Care Manager Children's Health Home- Spanish Speaking

Argus Community Inc•New York, NY

6d•Hybrid

About The Position

As a Health Home Care Manager, your function is to act as a leader in providing appropriate Health Home services to approximately 50-60 active clients according to the guidelines set out in the ACCESS Program Manual and as required by the NYSDOH – HH, AIDS Institute. This role involves completing screenings, intakes, and assessments, developing and overseeing individual-focused care plans, implementing and monitoring these plans, and advocating for participants and their families. The Care Manager will conduct home visits, case conferences with outside providers, and be available for crisis intervention. Accurate and up-to-date documentation and consents for services are essential. The position requires knowledge of HIV/AIDS, substance abuse, and other chronic conditions, as well as the ability to work positively, manage providers, delegate tasks, and address conflicts. Effective communication with supervisory personnel is also key. The role involves maintaining monthly per member per month billing standards, completing HCBS Waiver Forms, and all documentation related to HARP/HCBS services. This includes assessing clients for HCBS eligibility, creating individual-centered care plans integrating behavioral and physical health services, and coordinating with Managed Care Organizations (MCOs) to ensure clients receive eligible HCBS services.

Requirements

Minimum of one year of direct case management experience.
Knowledge of HIV/AIDS, Substance use/abuse, mental, and other chronic illnesses (asthma, diabetes, high blood pressure, etc.).
Meets physical and cognitive requirements needed to complete assigned tasks and duties of the position with reasonable accommodations being made for individuals with disabilities.
Ability to travel within the five boroughs of New York City via public transportation.
Ability to demonstrate proper judgment and decision making skills when necessary.
Excellent written, verbal, and organizational skills.
Ability to manage time effectively.
Ability to input encounters with clients and/or providers on a daily basis.

Nice To Haves

Bilingual in Spanish preferred.
Knowledge of computers/word processing a plus.
Experience with families or groups preferred.
Experience with HRA, HASA, hospitals or clinics is a plus.

Responsibilities

Be familiar with the ACCESS Program Manual, paying particular attention to the specific functions of the Health Home Care Manager position.
Complete an in-depth screening, intake, and initial assessment.
Complete and oversee an individual-focused care plan, detailed and mutually developed with each participant.
Implement the care plan with documented follow-up and monitoring.
Provide advocacy and knowledge of available and appropriate services for participants and their families/collaterals.
Conduct home visits as required and as needed (with a minimum of one home visit per care plan period).
Conduct regular case conferences with outside providers (at least one per care plan period for every client).
Be available for crisis intervention, remaining with a client until the issue is resolved or addressed.
Complete accurate and up-to-date documentation and consents for services.
Conduct daily follow-up to address any issues, review the previous day's activities, and discuss any patient issues and/or new insights regarding a particular client.
Be knowledgeable and up-to-date in areas pertaining to HIV/AIDS symptoms, treatment, medications, substance abuse, and other chronic conditions.
Be able to work in and create a positive environment, manage providers, delegate and oversee tasks/duties, and address conflicts as they arise.
Communicate effectively with supervisory personnel in a cooperative and supportive manner.
Maintain monthly per member per month billing standards, meeting one of the 5 core Health Home functions.
Complete HCBS Waiver Form if they do not meet the criteria to provide HCBS services.
Complete all documentation related to HARP/HCBS services.
Assess clients who are deemed eligible for HCBS services.
Create an individual-centered plan of care that integrates behavioral and physical health services and includes HCBS for clients who are found eligible.
Coordinate with a client’s Managed Care Organization (MCO’s) in order to ensure a client receives the HCBS service(s) they are eligible for.