Care Manager - Bronx

ABBOTT HOUSE•New York, NY

3d•$41,567 - $50,818

About The Position

The Care Manager oversees and coordinates services for an assigned caseload, ensuring that each enrollee’s needs are addressed comprehensively and that they receive the supports needed to prevent hospitalizations, maintain health, and achieve stability. The role guides enrollees and their legal guardians through the health care system by helping resolve access issues, building relationships with service providers, and tracking interventions and outcomes. The Care Manager completes enrollment and needs assessments, develops and manages each enrollee’s Individualized Plan of Care, coordinates services according to acuity, and supports adherence to treatment recommendations. The position involves monitoring medical, mental health, wellness, prevention, care transition, and social-service needs; connecting clients with community resources and public benefits; advocating for clients; and coordinating with families, caregivers, providers, and interdisciplinary teams. The role also includes timely documentation in designated care management portals and electronic health records, discharge planning following hospital admissions, and ensuring children receive periodic dental, vision, and hearing evaluations and follow-up care consistent with Medicaid EPSDT guidelines. The position is based at Grand Concourse in the Bronx, New York, and involves frequent office work as well as travel to community-based agency offices, participant communities, and homes within the assigned catchment area. The employee uses a computer, care management software, and office equipment such as fax machines, copiers, and scanners. The work environment is usually moderately noisy, with occasional increases in noise from program participants. The role requires the ability to communicate fluently in English and to meet the physical demands described in the posting, including sitting, standing, walking, occasional bending and kneeling, and lifting or pushing/pulling items of varying weights. It is a full-time position requiring 35 hours per week.

Requirements

Associate degree with two years of experience; or a Bachelor of Arts or Science degree with two years of experience; or Registered Nurse or Licensed Practical Nurse credentials with two years of experience; or a master’s degree in a related field, with licensure preferred.
Knowledge of best practices for working with children and families in health, preventive, and wellness care.
Relevant expertise and experience serving children and families in child welfare, developmental disabilities, mental health, health care, other systems, and/or preventive services.
Experience providing service coordination and information, linkages, and referrals for community-based services.
Care Managers serving high-acuity enrollees must demonstrate knowledge and understanding of the needs of those children and their families, supported by additional years of experience, education, or training.
Care Managers assigned to medically fragile children must have extensive experience coordinating their care.
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 agency records in accordance with contractual requirements.
Valid driver’s license and clean driving record.
Ability to use a computer and learn software programs, and to operate fax, copier, scanner, and other office equipment.
Fluent English speaking, reading, and writing skills.

Nice To Haves

Bilingual ability.

Responsibilities

Obtain required Care Management enrollment consents from the individual or legal guardian.
Complete initial and ongoing Child and Adolescent Needs and Strengths (CANS) assessments to determine the appropriate level of care management.
Manage the patient’s Individualized Plan of Care.
Coordinate services according to the enrollee’s acuity level and support adherence to treatment recommendations.
Monitor and evaluate prevention, wellness, medical, mental health, care transition, and social and community service needs.
Meet client contact requirements, including scheduled face-to-face visits for children as required by acuity level.
Complete care management documentation accurately and on time using MAPP and electronic health records as needed.
Advocate for clients within the agency and with external service providers.
Promote wellness and prevention by connecting enrollees with resources and services based on their needs and preferences.
Educate children and caregivers about chronic-condition care, immunizations, screenings, and other preventive interventions.
Help clients obtain and maintain public benefits and other supports, including Medicaid, cash assistance, Social Security, SNAP, housing, legal services, 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 as an interdisciplinary team member to coordinate comprehensive care.
Identify community-based resources and manage referrals, access, engagement, follow-up, and service coordination.
Participate in hospital discharge planning and ensure recommended post-discharge services are in place before discharge.
Attend ongoing staff development trainings.
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.