Care Manager

CDS Monarch, Inc. • Olean, NY

3h • $24 - $26

About The Position

The Care Manager works in partnership with individuals with I/DD, their families or guardians, and providers to coordinate the care and services needed to support optimal health, wellness, independence, community integration, and goal achievement. The role provides Health Home core services, including comprehensive care management, care coordination and health promotion, transitional care, individual and family support, referrals to community and social support services, and use of Health Information Technology to link services. Services are delivered using a person-centered approach.

The Care Manager conducts comprehensive assessments and develops and maintains person-centered Life Plans that address clinical and psychosocial needs, preferences, healthcare-related needs, community and OPWDD services, and natural supports. The position coordinates access to chronic disease management and long-term care services; makes and follows up on referrals; promotes health and self-advocacy; engages families and natural supports; and advocates for individuals. The Care Manager documents services, protects confidential health information, complies with applicable laws, regulations, and organizational policies, and completes required training.

The position requires the ability to travel throughout covered territories in Upstate New York as needed, conduct in-person visits and meetings at homes and other locations, and work remotely, at satellite offices, and/or at the primary office. Applicants must have a valid driver’s license. Reasonable accommodations may be made as required by law.

Requirements

• Bachelor’s degree and two years of relevant experience, or a Registered Nurse license and two years of relevant experience, or a master’s degree and one year of relevant experience.
• Ability to act quickly and assess and respond appropriately in crisis situations.
• Intermediate technology skills in Outlook, Teams, Word, Excel, and online applications as needed.
• Understanding of the use of an EHR system.
• Knowledge of ethical and professional responsibilities and boundaries.
• Professional work habits, including dependability, time management, organization, autonomy, and productivity.
• Ability to sit and stand throughout the day to accomplish job duties.
• Ability to enter data, notes, and other documentation into a computer.
• Ability to travel throughout covered territories in Upstate New York as needed.
• Valid driver’s license.
• Ability to conduct in-person visits and meetings at individuals’ homes, communities, schools, and other locations as applicable.
• Ability to work remotely, at satellite office locations, and/or at the primary office location.
• Maintain certifications and training required by state regulations and PCC policy.

Nice To Haves

• Bilingual skills may be required for some positions.

Responsibilities

• Conduct comprehensive assessments to identify individuals’ clinical and psychosocial needs, choices, and service preferences.
• Assess and address health and safety issues, barriers to care and treatment, and social determinants of health.
• Collaborate with the interdisciplinary team and incorporate its input into comprehensive assessments and individuals’ Life Plans.
• Facilitate, develop, and maintain person-centered Life Plans integrating personal wants and needs, clinical and non-clinical healthcare needs, community services, OPWDD services, and natural supports.
• Incorporate health promotion and support opportunities to help individuals achieve and maintain optimal health and wellbeing.
• Adhere to Incident Management regulations, guidelines, policies, and procedures.
• Coordinate and ensure access to chronic disease management.
• Facilitate referrals to clinical and community resources, including planning, implementation, and follow-up for comprehensive care management and transitional care.
• Participate in internal and external audits.
• Coordinate and provide access to long-term care supports and services.
• Engage families and natural supports in care coordination.
• Provide culturally and linguistically appropriate services to individuals and families.
• Advocate on behalf of individuals and promote self-advocacy and the ability to self-direct.
• Use Health Information Technology for documentation, linking services, and facilitating communication among the care coordination team.
• Secure health records and other protected information in accordance with confidentiality requirements and HIPAA laws and regulations.
• Maintain compliance with state and federal laws and regulations, Medicaid compliance requirements, and PCC policies and procedures.
• Document all services and maintain records according to established documentation policies and procedures.
• Complete required annual, ongoing, and educational training.
• Perform other duties relevant to the position as requested.
• Adhere to Prime Care Coordination policies and procedures, and the agency’s mission, vision, shared values, and customer service standards.
• Attend mandatory education and training, obtain and maintain required certifications, and represent PCC professionally.
• Travel throughout covered territories in Upstate New York as needed and conduct in-person visits and meetings at individuals’ homes, communities, schools, and other applicable locations.

Benefits

• Paid time off (25 days per year)
• 10 paid holidays
• Affordable health care coverage including health, dental, and vision, starting as low as $10.00 per month
• 401(k) retirement plan
• Tuition reimbursement
• Employee referral program
• Employee Wellness Program with the opportunity to earn up to $250 per year
• Numerous other benefits

What This Job Offers

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