Community Care Coordinator- Primary Care

Community Care Coordinator
- Primary Care
- Full Time

Hartford, CT, United States
Farmington, CT, United States
(On-site)

Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home.

Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.

At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.

Connecticut Children’s Center for Care Coordination (The Center) is dedicated to the integration of care coordination through the delivery of innovative programs, providing technical assistance, disseminating best practices, and building inclusive partnerships to strengthen families and build stronger communities. The Center utilizes a universal, evidence based, research informed, and policy driven approach to enhanced care coordination that not only meets the interrelated medical, developmental, behavioral, and social needs of children, but enhances the care giving capacity of families.

Provide care coordination services to all children (including children and youth with special health care needs and children who are vulnerable and at risk for poor outcomes) by supporting and assisting families with accessing and securing appropriate community services and resources.

Direct Care Coordination:

• Provide comprehensive care coordination services to children, youth, and their families by linking them to appropriate medical, developmental. Behavioral, educational (etc.), and social services and resources.
• Utilizes the strength based approach, Strengthening Families™, The 5 Protective Factors Framework, to partnering with families.
• In collaboration with families and in consultation with primary care providers and specialty providers, develop and implement a comprehensive, shared plan of care that addresses specific needs and goals
• As an integral member of the care coordination team, collaborate with inpatient, outpatient, and behavioral health team members to ensure transitions in care across the continuum that will mitigate the potential for gaps in care, redundancy, duplication, and poor health and wellbeing outcomes.
• Participate and advocate for families during medical appointments, school meetings, case conferences, etc. as appropriate
• Participate in all grant specific meetings, care coordination collaboratives, and various community meetings as appropriate. Meet required grant deliverables as indicated.

Center Responsibilities:

• Participate fully in Center activities: staff meetings, work groups, innovative programs and projects, research activities.

Documentation:

• Communicate with providers via fax/email on progress of services.
• Document all care coordination activities in data bases as appropriate.
• Adherence to current HIPAA guidelines in insure patient/family confidentiality.

Education and Advocacy:

• Empower families to direct the care of their children within the medical home model (or other care delivery system) by formulating a care plan that promotes self-advocacy, networking skills, and culturally relevant services.
• Provides education, consultation, referrals, training and support to families and community providers through direct advocacy, technical training, and providing educational materials.
• Collaborates with colleagues in the Center for Care Coordination by providing information and technical assistance on cases, attending care management meetings, and assisting in the…