About the position
The Care Manager works with clients and the client's network of providers to help minimize barriers to care and help clients achieve improved health outcomes. Using interventions such as care coordination, motivational interviewing and health promotion, care managers help clients, over the course of time, develop the skills needed to manage their health and psychosocial needs with greater independence. Care Managers will have the opportunity to work as part of outcome driven integrated teams and participate in agency wide quality improvement activities aimed at improving the delivery of care to individuals living with chronic illness, behavioral health issues, and homelessness.
Responsibilities
- Assess clients' needs for services and cooperatively develop an integrated care plan and goals with the client/family and other providers.
- Maintain documentation and update care plans at specific time intervals or as needed in Housing Works and Health Home electronic medical records system.
- Work and communicate effectively with interdisciplinary team of providers, including Primary Care Provider, psychiatrist, therapist, substance abuse treatment programs and other providers.
- Attend Integrated Case Conferences as scheduled.
- Work with the client to identify barriers to goal attainment and help resolve those barriers, i.e., keeping scheduled appointments with appropriate service providers, medication regimen for adherence while promoting good health.
- Conduct field work, to client home and other provider settings, as needed to fulfill plan of care.
- Coordinate transitional care from an inpatient service to other settings as per care plan.
- Work collaboratively with team members to provide outreach and engagement to hard to reach clients.
- Provide assistance through advocacy and psycho-education to client and family for entitlements and other community services.
- Participate in staff meetings, trainings and supervision.
- Consistently exhibit Housing Works core values of teamwork, advocacy and good customer service.
- Perform other duties as requested.
Requirements
- Bachelor's Degree plus 2 years related experience preferred.
- Masters Degree in related field may be substituted for 1 year experience.
- Computer literate and working knowledge of Microsoft Office (Word, Excel).
- Good interpersonal skills and ability/interest in working as part of a team.
- Knowledge of HIV, substance use, homelessness, mental illness, and other chronic medical conditions.
- Knowledge of City, State, and Federal entitlement systems is helpful.
Benefits
- Three comprehensive healthcare plans to choose from based on your priorities and budget.
- Housing Works covers most of the healthcare plan; you pay a portion, based on your salary.
- Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year.
- Educational benefit available for tuition loan reimbursement, tuition costs, and textbooks.
