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The Value-Based Care Management Registered Nurse interacts in-person and telephonically with chronic kidney disease patients, families, and support networks to provide comprehensive assistance in all areas related to ongoing education, medical history, medications, development of support systems, lifestyle changes and behavior modifications, thereby reducing future medical costs with early identification and support for dialysis and transplant needs.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li>Responsible for the Value Base Care clinical operations activities across the continuum of care from assessing, implementing, coordinating, monitoring, and evaluating.</li><li>Provides health education and treatment decision support for patients.</li><li>Collaborates with the patient, patient support, and interdisciplinary team including the dialysis clinic, hospital, and physician practices in assessing the patient's needs.</li><li>Conducts onsite in-person patient visits and outbound calls to assess patient's current health status, identifying gaps or barriers in treatment plans.</li><li>Coordinates with and provides consultation with physicians and other health care professionals to support the quality and the level of care provided for patients affected by Chronic Kidney Disease/ End Stage Kidney Disease.</li><li>Assists with early identification and support for dialysis and transplant needs by working closely with the Nephrologist and Value Base Care Team.</li><li>Provides patient education to assist with self-management.</li><li>Knowledge of and comply with federal, state, local laws, and regulations, including health care professionals practice act requirements.</li><li>Performs duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.</li><li>Participates in team concepts and promote a team effort; performs duties in accordance with company policies and procedures.</li></ul>

