Care Manager- Spanish Speaking Preferred

LIFEPlan CCO NY LLC•Chappaqua, NY

81d•$32 - $34•Hybrid

About The Position

The Care Manager provides services within care management programs, including Health Home Care Comprehensive Care Management, HCBS Basic Plan Support, and State Paid Care Management services. The role oversees and coordinates access to services for people with intellectual and developmental disabilities (I/DD), working with members, their families or representatives, and providers to develop, implement, and monitor integrated, person-centered Life Plans following comprehensive assessments. Life Plans identify services addressing medical and behavioral health needs, community and social supports, and other needs that help members pursue healthy and meaningful lives. The Care Manager advocates for members’ access to services and supports that help them reach their goals. This is a flexible, hybrid work environment combining fieldwork, regional travel, in-office work, and work from home; it is not a fully remote position. The Care Manager meets members in homes and community settings and travels throughout the designated service area, including to providers, team members, and appointments. Most hours are Monday through Friday, with flexibility required; evenings, weekends, or hours beyond the standard schedule may be needed to meet deadlines or respond to unexpected developments. The role requires maintaining privacy and security when working remotely, including secure internet access and private handling of personal and health information.

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.
A degree in Health and Human Services, Psychology, Sociology, or a related field is preferred.
Must reside in New York State or a contiguous state (Connecticut, New Jersey, Pennsylvania, or Vermont), within 100 miles of the assigned office hub.
Valid driver’s license from New York or a contiguous state and a dependable vehicle for frequent travel between sites.
Proof of valid auto insurance for a standard personal vehicle is required at hire.
Ability and comfort driving and traveling to off-site locations, including members’ homes and community locations of their choosing.
Excellent interpersonal, public-speaking, and written communication skills.
Ability to work autonomously and professionally, respectfully, and collaboratively in a team environment.
Integrity and personal commitment to serving people with I/DD and their families.
Ability to comply with remote-work privacy standards, including secure Wi-Fi or an ACA/NY Mobile Hotspot, secure handling of printed information, and a private workspace for calls and health information.
Flexibility with work hours; evenings, weekends, or hours exceeding the standard schedule may be required.

Nice To Haves

Experience working with people with intellectual and/or developmental disabilities, in case management, in mental health or substance abuse, or in a related field.
Bachelor’s degree in Health and Human Services, Psychology, Sociology, or a related field.
Spanish-speaking ability is preferred.

Responsibilities

Deliver person-centered care management services in compliance with regulatory standards, the agency’s quality management plan, policies, and procedures.
Complete comprehensive assessments and reassessments.
Identify service gaps and make referrals when appropriate.
Advocate for members to access services and achieve their goals and quality of life.
Develop, implement, and monitor member Life Plans within required timeframes, leading interdisciplinary planning with the member at the center.
Address conflicts or disagreements in the person-centered planning process and work with the interdisciplinary team to resolve them promptly.
Complete required service documentation within stated timeframes and confirm billing-critical documentation is present and valid before submitting billable service documentation.
Maintain members’ eligibility for care management through annual Level of Care (Re)Determination, OPWDD eligibility maintenance, and HCBS waiver enrollment.
Identify and help members access eligible benefits and entitlements, such as Medicaid, Social Security, and SNAP, and support maintenance of existing benefits.
Ensure current, accurate information-sharing consent is maintained in the electronic health record and updated when needed.
Coordinate access to medical, behavioral health, and specialized healthcare services; communicate regularly, monitor needs, and follow up on critical and acute healthcare needs.
Coordinate access to preventive and health-promotion services.
Coordinate transitions and follow-up across inpatient and other care settings, including discharge planning, healthcare-system transfers, residential transitions, and transitions from childhood to adult services.
Promote self-determination and community inclusion through referrals and connections to community resources aligned with members’ interests, goals, and abilities.
Use health information technology, including electronic health records and programs that facilitate telehealth services.
Maintain thorough and accurate electronic health records for assigned members.
Support member self-advocacy using person-centered and strength-based approaches and advocate with or on behalf of members as needed.
Attend scheduled department and team meetings, trainings, and supervision, and complete required training within designated timeframes.
Travel throughout the service area to meet members and providers, participate with interdisciplinary team members, and accompany members to appointments when indicated.
Follow incident reporting procedures and ensure members’ immediate safety.
Follow agency policies and procedures and applicable corporate compliance, OPWDD, Department of Health, and Justice Center standards.
Maintain confidentiality in accordance with HIPAA and privacy practices.
Perform other duties as assigned.