Children's Care Manager of Health Home Care Management

Sun River Health•New York, NY
•$29 - $33•Onsite

About The Position

Sun River Health is a Federally Qualified, non-profit health center serving communities in several New York counties. The full-time Children’s Care Manager works at the Church Avenue Health Home site in Brooklyn, New York. The role provides care coordination and support to children with chronic medical and behavioral health conditions affected by social determinants of health, helping clients navigate social service, community, and healthcare systems. The Care Manager supports clients with a high need for clinical and support services. The position uses Children’s Health Home tools and technology to assess clients’ clinical and psychosocial needs, confirm acuity, develop and update individualized coordinated care plans, and monitor treatment progress. The Care Manager maintains a caseload from assessment through discharge, coordinates with clients, families, schools, and interdisciplinary providers, and keeps accurate records in the health home electronic medical record. The role also includes attending care-planning meetings and case conferences, making referrals and following up with service providers, and reporting suspected child abuse to appropriate bodies. Applicants must have a bachelor’s degree and two years of related work experience. A master’s degree is preferred. Prior work with children is required. The role may involve flexible hours, including some evenings and weekends. Salary is $29.00–$33.03 per hour.

Requirements

  • Bachelor’s degree.
  • Two years of related work experience.
  • Prior work with children.
  • Ability to communicate well with medical providers and support staff.
  • Ability to work well with a diverse population.
  • Ability to handle multiple tasks and work in a stressful environment.
  • Ability to work well within the organizational structure.

Nice To Haves

  • Master’s degree.

Responsibilities

  • Use approved Children’s Health Home clinical tools and technology to prepare initial and ongoing clinical and psychosocial assessments of clients’ service needs.
  • Confirm client acuity levels, tailor care plans accordingly, and reassess as needed.
  • Develop, coordinate, and integrate care plans in cooperation with clients, their families, and other providers; update plans at specified intervals and when client circumstances change.
  • Participate in integrated care efforts with providers to monitor treatment plans and progress.
  • Manage an assigned caseload from assessment through discharge.
  • Track and monitor client progress and produce and maintain detailed, accurate, timely case notes.
  • Facilitate periodic case record reviews and case conferences with providers serving the client.
  • Review new cases for completeness of documentation.
  • Link clients with, coordinate, and refer them to appropriate ongoing service providers, and follow up.
  • Attend planning meetings and coordinate service plans with providers, including primary care, substance abuse treatment, residential, and hospital discharge planning providers.
  • Maintain updated case records in the health home EMR and coordinate electronic communication across provider databases as needed.
  • Maintain case records in accordance with health home policies and procedures, agency standards, and regulatory requirements.
  • Engage the client’s school, including school social workers and other officials, to act as the client’s academic health advocate.
  • Report suspected child abuse to appropriate bodies.
  • Consult with the team supervisor and participate in case conferences, staff meetings, and discharge planning meetings to determine whether a client needs an alternate level of care or is appropriate for discharge.
  • Perform other duties and participate in special projects as required.
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