Health Home Care Manager

Job Description

Job Description

Care Management is a service model whereby all of an individual's caregivers communicate and interface so that the patient's needs are addressed in a comprehensive manner. This is done primarily through a "care manager" who oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to prevent hospitalizations, stay healthy, and maintain stability.

The Care Manager is ultimately responsible for the overall provision and coordination of services to assigned caseload. The Care Manager guides program enrollees and their caretakers (legal guardians) through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.

To be a successful Care Manager you must be ready, willing, and able to do the following always:

• Obtains required Care Management enrollment consents from the individual or legal guardian
• Completes initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual's most appropriate level of care management.
• Responsible for the overall management of the patient's Individualized Plan of Care. Through the creation of an Individual Plan of Care the Care Manager is able to:

1. Coordinate the enrollee's provision of services including as per their acuity level.
2. Support adherence to treatment recommendations
3. Monitor and evaluate a patient's needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate.

• Meets client contact requirements (keeping in mind that caseloads may be "blended"):

1. Care Managers serving children will be required to have some face-face visits on a consistent schedule as per the mandates of their acuity level (high, medium, or low).

• Meets Care Management documentation requirements in a timely and accurate manner by effectively utilizing designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs) as needed
• Functions as an advocate for clients within the agency and external service providers
• Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences
• Educate the child/caregiver on care of chronic conditions, immunization, screening and other preventive interventions.
• Helps clients to obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility, Social Security, SNAP, housing, legal services, employment and training supports, and others.
• Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences.
• Conducts care planning meetings/conferences and serves as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care
• Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services
• In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge
• Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position
• Ensure that child has periodic evaluations and follow up treatment for dental, vision and hearing care, following Medicaid EPSDT guidelines
• All other duties, as needed, by Care Management Agency
• Perform other resulting and necessary work to meet the needs and requirements of the clients, the program, Hope For Youth, oversight agency and any other regulatory obligations

To qualify for this job you need to be or have at minimum:

Education and/or credential requirements are determined by children's acuity level and requires one or more of the following:

• Bachelors of Arts or Science with two years of relevant experience
• A license as a Registered Nurse with two years of relevant experience
• A Master's Degree in a related field (license preferred) with one year of relevant experience
• Bilingual English/Spanish is a plus
• Ability to work flexible schedule based on the needs of the clients including responding to emergencies
• New York State Driver's license in good standing
• Physical Requirements: read/write reports and log entries, walking/standing/sitting for prolonged periods, bending/stooping, kneeling/squatting, climbing stairs, reaching overhead, repetitive wrist/finger movements, ongoing access to reliable vehicle and driving own vehicle for work

This Opportunity is being offered as Full-Time, 35hrs/week Monday- Friday, flexible schedule based on client needs

Only candidates selected for an interview will be contacted.

Excellent training and leadership opportunities available throughout employment and more.

Here are some of the other benefits of working for Hope for Youth.

• Meaningful work that makes a difference in the lives of children and families of Long Island!
• Supportive like-minded, mission-driven co-workers
• Diverse Culture that promotes recognition and belonging
• Advancement and supplemental pay opportunities
• Free Training programs, Free Tuition Credits, Scholarships and Tuition Assistance
• Employees may be eligible for Student Loan Forgiveness Programs
• Special Events and Recognition Awards
• Volunteer and Internship opportunities available within
• Benefit eligibility commences on the first of the month following the first 30 days of employment - Medical, Dental, Vision - HRA with HSA and Co-pay options available.
• 91% Employer-paid medical premiums
• Generous paid time off
• Agency-funded Pension Plan
• Pre-tax savings plans: self-directed 403(b), 529, Aflac
• Agency-paid life insurance and disability, and for some positions, long-term disability

Hope For Youth, Inc. is an equal opportunity employer. All positions are subject to background screening as required by law or contract, including but not limited to: Staff Exclusion List (SEL), State Central Child Abuse Registry (SCR), DMV record review, criminal records screening, reference checks, physical exam.

Learn more about Hope for Youth at: http://www.hfyny.org

Additional Pay Range Information

The salary range and/or hourly rate range listed for this position is a good faith determination of potential compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining an employee's base salary and/or rate, several factors may be considered as applicable (e.g., years of relevant experience, education, licensing, certifications, other credentials, negotiated contracts, budget and internal equity, etc.)

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