Care Manager, HARP

CARECOLLAB•New York, NY

5d•$24 - $29

About The Position

The Care Manager, HARP is responsible for assessing HARP/SNP members’ eligibility for HCBS/CORE services, supporting members through service referrals and initiation, and ensuring related goals and services are accurately reflected in the Plan of Care (POC). The role completes initial HCBS Eligibility Assessments in UAS-NY within 60 days of enrollment and annual assessments for members already receiving HCBS. Assessments may be conducted in person or by telephone and must comply with HARP/SNP guidelines. The Care Manager educates members about their plan and available services, determines their interest in and eligibility for HCBS/CORE, coordinates referrals with providers and MCOs, and follows up to resolve barriers to care. The role monitors ongoing services, updates documentation and care plans as needed, and coordinates with MCOs on review and approval of necessary POC changes.

Requirements

One of the following education and experience combinations: a master’s degree in a qualifying field and one year of experience; a bachelor’s degree in a qualifying field and two years of experience; CASAC credential and two years of experience; or a bachelor’s degree or higher in any field and either three years of experience or two years of experience as a Health Home care manager serving the SMI or SED population.
Clinical assessment skills.
Ability to conduct structured UAS-NY assessments and interpret findings to determine HCBS/CORE eligibility.
Familiarity with HARP/SNP, HCBS, CORE, and Medicaid behavioral health services.
Experience collaborating with care teams, providers, and MCOs to support timely and appropriate service delivery.
Ability to engage members, explain services, and support service initiation in a trauma-informed and culturally competent manner.
Excellent verbal and written communication skills for working with members, care managers, MCOs, and service providers.
Ability to troubleshoot and resolve service access barriers and coordinate care transitions.
Comfort using electronic health records, care coordination systems such as FCM, and telehealth tools for remote assessments.

Nice To Haves

Bilingual in English and Spanish.

Responsibilities

Complete HCBS Eligibility Assessments for HARP/SNP members in UAS-NY within 60 days of enrollment.
Conduct assessments in compliance with HARP/SNP guidelines, in person or by telephone.
Work with the Care Manager to ensure assessment results and members’ HCBS goals are understood.
Ensure HARP-related goals and tasks are included in the member’s Plan of Care.
Document members’ decisions about HCBS/CORE services in FCM encounter notes, the HCBS-CORE tab, and the Plan of Care.
Update the Plan of Care as needed to reflect HCBS/CORE services, including frequency, scope, and duration.
Manage and document timely referrals for HCBS/CORE services.
Coordinate with HCBS providers and MCOs, ensure members are offered a choice of providers, and follow up to address referral barriers.
Monitor ongoing services and help members access the full range of HCBS/CORE services for which they are eligible.
Educate members about their HARP/SNP plan and available HCBS/CORE services within 30 days of enrollment.
Engage members to determine their interest in and eligibility for HCBS/CORE services and support referrals and service initiation.
Document changes in members’ interest in HCBS/CORE services in FCM and the Plan of Care.
Complete annual HCBS Eligibility Assessments for members already receiving HCBS services.
Upload updated eligibility reports to the HCBS-CORE tab in FCM.
Coordinate with the MCO to review and approve necessary Plan of Care changes.