Care Manager
About The Position
The Care Manager serves individuals enrolled in Medicaid who have two or more chronic conditions, HIV/AIDS, Sickle Cell, Serious Emotional Disturbance (SED), Serious Mental Illness (SMI), or Complex Trauma. This role is crucial for achieving the overall goals of coordination, integration, and partnership in delivering care to children, adults, and families with complex needs. The position involves delivering all six NYS Department of Health (NYS DOH) Health Home Core Services, including comprehensive care management, care coordination, health promotion, comprehensive transitional care, individual and family support, and the use of health information technology to link services. Additional responsibilities include conducting required assessments, developing person-centered Plans of Care, coordinating medical, behavioral health, substance use, and social service supports, engaging members through outreach and advocacy, collaborating with various healthcare entities and community partners, maintaining accurate documentation, and meeting productivity and quality benchmarks.
Requirements
- A Masters with one year of relevant experience, OR
- A Bachelors of Arts or Science with two years of relevant experience, OR
- A License as a Registered Nurse with two years of relevant experience.
- Relevant experience includes care coordination, case management, social services, behavioral health, medical care navigation, or community-based services.
- Complete Children Adolescent Needs Assessment (CANS)NY training.
- Be CANS-NY certified annually.
- Meet exam score requirements: Care Managers: minimum 70%.
- Reside in New York State.
Nice To Haves
- Bilingual Preferred (Spanish)
Responsibilities
- Deliver all six NYS DOH Health Home Core Services: Comprehensive Care Management, Care Coordination and Health Promotion, Comprehensive Transitional Care, Individual and Family Support, Referral to Community and Social Support Services, and Use of Health Information Technology to Link Services.
- Conduct NYSDOH-required assessments and develop compliant, person-centered Plans of Care.
- Coordinate medical, behavioral health, substance use, and social service supports.
- Engage members through outreach, advocacy, and ongoing follow-up.
- Collaborate with hospitals, providers, Managed Care Organizations (MCO), and community partners.
- Maintain accurate, timely documentation in NYSDOH-approved systems.
- Meet Health Home productivity, engagement, and quality benchmarks.
- Participate in case conferences, audits, supervision, and training.
Benefits
- Flexible Spending Accounts (FSA)
- Group Term Life Insurance
- Voluntary Term Life Insurance
- Voluntary Short-Term and Long-Term Disability Insurance
- Clinical supervision hours for LMSW licensure
- Staff development and professional growth opportunities
- Agency Laptop & Cell Phone
- Travel Reimbursements for scheduled visits
- Tuition Assistance Program (TAP)
- 12 paid holidays per calendar year
- Up to 24 vacation days after one year of employment
- Health & Wellness Challenges and initiatives
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
