Children's Care Manager of Health Home Care Management

Sun River Health•New York, NY

22d•$29 - $33•Onsite

About The Position

Sun River Health is a Federally Qualified, non-profit health center serving communities across several New York counties. The full-time Children's Care Manager works at the Manhattan Health Home site in Manhattan, New York, providing care coordination and support to children with chronic medical and behavioral health conditions affected by social determinants of health. The role helps clients navigate social service, community, and healthcare systems and supports clients with high needs for clinical and support services. The Care Manager uses approved Children’s Health Home clinical tools and technology to assess client needs, determine acuity, and develop and update coordinated care plans with clients, families, and providers. The position coordinates care across providers, tracks client progress, maintains timely and accurate case records in the health home electronic medical record, and connects clients with appropriate services. It also includes engaging with schools as an academic health advocate, reporting suspected child abuse to appropriate bodies, and consulting with the supervisor and care team on case conferences and discharge planning.

Requirements

Bachelor’s degree and 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 in a stressful environment.
Ability to work well within the organizational structure.
Ability to work flexible hours, including some evenings and weekends.

Nice To Haves

Master’s degree preferred.

Responsibilities

Use approved Children’s Health Home clinical tools and technology to prepare initial and ongoing clinical and psychosocial assessments, confirm client acuity, tailor care plans, 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 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, and timely case notes.
Facilitate periodic case record reviews and case conferences with providers.
Review new cases for complete documentation.
Link clients with appropriate ongoing service providers and coordinate referrals and follow-up.
Attend planning meetings with service providers and work with interdisciplinary providers, including primary care, substance abuse treatment, residential, and hospital discharge staff, to coordinate care.
Maintain updated case records in the health home EMR and coordinate electronic communication across provider databases as needed, following applicable policies, standards, and regulatory requirements.
Engage with clients’ schools, including school social workers and other officials, to act as an academic health advocate.
Report suspected child abuse to appropriate bodies.
Consult with the team supervisor in case conferences, staff meetings, and discharge planning meetings to determine whether clients need an alternate level of care or are appropriate for discharge.
Perform other duties and participate in special projects as required.