Children's Health Home Care Manager

The Arc Jefferson - St. Lawrence•Watertown, NY

9d•Onsite

About The Position

The Care Manager conducts and schedules assessments, referrals, advocacy and supports, counseling, education of patients and enrollees and care team members assuring the patient receives quality services to maintain optimum healthcare needs without barriers. Outreach and engagement to formally enroll referred individuals into the care management program. Conduct assessments, evaluates needs, establishes and maintains care plan and maintains referrals for enrollees. Assures supports are in place inclusive of peer and family contacts.

Requirements

A Bachelor’s degree with two (2) years relevant experience, or NYS licensure and registration as a Registered Nurse, or A Master’s degree with one (1) year relevant experience.
Must have strong written, verbal and organizational skills.
Computer skills necessary.
Travels within tri-county frequently.
Authorized to work in the United States.

Responsibilities

Develops Interim Plan of Care based on preliminary clinical information and assigned level that will identify linkages and services immediately required, based on information received from referral sources if applicable.
Ensures all initial linkages are established and maintained.
Collaborates with all service providers and establishes team communication plan.
Monitor goals on a continuing basis and that team is communicating.
Monitors that care plan is relevant to health home policies and procedures.
Consults with family members and social supports to maintain support consistency.
Advocates for additional services and linkages as appropriate.
Maintains current care management documentation and information regarding care management activities within the required health information technology (HIT) system.
Enter and maintain progress notes as it pertains to the Plan of Care.
Attend Quarterly Regional meetings for the CNYHHN.
Participate in monthly conference calls with CNYHHN providers.
Will engage families in the outreach process once a referral is received to the agency.
Will ensure compliance with the Central New York Health Home Network (CNYHHN) policies and procedures.
Will attend all required online and in-person training required by (CNYHHN) and agency.
Participate with agency committee(s) as assigned.
Attend and satisfactorily complete all required in-services.
Provide rotating after-hours on-call coverage outside of regular working hours with additional compensation in accordance with organizational policy.