Prime Care Coordination
  • Rochester, NY, USA
  • Full Time


The Assistant Care Manager's primary function is to work in partnership with the Care Manager to provide services to individuals with I/DD, to coordinate care and services needed to assist individuals achieve optimal health, wellness, and life goals. The Assistant Care Manager is responsible in conjunction with the Care Manager to provide Health Home core services including comprehensive care management, care coordination and health promotion, comprehensive transitional care, individual and family support, referral to community and social support services, and use of Health Information Technology to link services. The Assistant Care Manager will provide all services with a person-centered approach and that aligns with NYS OPWDD Valued Outcomes.

Essential Job Functions:

  • Assess and address health and safety issues as well as barriers to care and treatment including social determinants of health
  • Collaborate with interdisciplinary team and incorporate input into comprehensive assessment and Life Plan
  • Incorporate health promotion and support opportunities for individuals to achieve and maintain optimal health and wellbeing
  • Meet with individuals and families face to face in the community and their homes
  • Coordinate and ensure access to chronic disease management
  • Facilitate referrals to clinical and community resources, including planning, referrals, and follow-up for transitional care
  • Coordinate and provide access to long-term care supports and services
  • Engage families and natural supports into the care coordination process
  • Ensure all individuals and families receive services that are culturally and linguistically appropriate
  • Advocate on behalf of the individual
  • Promote self-advocacy and the ability to self-direct
  • Use Health Information Technology for documentation, to link services, and facilitate communication among care coordination team
  • Secure all health records and other protected information with the highest regard to confidentiality and HIPAA laws and regulations
  • Maintain compliance with all state and federal laws and regulations, Medicaid compliance, and PCC policies and procedures
  • Document all services and maintain appropriate records following all established documentation procedures
  • Represent PCC on workgroups, committees, advisory groups or networks as assigned
  • Participate in opportunities for continued training and education
  • Perform all other duties relevant to the position as requested.

Knowledge, Skills, and Abilities:

  • Ability to act quickly, assess and act accordingly in crisis situations
  • Basic technology skills and understanding of health records
  • Knowledge of ethical and professional responsibilities and boundaries
  • Demonstrate professional work habits including dependability, time management, independence and responsibility

Education and Experience:

  • Associates Degree or equivalent earned college credits in Health or Human Services or related fieldĀ OR
  • A Bachelor's degree

Physical Requirements/Working Conditions:

  • Ability to sit/stand throughout day to accomplish job
  • Ability to enter data, notes, and other documentation into a computer.
  • Must be able to travel throughout covered territories in Upstate NY as needed.

Corporate Qualifications/Expectations:

  • Adhere to all Prime Care Coordination policies and procedures.
  • Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards.
  • Attend mandatory education and training modules as scheduled; obtain and maintain required certifications.
  • Maintain all required certifications/training by State regulations and PCC policy
  • Act as a professional representative of PCC in regard to appearance, behavior, temperament, communication, language, and dress.
Prime Care Coordination
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