Care Manager- Spanish Speaking Preferred

LIFEPlan CCO NY LLC•Chappaqua, NY
•$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 may support Willowbrook Class Members. Its core responsibility is to oversee and coordinate access to services for people with intellectual and developmental disabilities (I/DD), working with each member, their family or representative, and providers to develop, implement, and monitor an integrated, person-centered Life Plan following a comprehensive assessment. The Life Plan identifies medical and behavioral health services, community and social supports, and other services that support the member’s goals, health, and quality of life. The Care Manager advocates for members to access the services and resources they need. This is a flexible, hybrid role combining fieldwork, regional travel, in-office work, and work from home; it is not fully remote. The Care Manager meets members in their homes or other community locations and travels throughout the designated service area to meet members, providers, and interdisciplinary team members, and sometimes to accompany members to appointments. The role requires residence in New York State or a contiguous state within 100 miles of the assigned office hub, a valid driver’s license from New York or a contiguous state, and a dependable vehicle with proof of auto insurance. Most hours are Monday through Friday, with flexibility required; deadlines or unexpected developments may require evening or weekend work and hours beyond the standard schedule. The position routinely uses standard office equipment and requires compliance with privacy standards when working from home or another remote location. The position is full-time and based at the Chappaqua Hub in Chappaqua, New York. The listed pay range is $31.75–$34.00 per hour. A competitive compensation and benefits package is offered, along with opportunities for growth and development and a collaborative, supportive team environment.

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.
  • The posting also describes two years’ experience caring for a family member with a disability as a qualifying requirement.
  • Must reside in New York State or a contiguous state (Connecticut, New Jersey, Pennsylvania, or Vermont) and within 100 miles of the assigned office hub.
  • Valid driver’s license issued by 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 willingness to drive and travel to off-site locations and meet members in their homes or other 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 meet privacy standards when working in a flexible work environment, including secured internet access and private, secure handling of personal and health information.
  • Flexibility to work primarily Monday through Friday, with occasional evening or weekend hours and hours exceeding the standard schedule when deadlines or unexpected developments require them.

Nice To Haves

  • Experience in human services, I/DD, mental health, substance abuse, case management, or a related field.
  • Degree in Health and Human Services, Psychology, Sociology, or a related field.
  • Spanish speaking is preferred.

Responsibilities

  • Deliver person-centered care management services in compliance with regulatory standards, the agency quality management plan, policies, and procedures.
  • Complete comprehensive assessments and reassessments, identify gaps in service provision, and make referrals when appropriate.
  • Advocate for members to reach their goals and live meaningful, quality lives.
  • Develop, implement, and monitor member Life Plans within required timeframes by leading an interdisciplinary, person-centered planning process.
  • Develop strategies to address conflict or disagreements in the planning process and work with the interdisciplinary team to resolve them in a timely manner.
  • Complete required service documentation on time and ensure billing-critical documentation is present and valid before submitting billable service documentation.
  • Maintain members’ eligibility for care management by completing annual Level of Care determinations, ensuring OPWDD eligibility is maintained, and enrolling members in the HCBS waiver.
  • Identify and access benefits and entitlements for eligible members, including Medicaid, Social Security, and SNAP, and help maintain existing benefits and entitlements.
  • Ensure current and accurate information-sharing consent is present in the electronic health record and updated when needed or requested.
  • Coordinate access to high-quality medical, behavioral health, and specialized healthcare services; communicate regularly, monitor critical and acute needs, and follow up with appropriate action.
  • Identify and coordinate access to preventive and health-promotion services.
  • Coordinate transitions and follow-up between 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 by connecting members with community resources related to their interests, goals, and abilities.
  • Use health information technology, including electronic health records and programs that facilitate telehealth, and maintain thorough and accurate electronic records for assigned members.
  • Support members’ self-advocacy using person-centered and strength-based approaches, and advocate with or on behalf of members when needed.
  • Attend scheduled department and team meetings, trainings, and supervision, and complete required trainings within required timeframes.
  • Travel throughout the designated service area to meet members, providers, and interdisciplinary team members, and accompany members to appointments when indicated.
  • Follow incident-reporting procedures and guidelines, ensuring the member’s immediate safety.
  • Follow policies and procedures for care management and related functions; comply with applicable standards of conduct, corporate compliance requirements, OPWDD, DOH, and Justice Center requirements.
  • Maintain confidentiality in accordance with HIPAA and privacy practices.
  • Perform other duties as assigned.

Benefits

  • Competitive compensation and benefits package
  • Opportunities for growth and development
  • Collaborative and supportive team
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