Care Manager - New Windsor

ABBOTT HOUSE•Town of New Windsor, NY

4d•$41,567 - $50,818•Onsite

About The Position

Care Management is a service model in which an individual’s caregivers communicate and coordinate to address the member’s needs comprehensively. The Care Manager oversees and coordinates services for an assigned caseload, helping enrollees and their legal guardians navigate the health care system, access providers and services, and track interventions and outcomes. The role supports members in preventing hospitalizations, maintaining health, and achieving stability. The Care Manager obtains enrollment consents, completes initial and ongoing Child and Adolescent Needs and Strengths (CANS) assessments, and manages each patient’s Individualized Plan of Care. The position coordinates services according to acuity, supports treatment adherence, and monitors needs related to prevention, wellness, medical and mental health care, transitions, and social and community services. Care Managers meet contact and documentation requirements, advocate for clients, connect families with resources, and collaborate with interdisciplinary teams and service providers. The role also supports discharge planning and ensures children receive periodic dental, vision, and hearing evaluations and follow-up care under Medicaid EPSDT guidelines. This is a full-time, 35-hour-per-week position based in New Windsor, New York. The employee frequently works in an office environment, where noise is usually moderate and may occasionally increase due to program participants. The role requires travel to community-based agency offices, participant communities, and homes within the assigned catchment area. Physical requirements include sitting, standing, walking, handling objects, reaching, speaking, listening, and lifting or pushing/pulling items of varying weights.

Requirements

Associate degree with two years of experience, or bachelor’s degree with two years of experience, or Registered Nurse or Licensed Practical Nurse with two years of experience, or a master’s degree in a related field; licensure is preferred.
Relevant expertise and experience serving children and families in child welfare, developmental disabilities, mental health, healthcare, or other systems, including preventive services.
Knowledge of best practices for working with children and families in health, preventive, and wellness care.
Experience providing service coordination and information, linkages, and referrals for community-based services.
Valid driver’s license and clean driving record.
Ability to use a computer and learn software programs.
Ability to operate fax, copier, scanner, and other office equipment.
Fluency in spoken, read, and written English, including correct spelling, grammar, and punctuation.
Excellent accountability, writing, communication, and organizational skills.
Compassion for serving children and families with special needs.
Ability to travel to community-based agency offices, participant communities, and homes within the assigned catchment area.
Ability to receive feedback for professional growth and improvement.
Decisiveness, motivational and developmental skills, and management abilities, including meeting deadlines, ensuring compliance with agency policies and procedures, and maintaining complete and timely records.
Care Managers serving high-acuity enrollees must demonstrate understanding of the needs of those children and families through additional years of experience, education, or training.
Care Managers assigned to medically fragile children must have extensive experience coordinating their care.

Nice To Haves

Bilingual ability.
A master’s degree in a related field; licensure preferred.

Responsibilities

Obtain required Care Management enrollment consents from individuals or legal guardians.
Complete initial and ongoing CANS needs assessments to determine the appropriate level of care management.
Manage each patient’s Individualized Plan of Care.
Coordinate services according to enrollee acuity and support adherence to treatment recommendations.
Monitor and evaluate prevention, wellness, medical, mental health, care-transition, social, and community-service needs.
Meet client-contact requirements, including scheduled face-to-face visits for children based on acuity mandates.
Complete Care Management documentation accurately and promptly using MAPP and EHRs as needed.
Advocate for clients within the agency and with external service providers.
Promote wellness and prevention by connecting enrollees with resources that fit their needs and preferences.
Educate children and caregivers about chronic-condition care, immunizations, screenings, and preventive interventions.
Help clients obtain and maintain public benefits and supports, including Medicaid, cash assistance, Social Security, SNAP, housing, legal services, and employment and training supports.
Communicate and share information with individuals, families, and caregivers while considering language, literacy, and cultural preferences.
Conduct care-planning meetings and participate in interdisciplinary teams to coordinate comprehensive care.
Identify community-based resources and manage referrals, access, engagement, follow-up, and service coordination.
Engage in hospital discharge planning and ensure recommended post-discharge services are in place before discharge.
Attend ongoing staff-development training.
Ensure children receive periodic dental, vision, and hearing evaluations and follow-up treatment in accordance with Medicaid EPSDT guidelines.
Perform other duties as needed by the Care Management Agency.