Remote Prior Authorization Nurse Jobs in Rochester, NY

EOE Statement
Our agencies are equal opportunity employers. We do not discriminate against employees or applicants in the hiring, promotion, compensation, placement, termination, layoff, recall, transfer, leaves of absence or any other term or condition of employment on the basis of race, color, religion, sex, sexual orientation, gender orientation/identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran, domestic violence victim status, prior arrest and conviction records or any other protected category in accordance with applicable federal, state and local laws.
Description
Job Title: TBI/NHTD Service Coordinator
Location: Remote/Community with drop in office space available as needed
Salary: $3,360-$84,000 per year (dependent on caseload size) - $280/month per completed billable case, $500 bonus for each successful new waiver intake. Minimum wage for indirect time which includes training & staff meetings.
Employment: Itinerant position - Opportunity to build a caseload of up to 25 cases. Monday through Friday during business hours. Evening work may be required as job duties demand.
Required Education and Experience:
Persons employed as Service Coordinators must meet all the requirements in one of the following 2 scenarios:
Scenario 1:

1. Bachelor's degree must have three (3) years of experience providing case management/service coordination, information, linkages, and referrals regarding community-based services for individuals with disabilities and/or Traumatic Brain Injury.

OR

1. Associate's degree must have five (5) years' experience providing case management/service coordination, information, linkages, and referrals regarding community-based services for individuals with disabilities and/or Traumatic Brain Injury.

OR
Scenario 2:
Be one of the following and must also have at a minimum one (1) year of experience providing case management/service coordination and information, linkages, and referrals regarding community-based services for individuals with disabilities and/or Traumatic Brain Injury:

1. Licensed Master Social Worker (Licensed by the New York State Education Department); or
2. Licensed Clinical Social Worker (Licensed by the New York State Education Department); or
3. Individual with a Doctorate or Master of Social Work; or
4. Individual with a Doctorate or Master of Psychology; or
5. Licensed Physical Therapist (Licensed by the New York State Education Department); or
6. Registered Professional Nurse (Licensed by the New York State Education Department); or
7. Certified Teacher of Students with Disabilities (Certified by the New York State Education Department); or
8. Certified Rehabilitation Counselor (Certified by the Commission of Rehabilitation Counselor Certification); or
9. Licensed Speech Pathologist (Licensed by the New York State Education Department); or
10. Licensed Occupational Therapist (Licensed by the New York State Education Department).

Additional Eligibility Qualifications

1. 1. Knowledge of community resources, social service agencies and means of accessing services.
   2. Valid NYS driver's license.

Essential Functions:

1. Imparts agency philosophy of 'Equal Opportunity, Independence and Realization of Individual Potential' to children, families, program staff and community resources.
2. Maintains confidentiality of information relating to individuals and their families in accordance with agency policy.
3. Identifies the needs of disabled individuals and their families.
4. Provides information, referral and advocacy services to individuals of all ages with disabilities and their families.
5. Works with families/individuals to develop appropriate plans for the delivery of services.
6. Coordinates implementation of the services by assuring appropriate communication and cooperation is maintained by all supports and providers of services outlined in the plan.
7. Establishes and maintains a cooperative working relationship with area human service agencies, local school districts and individuals, as pertinent.
8. Arranges for clinical assessments to determine the person's functional status, service needs and recommendations for interventions.
9. Assumes a lead role and coordinates all activities for people on caseload.
10. Assists the individual and/or family to gain a variety of skills including self-advocacy, problem solving and skills to increase their independence.
11. Assures needed assessments and documentations are performed, as required by DOH/TBI regulations.
12. Participates in staffing, case conferences and other client-related meetings upon request.
13. Participates in workshops, conferences and in-service training to enhance job skills and personal growth and development.
14. Coordinates and develops components of the individualized service plan.
15. Coordinates services specified in the individualized service plan.
16. Reviews ISP's, RSP's and documents the outcomes consistent with applicable regulations.
17. Maintains familiarity with applicable regulations and executes timely compliance.
18. Maintains, at a minimum, face-to-face contact requirement with the recipient and, if appropriate, his/her family or advocate, per applicable regulation.
19. Assumes duties and responsibilities necessary to ensure the efficient operation of the waiver program.
20. Adheres to agency's policies and procedures as well as department guidelines.
21. Performs other duties at the discretion of the Program Director or his/her designee.
22. Participates in conferences, workshops and in-service training as needed or recommended to enhance job skills and personal growth and development.
23. Adheres to agency's policies and procedures as well as department guidelines.

Supervisory Responsibility: None
Other Duties: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit, stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee must frequently lift and/or move objects up to 10 pounds and occasionally lift and/or move objects up to 30 pounds.
Travel:Travel is primarily local during the business day but employee will be expected to work at any of our partner agencies. Some out-of-the-area and overnight travel may be expected.
EEO Statement: The agencies are equal opportunity employers. We do not discriminate against employees or applicants in the hiring, promotion, compensation, placement, termination, layoff, recall, transfer, leaves of absence or any other term or condition of employment on the basis of race, color, religion, sex, sexual orientation, gender orientation/identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran, domestic violence victim status, prior arrest and conviction records or any other protected category in accordance with applicable federal, state and local laws.
Position Requirements
Location
Happiness House-Community Based
Full-Time/Part-Time
Full-Time and/or Part-Time
Shift
-not applicable-
Category
Care Management
Number of Openings
1
Position
TBI Service Coordinator
Division
Happiness House
Req Number
CAR-26-00005
This position is currently accepting applications.