U.S. Renal Care

RN, Market Management, Value-Based Care - Buffalo, NY

Position - Wraparound Care Coordinator Job Type: Full-time (flexible schedule 35-hour work week) Starting Pay: $24.12 per hour (43,896.06) - $25.34 per hour (46,118.30) with yearly raises. Wraparound Program: Wraparound is a family-centered process that employs the wraparound facilitation model to help preserve the family unit through the coordination of in home and community based services and supports and monitors risk, safety, permanency, and well-being of each family member in the home. Our program works with the whole family with children in the home up to the age of 18 who are at risk of out of home placement and have an ability to function in school, home, and community with community-based services supports. Major Responsibilities/Activities: <ul><li>Provides home-based services to a caseload of 12 families in Erie County utilizing the Wraparound Care Coordination model</li><li>Utilizes a strengths-based and family-centered approach to services. Meets families where they are at and fosters their growth toward their family vision.</li><li>Partners with children, parents, guardians and service providers to create a comprehensive Plan of Care and identify any additional services the family may benefit from</li><li>Conducts assessments throughout duration of the case</li><li>Provides community linkages as appropriate</li><li>Coordinates in-home, direct services for client families from Wraparound network vendors such as in-home therapists, skill builders, and parent skills workers</li><li>Conducts a minimum of two face-to-face contacts with families each month</li><li>Conducts Child and Family Team meetings each month</li><li>Maintains timely and accurate documentation in two systems</li><li>Other duties as deemed appropriate</li></ul> Competencies: <ul><li>Solid writing and verbal communication, organizational skills, and time management</li><li>Strong engagement skills and ability to engage with diverse populations</li><li>Flexibility related to scheduling</li><li>Familiarity with computer applications (i.e. Word, Excel, Outlook)</li></ul> New Directions is an equal opportunity employer committed to championing the principles of anti-racism, justice, and equity. We welcome prospective employees from diverse cultures and backgrounds, for all positions, who will uphold our values and contribute to our mission. We aim to have a leadership and workforce that is reflective of the communities we work in partnership with. Minimum Education and/or Professional Qualifications/Skills: - Bachelor’s degree in a human services field and 2 years paid work experience in human services. Experience in child welfare and/or mental health required. OR - Master’s Degree in human services field and one year paid work experience in the human services field. Experience in child welfare and/or mental health required. Benefits of working with New Directions <ul><li>Flexible schedule with 105 hours of paid time off your first year, not including an additional 13 agency holidays.</li><li>Work cell phone, work laptop and mileage reimbursement</li><li>Join our company, where over 30% of our staff have been with us for 10 years or more.</li><li>401(k) with agency up to 3% matching</li><li>Health, Dental and Vision insurance</li><li>Employee Assistance Program</li><li>Health savings account</li><li>Life insurance</li><li>Holiday and Paid time off</li><li>Parental leave</li><li>Professional development assistance</li><li>Employee Referral program</li><li>Retirement plan</li><li>Tuition reimbursement</li><li>Normative Culture</li></ul> We want to emphasize that the preferred qualifications are not required and that we are committed to helping our future colleagues develop these preferred skills. We strongly encourage those who are passionate about fostering a diverse, inclusive and equitable human service organization to apply. Full Job Description Title: Wraparound Care Coordinator Department: Wraparound Title of Immediate Supervisor: Care Coordination Director or Wraparound Supervisor (as assigned) POSITION SUMMARY: The Care Coordinator oversees all aspects of the Wraparound process for enrolled youth and families .The Care Coordinator facilitates a planning process that builds on the youth and families’ strengths, enhances supports and promotes stability and self sufficiency. The Care Coordinator ensures that families are informed decision-making participants on well-constructed teams that formulate individualized plans to meet identified needs in the home, school and community. The Care Coordinator also assists families in developing comprehensive crisis/safety plans and accessing resources and services as needed to divert placement or hospitalization of youth. The Care Coordinator is expected to maintain a caseload of 12 children/youth and families. RESPONSIBILITIES/DUTIES: Casework Contacts: • Maintain a caseload of 12 families. • Provide direct face to face contacts with youth and families in accordance with Erie County Preventive Service Regulations • Provide ongoing support to families in the Wraparound system including regular telephone and weekly face to face contact, and availability by cell phone • Conduct a safety assessment at each home visit • Maintain a flexible work schedule, including evenings and weekends. Child and Family Team Facilitation: • Facilitate Child and Family meetings at a minimum of once every 30 days. • organize meeting logistics and ensure all relevant participants are included • Ensure the CFT’s integrate all involved systems including the family’s formal and informal support community to develop a comprehensive Plan of Care • utilize a health record system which allows the youth’s health information and plan of care to be accessible to the team of providers • Assist the child and family team in integrating information on the youth and family's strengths and needs in order to develop a Plan of Care that clearly addresses family's goals and vision Crisis Response: • Facilitate the development of a crisis/safety plan that promotes use of the youth and family's strengths, supports, informal and formal resources as needed. • Provide 24 hour on-call coverage to assist families in implementing their Crisis Plans. Family Assessment and Plan of Care Development: • Facilitate an assessment of the family's specific cultural identity, short- and long-term family vision, strengths, resources and needs • Utilize trauma-informed, solution focused casework practices • Assist in formulating a well-composed Child and Family Team. • Refer each youth and/or family to available community resources that will assist in goal accomplishment and assist families with follow through to linkage • Assist the youth and family in addressing unmet needs through promoting the development and utilization of natural supports and resources, referral and linkage to formal services • Utilize Family Voices Network Vendor services for creative service planning to assist with unmet needs. Monitor utilization of the purchased services for effectiveness and timeliness • Facilitate the development of transition plans to ensure continued success of youth and families ending Wraparound Services • Advocate obtaining needed services for all caseload clients while active in the program. Comprehensive Transitional Care • Follow up with hospitals/ER upon notification of youth’s admission and/or discharge to/from an ER, hospital/residential/rehabilitative setting. • Facilitate discharge planning and follow up with hospitals/ER upon notification of a youth’s admission and/or discharge to/from ER/ hospital/residential/rehabilitative setting. • Link youth/family with community supports to ensure that needed services are provided. • Follow up post discharge with youth and family to ensure needed services are provided. • Notify and consult with treating clinicians, including youth’s primary care physician, schedule timely follow up appointments, and assure that all ordered medications are in the home and at other administering sites (e.g.schools and day care), and assist with medication reconciliation. Collaborate with Wraparound Team: • Collaborate with team members for case coverage and consultation • Participate in regularly scheduled team meetings Collaborate with Community Partners: • Include all community partners in the Child and Family Team process • Collaborate with formal systems, service providers and informal networks involved with the youth and family • Communicate with Erie County Case Manager regularly Documentation: • Input and update all necessary documentation in Fidelity EHR and CONNECTIONS including Assessments, Plans of Care, Safety and Crisis Plans and Progress Notes • Maintain accurate and timely case records, including progress notes and tracking mechanisms, electronically and in each youth’s file • Keep all youth and family information, verbal and written, confidential Quality Improvement and fidelity to the model: • Utilize data and outcomes to inform decision making with families • Share family related data with the child and family team for informed decision making at team meetings • Participate in quality improvement efforts to make changes to individual and team practices • Evaluate efforts with supervisor and team to determine if interventions were successful, or if alternate interventions should be attempted • Attend and participate in trainings relevant to the Children’s System of Care. A minimum of 8 training hours/year delivered through CCNY and additional trainings as appropriate. Agency Standards/Norms: • Participate in regular supervision (per New Directions policy and procedure) • Attend all mandatory in-service trainings as per NDYFS policy and ECDSS requirements • Participate in continuing education as needed to maintain a level of expertise in the field. • Adhere to agency and department policies and procedures • Utilize normative culture • Adhere to the Code of Ethics prescribed by the National Association of Social Workers • Perform all other duties as assigned by immediate supervisor SKILL, QUALIFICATIONS, KNOWLEDGE, ABILITY &amp; PHYSICAL REQUIREMENTS: Minimum Education and/or Professional Qualifications/Skills Education • Bachelor’s degree in a human services field specializing in mental health, child welfare, juvenile justice, or other similar fields • Two (2) years of experience working in human services in a community setting. Experience in probation, child welfare, and/or mental health preferred An equivalent combination of experience and education may be considered Special – Personal Skills, Qualities, Aptitudes and Physical Requirements New Directions Youth &amp; Family Services, Inc is an equal opportunity employer. Reasonable accommodations may be made to enable persons with disabilities to perform essential functions. 1. Ability to work effectively with clients, families, staff and community contacts from a variety of cultural and ethnic backgrounds. 2. Ability to work effectively with children/youth with behavioral, emotional and/or mental health challenges and their families. 3. Ability to exercise independent discretion and judgement 4. Ability to accept supervision and perform as part of a team. 5. Ability to be flexible and adapt to change. 6. Must have a valid driver’s license, adequate auto insurance and meet the criteria for driving set forth in the New Directions Driver’s License policy and Auto Insurance policy. 7. Ability to pass annual physical for Category 1 job classification in accordance with New Directions Employee Health policy. 8. Must comply with Agency safety standards and be responsible for own actions and conduct concerning safety and healthy working conditions.

