Health Coordinator Lead

1 week ago

Honolulu, Hawaii, United States AlohaCare Full time
About the Role:

The Health Coordinator Lead is a highly skilled and experienced professional who will serve as a resource and subject matter expert for the health coordination team at AlohaCare. This role requires strong leadership and communication skills, with the ability to mentor and coach team members.

Key Responsibilities:
  • Acts as a resource and subject matter expert for the health coordination team, providing guidance and support to team members.
  • Interacts with team members for training, coaching, and mentoring purposes, promoting a culture of collaboration and teamwork.
  • Assists the Health Coordination Manager as requested, providing administrative support and ensuring the smooth operation of the team.
  • Carries an adjusted assignment as a Health Coordinator caseload to remain operationally effective and proficient, ensuring that all members receive high-quality care.
  • Participates in workflow design/redesign and provides recommendations for improvements, ensuring that the team's processes are efficient and effective.
  • Assists in reinforcing training principles, ensuring that all team members have the necessary skills and knowledge to perform their duties.
  • Provides professional, open, and honest communication, courtesy, and respect between supervisor/manager and team members, fostering a positive and inclusive work environment.
  • Provides candid peer-review feedback to supervisor or others as requested to support performance reviews, promoting growth and development within the team.
  • Identifies concerns and discusses actions with staff and supervisor to ensure issues are addressed, promoting a culture of accountability and transparency.
  • Ability to resolve conflict with courtesy and respect, ensuring that all team members feel valued and supported.
Health Coordinator Responsibilities:
  • Conducts face-to-face or virtual Health and Functional Assessments (HFA) for all Special Health Care Needs, Expanded Health Care Needs, Community Integration Service Needs, or Community Care Service needs members, ensuring that all members receive comprehensive and person-centered care.
  • Engages member/providers to participate in the assessment process and collaboratively develop a person-centered Health Action Plan for each member, ensuring that all members have a clear understanding of their care plan.
  • Interacts with member, family, physician(s), and other providers to determine the member's status and capacity and to assess the options for service delivery, ensuring that all members receive timely and effective care.
  • Meets with the member at a minimum every 90 days in person or via video chat to monitor and document the Member's progress in the Health Action Plan, ensuring that all members receive ongoing support and care.
  • Screens for social risk factors and incorporates information on the results of positive screens into clinical decision making, ensuring that all members receive comprehensive and person-centered care.
  • Assists the member with connecting to social services to help find and apply for housing necessary to support the individual in meeting their medical care needs, ensuring that all members have access to the resources they need to thrive.
  • Ensures the Health Action Plan is a person-centered individualized plan that is developed with the Member and/or authorized representative, ensuring that all members have a clear understanding of their care plan.
  • Facilitates authorization and access to services, ensuring that all members receive timely and effective care.
  • Verifies authorized or coordinated services have been provided, ensuring that all members receive high-quality care.
  • Monitors and resolves any concerns about service delivery or providers and ensures that the services being provided meet the member's needs, ensuring that all members receive comprehensive and person-centered care.
  • Surveys members to ensure member satisfaction with providers and services, ensuring that all members have a positive experience with AlohaCare.
  • Provides individualized education on preventative health care measures, ensuring that all members have the knowledge and skills they need to maintain their health.
  • Provides information on HCBS alternatives to nursing facility placement and the choice of Self-Direction of HCBS, ensuring that all members have access to the resources they need to thrive.
  • Monitors and performs health coordination activities for members in Self-Direction program, ensuring that all members receive comprehensive and person-centered care.
  • Monitors the Electronic Visit Verification portal for completed visits, ensuring that all members receive timely and effective care.
  • Assists members in transitioning between hospital, nursing facility, other congregate settings, and other community-based locations, ensuring that all members receive seamless and coordinated care.
  • Refers to and works with Hawaii CARES to ensure Members receive SUD, mental health, and co-occurring treatment and recovery support services, ensuring that all members have access to the resources they need to thrive.
  • Coordinates care with members receiving services through AMHD, CAMHD, and DDD programs, ensuring that all members receive comprehensive and person-centered care.
  • Maintains accurate written documentation and records of health coordination activities, ensuring that all members receive high-quality care.
  • Ensures compliance with all state and federal regulations, including HIPAA standards of confidentiality of protected health information, ensuring that all members' sensitive information is protected.

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