Children's Home Health Care Manager

The Salvation Army•Rochester, NY

18h

About The Position

The Care Manager provides outreach and enrollment services to individuals presumed to meet eligibility requirements of New York State’s Health Home program. The role gathers assessments and enters documentation confirming eligibility and identifying areas requiring supportive services. The Care Manager works with individuals and service providers to create a comprehensive Plan of Health Care, identify additional service providers as needed, and coordinate the ongoing involvement of individuals and providers in carrying out the plan. The role documents progress and arranges transitions between health homes or to other levels of service when eligibility changes. This is a 40-hour-per-week position, Monday through Friday, 7:30 a.m. to 4:00 p.m. Hours outside this general schedule may be required.

Requirements

Bachelor’s degree and two years of experience, or a master’s degree and one year of experience.
Relevant experience serving children and families in child welfare, developmental disabilities, behavioral health, primary health care, or social services.
Experience coordinating and participating in team settings.
Solid writing and verbal communication skills.
Ability to work effectively and knowledgeably across a broad spectrum of cultural, ethnic, and racial communities.
Ability to work effectively and in a focused manner when self-directed and beyond immediate oversight.
Ability to deliver family-driven, youth-guided services.
Computer proficiency, including word processing skills, and ability to provide culturally competent practice.
Valid driver’s license that meets The Salvation Army insurance requirements.
Access to a vehicle for providing home visits.

Responsibilities

Assess, engage, and enroll clients in the health home program in accordance with NYSDOH and Lead Health Home regulations.
Complete home visits with each enrolled member at least monthly, with frequency adjusted to client need.
Collaboratively complete a yearly assessment of needs, strengths, and goals with the member or family and care teams.
Facilitate at least yearly meetings with members’ care teams and work with the team to develop a comprehensive Plan of Care.
Provide core services to enrolled members, including care coordination, comprehensive care management, transitional care, crisis intervention, and caregiver/family support.
Coordinate with the care team and make referrals to other providers.
Ensure follow-up after hospital discharges and emergency department visits and ensure preventive medical and dental care.
Document all case activities in an Electronic Health Record in accordance with New York State documentation quality and time-frame guidelines.
Ensure monthly billing standards are met for each enrolled member and submit a billing questionnaire within the month the activity took place.
Participate in mandatory and optional trainings.
Participate in weekly supervision.
Perform other duties as assigned.
Document progress and arrange transitions between health homes or to other levels of service when eligibility changes.