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<h3>Job Description</h3>
Job Description Summary: The Health Home Children's Care Manager provides care coordination and support to clients with chronic medical and behavioral health conditions that are also impacted by social determinants of health. Assists clients to navigate social service, community, and healthcare systems. Responsibilities: 
<ul>
<li>Tracks/ monitors client progress and produces/maintains detailed, accurate and timely case notes.</li>
<li>Performs and maintains effective care management for a caseload of clients, as assigned, from assessment to discharge.</li>
<li>Develops, coordinates and integrates a coordinated care plan in cooperation with the client, the client's family, and/or the other providers serving the patient. Updates plan at specified intervals, and as needed based on changes in client's condition / circumstances.</li>
<li>Maintains data and case records as required and prepares necessary reports</li>
<li>Occasionally required to conduct field work</li>
<li>Case conferences with interdisciplinary team including but not limited to PCP, substance abuse treatment team, residential, hospital discharge planners, etc., to coordinate care delivery between all linked providers and client</li>
<li>Facilitates periodic case record reviews and case conferences with all providers serving the client</li>
<li>Provides Health Home Care Management services at community-based locations and within the Sun River health centers</li>
<li>Provides timely and appropriate follow up on newly referred clients</li>
<li>Facilitates enrollment in Benefit and Entitlement programs. Develops linkages and refers patients for additional service supports</li>
<li>Completes comprehensive assessments within the required timeframes. Maintains detailed, accurate and timely case notes. Conducts intakes as needed</li>
<li>Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client requires an alternate level of care or is appropriate for discharge.</li>
<li>Maintains updated case records through health home EMR, and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with health home policies/procedures, agency standards and regulatory requirements.</li>
<li> Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers, including mental health and medical specialists </li>
</ul>
 Requirements: 
<ul>
<li>Bachelors Degree</li>
<li>1 year of Care Management experience with Children </li>
</ul>
 Additional Details: Job type: Full Time M-F 9a-5p Pay: $23-$25 Responsibilities About Sun River Health Sun River Health has a rich history of providing quality, affordable health care to communities in need. Founded in the early 1970s by four African American women in Peekskill, New York, the organization was established to address the lack of accessible health services in their community. With the help of a small federal grant, the first Sun River Health site opened its doors in 1975. Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City and Long Island. Our exceptional primary care practitioners, specialists and support staff are dedicated to delivering high-quality care to all individuals, regardless of their ability to pay. In December 2018, Sun River Health expanded its reach by merging with Brightpoint Health, an FQHC network offering integrated medical, behavioral and social support services in New York City. This merger allowed us to enhance our services and continue our mission under the unified name of Sun River Health. Our Culture At Sun River Health, we believe in fostering a culture of wellness, inclusivity and recognition. Our Workforce Wellness Program promotes staff wellness through ongoing challenges and activities, encouraging participation and rewarding engagement. We celebrate our staff's dedication and person-centered spirit through the Planetree Recognition Awards, which honor innovation, leadership and community spirit. We are committed to creating a supportive and collaborative work environment where all team members can thrive. Our values of respect, integrity and excellence guide our interactions with patients and colleagues alike, ensuring that everyone receives the care and support they deserve. Benefits At Sun River Health, we are committed to building a personal relationship with our team and supporting you in every way we can. We offer competitive compensation and a comprehensive benefits package for you and your family, including: 
<ul>
<li>Medical, Dental and Vision Insurance: Comprehensive health coverage to ensure you and your family stay healthy.</li>
<li>Life and Disability Coverage: Financial protection for you and your loved ones in case of unforeseen circumstances.</li>
<li>Retirement Savings Plan: Plan for your future with our retirement savings options.</li>
<li>Commuter and Transit Benefits: Assistance with your daily commute to make your journey to work easier.</li>
<li>Employee Assistance Program (EAP): Access to confidential support and resources for personal and work-related issues.</li>
<li>Employee Discount Program: Enjoy discounts on various products and services as a valued member of our team.</li>
<li>Provider Incentive Compensation Program: Quality &amp; Productivity.</li>
<li>Provider Professional License, Certification and DEA Fees Reimbursement.</li>
</ul>
 Why Join Sun River Health? 
<ul>
<li>Mission-Driven Work: Be part of a proud network of care that offers high-quality health and social support services to communities in need.</li>
<li>Professional Growth: We provide opportunities for career advancement and professional development.</li>
<li>Supportive Environment: Our culture promotes wellness, inclusivity, and recognition, ensuring a supportive and collaborative work environment.</li>
<li>Community Impact: Make a difference in the lives of individuals and families by providing quality, affordable health care.</li>
</ul>
 Join us at Sun River Health and be part of an award-winning network of care that has been serving our communities since 1975. We are always looking for skilled and dedicated professionals to join our team and help us continue our mission of providing quality health care to all.

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