appropriately documents all clinical activities and care coordination in the electronic health record with consideration to patient confidentiality.
  • Attend and participate in team meetings, huddles, and patient care meetings as appropriate.
  • Tracks caseload to ensure capacity to deliver HealthySteps services within the delivery model. Ensure when termination criteria are met and/ or escalate families requiring further support to higher levels of care through health system and community referrals, as appropriate.
  • Use team-based communication strategies to close the loop on referrals and follow up for outstanding patient needs.
  • May facilitate caregiver support groups as appropriate.
  • Participates in reflective clinical supervision meetings.
  • Maintains accurate records of caseload data as appropriate for program management, evaluation, and reporting purposes.
Job Qualification
  • Master's degree in social work or related field, required.
  • NYS Licensure required within 6 months of hire, if applicable.
  • 1-3 years of relevant experience working with children and families, required.
  • Successful completion of the HealthySteps Specialist training within 6 months of hire.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Vacancy posted 1 day ago
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