Care Manager of Health Home Care Management

Sun River Health

2d • Onsite

About The Position

Sun River Health is seeking a full-time Social Care Network Care Manager to join our Health Home team in Suffolk County. The Social Care Network Care Manager (SCN Care Manager) supports the implementation of a patient’s integrated health care plan and works toward resolving patient needs and barriers. This role conducts screening and navigation services for patients eligible for the Social Care Network, with documentation completed in Unite Us and eCW. The focus is on providing individualized assistance to help patients navigate the health care system and community barriers, facilitating consistent and timely care across the continuum.

Requirements

• High School Diploma (required)
• English (required)
• Demonstrated understanding of health care and social service systems
• Strong ability to build effective relationships with patients and care teams
• Excellent interpersonal communication and organizational skills
• Ability to work independently and collaboratively
• Strong time‑management and problem‑solving skills
• Patience and capability to navigate complex systems of care
• Proficient computer skills, with the ability to document concurrently in Unite Us and eCW

Nice To Haves

• Spanish (preferred)

Responsibilities

• Perform Health‑Related Social Needs (HRSN) assessments and document findings in Unite Us and eCW
• Provide general navigation services and communicate program objectives to patients
• Assist with scheduling appointments related to social drivers of health, including reminder and follow‑up calls
• Contact patients to support continuity of care and escalate cases requiring enhanced care management
• Compile and distribute educational materials based on patient needs
• Identify individual and community resources that support healthy lifestyles (e.g., transportation, exercise programs, community services)
• Maintain timely and accurate documentation of patient interactions
• Engage approximately 25 new patients per week
• Perform population management activities as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED