Care Manager Health Home +

Access Supports • Nanuet, NY

11d • Onsite

About The Position

Health Home Plus Care Managers provide comprehensive support to adults with Serious Mental Illness enrolled in the Health Home Plus program. The role coordinates medical, mental health, substance abuse, specialty care, social service, and self-management or wellness needs, with ongoing activities showing progress toward each member’s goals. Care Managers engage directly with clients to stabilize housing, address medical and psychiatric needs, and connect clients with appropriate community services and resources. They support individuals at high risk for chronic disease and early mortality through enhanced care, while following program guidelines and Department of Health requirements.

The position requires delivering at least four Health Home core services each month, including at least two face-to-face services. For individuals under Assisted Outpatient Treatment, at least four face-to-face visits are required monthly. Care Managers maintain the required caseload ratio of one full-time manager per 20 Health Home Plus recipients. They document services and outcomes, participate in supervision and team meetings, collaborate with interdisciplinary teams, and use clinical discretion and best practices when supporting high-need individuals. The role is based in Nanuet, New York, and requires travel to multiple counties using a reliable vehicle during the workday.

Requirements

• A qualifying education or credential: a bachelor’s degree in a listed human services or related field; a New York State teacher’s certificate requiring a bachelor’s degree; New York State RN licensure with a bachelor’s degree; a bachelor’s degree in any field plus five years of direct experience with individuals with behavioral health diagnoses; or CASAC certification.
• Two years of related experience providing direct services to individuals with Serious Mental Illness, developmental disabilities, or substance abuse issues. A master’s degree in a relevant field may substitute for one year of required experience.
• Valid and unrestricted driver’s license.
• Reliable vehicle available for use during the workday.
• Willingness to travel to multiple counties.
• Strong oral and written communication skills, organization, and time management.
• Ability to maintain a non-judgmental disposition and communicate with a diverse population.
• Technology and computer proficiency, including internet, email, word processing, spreadsheets, electronic health records, and databases.
• Ability to use technology to communicate professionally and organize information.
• Ability to engage and build rapport with high-risk individuals and vulnerable populations.
• Ability to work independently and as part of a collaborative team.
• Sensitivity to cultural diversity and trauma-informed care principles.
• Ability to link clients with a broad range of services, including medical, psychiatric, legal, and housing services.
• Ability to access all rooms in a two-story home, work in an open-space floor plan, and move throughout the workday.
• Ability to occasionally lift more than 25 pounds.

Responsibilities

• Engage directly with clients to stabilize housing and address medical and psychiatric needs.
• Connect clients to appropriate community services and resources.
• Provide intensive Health Home Care Management to adults with Serious Mental Illness enrolled in the Health Home Plus program.
• Ensure clients at high risk for chronic disease and early mortality receive enhanced care.
• Deliver at least four Health Home core services monthly, including at least two face-to-face services.
• Conduct at least four face-to-face visits monthly for individuals under Assisted Outpatient Treatment.
• Maintain a caseload ratio of one full-time care manager per 20 Health Home Plus recipients.
• Participate in regular supervision and follow Department of Health guidelines.
• Attend internal team meetings to review caseload progress and goal attainment.
• Accurately document services and outcomes to meet billing and quality standards.
• Collaborate with interdisciplinary teams to align services with individual care plans.
• Use clinical discretion and best practices when supporting high-need individuals.
• Adhere to organizational protocols and contractual obligations under the Health Home Plus program model.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level