Health Home Housing Coordinator

Housing Care Coordinator

As a community, the University of Rochester is defined by a deep commitment to Meliora
- Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location:

2613 W Henrietta Rd, Suite A, Brighton, New York, United States of America, 14623

Opening:
Regular

Time Type:
Full time

Scheduled Weekly

Hours:

40

Department: 500134 Psych SMH Long Term Care

Work Shift:

UR
- Day (United States of America)

Range: UR URCA 207 H

Compensation Range: $23.51 - $31.74

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Provides housing-focused care coordination support to patients enrolled in the Strong Behavioral Health – Health Home Care Management program (Department of Psychiatry). Collaborates directly with Health Home Care Managers, behavioral health providers, and community partners to address homelessness and housing instability as critical social determinants of health. Responsible for assessing housing needs, developing and advancing housing plans, and facilitating access to supportive housing and community-based resources to help members find and maintain permanent housing long term.

This role strengthens comprehensive care management services by promoting housing stability, improving health outcomes, and supporting sustained engagement in medical and behavioral health treatment.

• Under general direction and with considerable independence, performs housing-focused care management services consistent with all URMC and NYS regulations and policies for the provision of Health Home services. Collaborates with Health Home Care Managers, patients, and community providers to address homelessness and housing instability. Establishes and maintains cooperative working relationships with housing agencies, landlords, shelters, and community providers to obtain needed housing resources and supports.
• Conducts housing-related assessments, as appropriate, for enrollees identifying service needs that contribute to development of the patient-centered care plan. Develops and advances individualized housing plans using person-centered practices. Reviews and discusses housing goals with patient and care team, focusing on linking individuals permanent and supportive housing, rental assistance, and community-based services within system and community providers.
• Provides billable Health Home care coordination services with a focus on addressing housing stability and related social determinants of health. Coordinates care with medical, behavioral health, and community-based providers to facilitate access to supportive housing resources, social services, and health promotion activities. Assists patients during transitions of care and supports engagement in ongoing treatment and rehabilitation services. Maintains accurate and timely documentation of services, patient progress, and care coordination activities within the electronic medical record in compliance with hospital policies and Health Home regulations.
  
  Participates in program quality improvement and documentation review initiatives as assigned.
• Maintains a reduced caseload of newly housed Health Home members to provide intensive housing stabilization and tenancy support services. Monitors housing status and evaluates factors that may impact an individual's ability to maintain stable housing. Works collaboratively with patients to identify barriers to tenancy and develop strategies that promote independent living skills, housing retention, and community integration. Coordinates with landlords, housing providers, and community agencies to address issues that may jeopardize tenancy and to…