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**Job Title:** Health Home Care Coordinator
OverviewThe Economic Opportunity Council of Suffolk Inc is seeking a highly skilled and dedicated individual to fill the position of Health Home Care Coordinator.
Responsibilities- Coordinate comprehensive medical and behavioral health care for patients with chronic conditions through care coordination and integration that assures access to appropriate services and improves health outcomes.
This includes reducing preventable hospitalizations and emergency room visits, promoting the use of health information technology, and avoiding unnecessary care.
Key Responsibilities:- Manage and coordinate all of the services the person receives from multiple providers.
- Capture engagement of clients in detailed progress notes.
- Promote good health.
- Provide transition care, including appropriate follow-up from inpatient to other settings.
- Provide patient and family support.
- Make referrals to community and social support services.
- Assist with facilitating screening and referral for primary care prevention and treatment needs.
- Provide and ensure that primary care screening, assessment, treatment, and referral are provided in a community-based behavioral health agency.
- Offering prevention and wellness support services.
- Establishing referrals and follow-up processes for physical health care requiring specialized services beyond the primary care setting.
Salary: $50,000.00 per annum, commensurate with experience.
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