Children's Health Home Care Manager

The Arc Jefferson - St. Lawrence•Watertown, NY
•$24 - $27

About The Position

The Care Manager conducts and schedules assessments, referrals, advocacy and supports, counseling, and education for patients, enrollees, and care team members to help ensure that patients receive quality services to meet their healthcare needs without barriers. The role includes outreach and engagement to enroll referred individuals in the care management program; conducting assessments; evaluating needs; establishing and maintaining care plans; maintaining referrals; and ensuring supports are in place, including peer and family contacts. This is a full-time position requiring 40 hours per week. The typical schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., with flexibility to meet program needs. The position frequently travels within the tri-county area and provides rotating after-hours on-call coverage outside regular working hours, with additional compensation in accordance with organizational policy.

Requirements

  • Bachelor’s degree with two years of relevant experience, or NYS licensure and registration as a Registered Nurse, or a Master’s degree with one year of relevant experience.
  • Strong written, verbal, and organizational skills.
  • Computer skills.
  • Frequent travel within the tri-county area.
  • Authorization to work in the United States.

Responsibilities

  • Develop an Interim Plan of Care based on preliminary clinical information and the assigned level, identifying immediately required linkages and services using information from referral sources when applicable.
  • Ensure that initial linkages are established and maintained.
  • Collaborate with service providers and establish a team communication plan.
  • Continuously monitor goals and ensure the team is communicating.
  • Monitor care plans for relevance to health home policies and procedures.
  • Consult with family members and social supports to maintain consistent support.
  • Advocate for additional services and linkages as appropriate.
  • Maintain current care management documentation and information about care management activities in the required health information technology system.
  • Enter and maintain progress notes related to the Plan of Care.
  • Attend quarterly regional meetings for the CNYHHN.
  • Participate in monthly conference calls with CNYHHN providers.
  • Engage families in outreach after the agency receives a referral.
  • Ensure compliance with CNYHHN policies and procedures.
  • Attend all required online and in-person CNYHHN and agency training.
  • Participate in agency committees as assigned.
  • Attend and satisfactorily complete required in-services.
  • Provide rotating after-hours on-call coverage outside regular working hours.
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