Children's Care Manager of Health Home Care Management

Sun River Health•New York, NY

22d•Onsite

About The Position

Sun River Health is a federally qualified, nonprofit health center serving communities in several New York counties. The Children’s Care Manager works full-time 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 position uses approved Children’s Health Home clinical tools and technology to assess clients’ clinical and psychosocial service needs, establish and update coordinated care plans, and monitor treatment progress. The Care Manager coordinates services with clients, families, schools, and interdisciplinary providers; maintains accurate case records; and supports referrals, follow-up, case conferences, and discharge planning. The role also requires reporting suspected child abuse to appropriate bodies and performing other duties or special projects as required.

Requirements

Bachelor’s degree and at least 2 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.
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 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; review new cases for complete documentation.
Link clients with appropriate ongoing service providers, coordinate referrals, and follow up.
Attend planning meetings with service providers to coordinate service plans.
Work with interdisciplinary providers, including primary care, substance abuse treatment, residential services, and hospital discharge planners, to coordinate care delivery.
Maintain case records in the health home EMR and coordinate electronic communication across provider databases as needed.
Maintain records in accordance with health home policies and procedures, agency 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.