About The Position

FreedomCare is a healthcare company founded in 2016, focused on revolutionizing the home care industry by empowering patients to choose their caregivers. The company supports patients nationwide and is driven by core values: Here For You, Own It, Do the Right Thing, and Be Positive. They are seeking a Health Home Care Manager to join their Care Management team in New York City. This is a contract opportunity with flexible days, offering $50 per completed field visit, and requires travel within Brooklyn, Bronx, Manhattan, and Queens. The role involves outreach, engagement, and enrollment of eligible patients into the Health Home Care Management Program. Once enrolled, the Care Manager will conduct comprehensive assessments, develop patient-centered care plans in collaboration with the patient's care team, and coordinate care according to these plans.

Requirements

  • Associate's degree is a must.
  • 2 years of Care Management experience.
  • Must be able to travel to a minimum of 2 boroughs - Brooklyn and Queens.
  • Ability to travel in the field to accompany patients to appointments and meet patients in person when needed.
  • Strong working knowledge of local community resources.
  • Demonstrated ability to work with data reporting, documentation, and outcomes.
  • Strong communication and assessment skills.
  • Ability to relate to patients, their families, and community care providers.
  • Ability to handle rapidly changing crisis situations.
  • Ability to manage high volume caseloads.
  • Able to express empathy and compassion for the underserved.
  • Experience navigating several data management systems, such as Salesforce.

Nice To Haves

  • Bachelor's Degree is a plus.
  • Bilingual Spanish strongly preferred.
  • Ability to travel to all 5 boroughs in the NYC area.
  • Access to a vehicle is strongly preferred.

Responsibilities

  • Screen for Health Home functional scale eligibility.
  • Conduct initial Health Homes assessments and reassessments of patient needs, including medical, mental health, substance use, financial, housing, and additional support needs.
  • Collaborate with medical providers and patients to develop, implement, and coordinate Health Homes compliant care plans for patients with chronic diseases.
  • Document care plan outcomes.
  • Provide direct service to a caseload of chronically ill patients and help them achieve their care plan goals by facilitating referrals, addressing access issues, connecting them to local resources, and developing relationships with healthcare providers.
  • Coordinate patient services and care with pharmacies, insurance companies, hospital discharge planning, family caregivers, and other providers.
  • Provide crisis intervention when needed.
  • Conduct home visits and maintain patient contact.
  • Document all services in accordance with Health Homes standards.
  • Maintain patient confidentiality at all times.

Benefits

  • Competitive compensation
  • Medical benefits
  • Retirement plans
  • Wellness programs
  • Fun company events
  • Ongoing learning opportunities
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