New Directions Youth and Family Services

Wraparound Care Coordinator

Job description Our purpose – Opening up a world of opportunity – explains why we exist. Here at HSBC we use our unique expertise, capabilities, breadth and perspectives to open up new kinds of opportunity for our more than 40 million customers. We’re bringing together the people, ideas and capital that nurture progress and growth, helping to create a better world – for our customers, our people, our investors, our communities and the planet we all share. The GPS Client Service Manager/Specialist is responsible for developing strong service focused relationships with our clients to understand their business and utilization of our products.&nbsp; The GPS Client Service is accountability for the service experience of an assigned portfolio of clients across GLCM Service. Provide comprehensive management of the GLCM service experience for clients, engage clients directly to better understand their service needs and ensure delivery as appropriate. Advocate for the client to develop solutions and champion client escalations across the organization for GLCM Products and Services. As our Global Payments Services (GPS) Client Management Manager you will:<ul><li>Be the single point of contact for business as usual escalations for covered clients and other internal stakeholders supporting the clients</li><li>Handle the visibility of and ultimate oversight for all service case activity</li><li>Have direct accountability and responsibility to field and resolve complex service inquiries</li><li>Be accountable for local client Initiated projects; facilitates completion of global client initiated projects</li><li>Engage with Global counterparts for maintenance request, client queries and escalations</li><li>Be accountable for local client experience after implementation is complete</li><li>Portfolio capacity based on specific client local query demands</li><li>Identify and action red flags before they become client-identified issues</li><li>Develop and maintain internal and external contact list</li></ul>For this role, HSBC targets a pay range between $74,900.00 and $112,400.00 The final fixed pay offer will depend on the candidate and a number of variables, including but not limited to, role responsibilities, skill set, depth of experience and education, licensing/certification requirements, internal relativity, and specific work location. At HSBC, our overall goal is to provide a competitive Total Reward Package, with an appropriate mix of fixed pay, and variable pay, as part of an employee’s overall total compensation and benefits. Variable pay generally takes the form of discretionary, annual awards (sometimes referred to as a “bonus”). Additionally, HSBC offers a wide range of competitive and flexible benefits designed to help you improve your health and well-being, finances, and lifestyle. Requirements You´ll likely have the following qualifications to succeed in this role:<ul><li>Project management skills and Problem solving</li><li>Banking experience is preferable (Desirable as a Relationship Manager or Customer Experience)</li><li>Minimum of 3 years proven and progressive cash management experience or equivalent</li><li>Proven ability to deliver creative and flexible customer solutions</li><li>Ability to understand a customer’s business and the fundamentals of running a business</li><li>Good level of business acumen and commercial awareness, including economic, cultural, procedural and regulatory issues</li><li>Excellent interpersonal skills and ability to interact and build relationships with internal and external stakeholders</li><li>Excellent range of communication skills, including written, verbal, and the ability to deliver compelling presentations</li><li>Written and spoken Spanish (desirable)</li></ul>In compliance with applicable laws, HSBC is committed to employing only those who are authorized to work in the U.S. Applicants must be legally authorized to work in the U.S. as HSBC will not engage in immigration sponsorship for this position.As an HSBC employee, you will have access to tailored professional development opportunities to ensure you have the right skills for today and tomorrow. We offer a competitive pay and benefits package including a robust Wellness Hub, all in a welcoming, diverse and inclusive work environment. You will be empowered to drive HSBC’s engagement with the communities we serve through an industry-leading volunteerism policy, a generous matching gift program, and a comprehensive program of immersive Sustainability and Climate Change Initiatives. You’ll want to join our Employee Resource Groups as they play a central part in life at HSBC, including the development of our employees and networking inside and outside of HSBC. We value difference. We succeed together. We take responsibility. We get it done. And we want you to help us build the bank of the future! All qualified applicants will receive consideration for employment without regard to age, ancestry, color, race, national origin, ethnicity, disability or medical condition, genetic information, military or veteran service, religion, creed, sex, gender, pregnancy, childbirth, caregiver status, marital status, citizenship or immigration status, sexual orientation, gender identity or expression or any other trait protected by applicable law.

