Job Care Manager |Health Home Plus - Salvation Army Eastern Territory : Job Details

Seeking compassionate individuals looking to help make a difference!

If you are passionate about making a difference in someone's life and want to work for an organization that appreciates and recognizes their employee's success, we encourage you to apply today!

Scope and Purpose of Position:

Care Manager provides outreach and enrollment services to individuals presumed to meet eligibility requirements of New York State's Health Home program. They gather assessments and enter documentation that confirms eligibility and identifies areas requiring supportive services. They work with individuals and service providers to create a comprehensive Plan of Health Care, identify additional service providers as necessary, and coordinate the continuing involvement of individuals and service providers in the execution of the plan. Care Manager documents progress and arrange for eventual transition between health homes as necessary, or from health homes to other levels of service following changes in eligibility.

Responsibilities:

Essential Duties and Responsibilities:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Assess, engage and enroll clients into health home program, per NYSDOH and Lead Health Home regulations.
• Develop relationships with local hospitals and jails to connect individuals returning to the community from inpatient/incarceration with health homes program.
• Maintain engagement with individuals who are often disengaged from care, have difficulty adhering to treatment recommendation, or have a history of homelessness, criminal justice involvement, or high ED/Inpatient utilization.
• Work within the community to engage individuals who meet Health Home Plus.
• Complete face to face visits with enrolled member at least once/month; at a frequency determined by client need.
• Collaboratively complete a yearly assessment of needs, strengths and goals with the member/family and care teams.
• Facilitates yearly (minimum) meeting with member's care teams and works within that team to develop a comprehensive Plan of Care.
• Provide the following core services to enrolled members: care coordination, comprehensive care management, transitional care, crisis intervention and caregiver/family support (coordinating with care team, making referrals to other providers, ensuring follow up from hospital discharges/ED visits, ensures preventive medical/dental care, etc.).
• Document all case activities in an Electronic Health Record, following the NYS guidelines around documentation quality and time frames.
• Ensure that monthly billing standards are met for each enrolled member and that a billing questionnaire is submitted within the month that the activity took place.
• Participate in mandatory and optional training.
• Participate in weekly supervision.

Qualifications:

Special Skills, Certificates, Licenses, Registrations:

Bachelor's Degree with two years of experience; Master's Degree with one year of experience preferred.

Relevant experience in serving children and families in child welfare, developmental disabilities, behavioral health, primary health care, or social services.

Experience coordinating and participating in team settings.

Solid writing and verbal communication.

Work effectively and knowledgeably across a broad spectrum of cultural, ethnic, and racial communities.

Ability to work in an effective and focused manner when self-directed and beyond immediate oversight.

Ability to deliver family-driven, youth-guided services.

Requires computer proficiency including word processing skills and the ability to provide culturally competent practice.

Must have valid driver's license that meets The Salvation Army insurance requirements.

Must have access to a vehicle to provide home visits.

Perform all duties associated with job responsibilities.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.