Care Manager

Housing Works•New York, NY
•$48,000 - $50,000•Onsite

About The Position

A Care Manager at Housing Works supports individuals with complex medical, behavioral health, and social service needs. The role helps clients navigate systems of care, overcome barriers, and pursue client-defined goals as part of a multidisciplinary team that includes medical providers, behavioral health professionals, supervisors, and community-based partners. Care Managers have professional autonomy while remaining accountable and responsive, with consistent direct client contact as a core part of the work. They serve as the primary point of contact for assigned clients and build sustained relationships through regular in-person engagement in clients’ homes, communities, healthcare settings, and the office. The position requires an active field and office presence and meaningful face-to-face interaction with clients and service providers. The Health Home Care Manager guides clients with chronic illnesses through the healthcare system by helping address access challenges, building relationships with service providers, and tracking interventions and outcomes. The position is an in-office role and also requires travel within the boroughs via public transportation and work from remote office locations. Spanish bilingual proficiency is preferred; candidates hired to support clients in Spanish are eligible for additional compensation. Housing Works offers a competitive salary and benefits package, including healthcare plans, paid time off, and educational benefits. The position is represented by the Retail, Wholesale and Department Store Union (RWDSU), which has exclusive bargaining rights over its employment terms and conditions; the position may become covered by a collective bargaining agreement.

Requirements

  • Bachelor’s degree with 2 years of related experience, or a master’s degree with 1 year of relevant experience.
  • Adept with word processing, Excel, and Microsoft Office products.
  • Ability to communicate effectively in writing and orally.
  • Good organizational and multitasking skills.
  • Strong analytical skills focused on collecting, organizing, and disseminating information.
  • Ability to work independently, stay organized, and prioritize multiple responsibilities in a fast-paced environment.
  • Comfort working with a diverse group of staff and clients.
  • Ability to travel within the boroughs via public transportation as needed and work from remote office locations.
  • Ability to access email, phone, Zoom, and Teams.
  • Ability to comply with agency confidentiality guidelines in a remote workspace.
  • Employees working in Housing Works’ Health Services division must be fully vaccinated against COVID-19 unless approved for a legal accommodation.

Nice To Haves

  • Spanish bilingual proficiency is preferred.
  • Previous experience with Electronic Health Records is a plus.

Responsibilities

  • Conduct comprehensive in-person initial assessments and annual reassessments of clients’ medical, mental health, substance use, financial, housing, and support needs in community, home, clinical, or office-based settings.
  • Develop and maintain individualized, patient-centered plans of care with documented input and approval from clients and collaborating providers; update plans at least every 3–6 months or when new needs are identified, in accordance with Health Home standards.
  • Collaborate with medical and behavioral health providers through face-to-face meetings and coordinated care activities to develop, implement, and monitor care plans for clients with chronic conditions and other complex health needs.
  • Engage clients in person to review housing options based on program eligibility and provide hands-on assistance with housing applications, including the 2010E, NYC Housing Connect, Section 8, and other relevant programs.
  • Support clients with benefits-related needs, including Medicaid, HRA, SNAP, medical transportation, and other entitlement programs, using in-person advocacy and coordination when appropriate.
  • Conduct regular home and field visits to maintain client engagement, assess changing needs, and support progress toward care plan goals in accordance with Health Home standards and client preferences.
  • Coordinate client services with internal and external providers through regular in-person or hybrid case conferences at least quarterly.
  • Document in-person and care coordination activities, client outcomes, and care plan progress in case records, ensuring timely and accurate documentation for the full caseload.
  • Maintain strict confidentiality in all client interactions and records.
  • Perform other duties as assigned.

Benefits

  • Three comprehensive healthcare plans; Housing Works covers most of the plan, with employee contributions based on salary.
  • Paid time off accrual begins immediately, with up to 30 days earned in the first year.
  • Educational benefit available for tuition loan reimbursement, tuition costs, and textbooks.
  • Additional compensation may be available to candidates hired to support clients in Spanish.
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