HSBC

Global Payments Services (GPS) Client Management Manager

Job Title:Wraparound Care CoordinatorDepartment:High-Fidelity Wrap Care Coordination Department Gateway Longview’s Behavioral Health &amp; Preventive Services programs supports children and youth ages birth-21 years struggling with behavioral, social, and emotional challenges. Agency Gateway Longview is an equal opportunity employer committed to championing the principles of anti-racism, justice, and equity. We welcome prospective employees from diverse cultures and backgrounds, for all positions, who will uphold our values and contribute to our mission. We aim to have a leadership and workforce that is reflective of the communities we work in partnership with. Benefits Gateway Longview takes pride in offering an amazing benefits package to take care of our most important asset- our employees! We offer medical, dental and vision plan insurance effective the first of the month following hire date, flexible spending accounts, wellness program, employee assistance program, a 403B retirement plan, flexible working options, &amp; several more offers. In addition to receiving up to 11 paid holidays, employees can earn up to 33 days of PTO each year, with the opportunity to start using PTO after hire date. Compensation Bachelor's Degree: $21.30 - $23.38 per hour Master's Degree: $23.10 - $25.18 per hour * Offers based on education and years of relevant experience Professional Development Opportunities Gateway Longview has a strong investment in developing the future leaders of the organization through trainings, advancement opportunities, and a formal leadership pipeline. Primary Responsibilities <ul><li>Maintain a case load of 12 families, providing direct face to face contact with youth and families in accordance with the Family Voices Network and Erie County Preventive Services.</li><li>Coordinate services for families enrolled in the Erie County Wraparound Program which includes oversee the aspects of Care Coordination for families enrolled in Wraparound Services</li><li>Facilitate all Child and Family Team Meetings (CFT) and ensuring all relevant participants are included</li><li>Communicate with all necessary providers and supports related to the planning and care for youth/families</li><li>Fulfill other duties as assigned</li></ul> Required Qualifications <ul><li>Bachelor’s Degree in Human Services related field with 4 years’ experience providing supportive services to children and their families</li><li>Current NYS Driver’s License and personal vehicle</li></ul><ul><li>Ability to build rapport with youth based on healthy boundaries, effective communication and mutual respect</li><li>Ability to exercise discretion and judgement in decision making</li><li>Ability to demonstrate sensitivity, compassion, patience, and active listening</li><li>Ability to effectively work with individuals from a diverse array of cultural backgrounds, beliefs, customs, and lifestyles</li></ul> Preferred Qualifications <ul><li>Master’s degree in Human Services related field with 2 years’ experience providing supportive services to children and their families</li></ul> We want to emphasize that the preferred qualifications are not required and that we are committed to helping our future colleagues develop these preferred skills. We strongly encourage those who are passionate about fostering a diverse, inclusive and equitable human service organization to apply.

4 Project Management / Professional Services Jobs in Buffalo, NY, USA