Spectrum Health and Human Services
Buffalo, NY, USA
Job Description Job Description SUMMARY OF POSITION FUNCTION: The Care Coordinator will apply 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 and Family Support and Referral to Community & Social/Support Services). The Care Coordinator will be responsible for the following outcomes: to reduce utilization associated with avoidable and preventable inpatient stays, to reduce utilization associated with avoidable emergency room visits, to improve outcomes for person with mental health illness and/or substance use disorders and to improve disease-related care for chronic conditions. MAJOR DUTIES AND RESPONSIBILITIES: Complete a comprehensive health assessment/reassessment inclusive of medical/behavioral/rehabilitative and long term care and social service...