Associate Care Manager

Northwell Health

About The Position

Provides direct services to individuals regarding concrete services and entitlements; assists with some aspects of discharge planning. Provides information to both “walk-in” patients and telephone inquiries. Oversees special workshops and socialization groups.

Requirements

Bachelor of Social Work required, or equivalent combination of education and related experience.
0-1 years of relevant experience, required.

Nice To Haves

3-5 years of relevant experience, preferred.

Responsibilities

Assists with the implementation of appropriate PAWH screenings and provide results to appropriate clinical staff.
Enroll eligible individuals into PAWH program.
Works with multidisciplinary MCM team to develop individualized service plan for PAWH patients.
Coordinates and monitors individualized service plan deliverables.
Assists with PAWH appointment adherence through coordination with Home Care, lab services and other ancillary support services to enhance retention.
Maintains appropriate HIPAA releases to contact designated familial/emergency contacts, support networks and CBOs.
Link PAWH enrolled individuals to referred providers, clinical services, Health Home, Insurance Navigation, support, and educational groups.
Assists care managers with cases requiring emergency intervention; discusses, with the social worker, care plan and means to facilitate patients’ goals.
Identifies unmet biopsychosocial needs and under the supervision of coordinator; assists patients to meet those needs effectively.
Maintains documentation in the patient chart in accordance with department requirements; prepares and submits reports as required.
Maintains related records and charts progress notes; documents the nature and extent of interventions made; makes copy of record for the Unit file.
Participates in interdisciplinary team meetings for discussion and implementation of plans of care.
Arranges patient transportation for program attendance and special trips or events; communicates with transport -company to arrange service.
Maintains documentation of case activity in the patient chart in accordance with hospital requirements.
Maintains current available treatment resource referrals and appropriate utilization.
Establishes and maintains professional relationships with patients and families.
Performs related duties as required.
All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.