Health Home Care Manager II

HCR Home Care • Canton, NY

96d

About The Position

The Health Home Care Manager 2 provides collaborative, client-centered support to Health Home Program clients through the development of person-centered goals, culturally competent care management, and professional healthcare and social service coordination. This position is designated as a higher-skilled Care Manager, capable of exceeding the basic tenants of care management. The Care Manager will evaluate, manage, and integrate solutions and resources for all primary, complex chronic diseases, behavioral health, and long-term care needs in the Health Home Program.

Requirements

• Associate or bachelor’s degree in health and human services with 10 or more years of experience working directly with persons with behavioral/mental health diagnosis, substance disorders, or linking individuals with community support resources.
• Bachelor’s or MS Degree, with 5 or more years related experience in child and family studies, community mental health, counseling, education, nursing, OT, PT, psychology, recreation, rehabilitation, SW, sociology, or speech and hearing.
• NYS Licensure and current registration as an LPN or RN with 5 or more years of experience working directly with persons with behavioral/mental health diagnosis or substance disorders.
• MSW or NYS CASAC Certification with related experience.

Nice To Haves

• Excellent communication skills.
• Demonstrated ability to interact well with people of all socio-economic backgrounds.
• Proven organizational skills and the ability to manage and prioritize multiple assignments.

Responsibilities

• Actively and progressively care manage an enrolled client caseload as determined by Agency guidelines.
• Develop an individualized plan of care with specific goals/interventions/objectives, to be revised as needed.
• Provide rehabilitative and supportive counseling geared toward the restoration of clients to their optimum level of social and health functioning.
• Assist clients and their families with personal and environmental difficulties that predispose them towards illness.
• Timely completion of individualized assessments specific to program needs utilizing NYS HCS-UAS system.
• Develop long and short-term plans, including the utilization of community support to reduce emergency room and/or in-patient utilization.
• Communicate directly with members of the care team to provide up-to-date information regarding the client’s care.
• Consult with physicians, Managed Care Organizations, and other members of the Care Team regarding client barriers to success.
• Prepare concise, accurate, and timely case notes incorporated into the client’s records.
• Complete client documentation within 24 hours.
• Proficiently and accurately use multiple software systems to capture care management notes and related activities.
• Attend case conferences and act as a consultant to other agency personnel regarding client’s psycho-social issues.
• Perform required face-to-face client encounters in conformance with Health Home and Agency guidelines.
• Schedule and maintain client visits, follow-up calls, and provider engagements utilizing effective time management skills.
• Document active/progressive care management showing multiple points of engagement with a client or collateral contacts over the course of a month.
• Timely discharge of clients no longer engaged in the Health Home Program.
• Represent Care Management on agency committees and interdisciplinary team meetings as requested.
• Network with community-based agency personnel to promote HCR and its services.
• Meet/exceed performance expectations as outlined in 'Care Management Expectations.'
• Other duties as assigned.

Benefits

• EOE/AA Minority / Female / Disability / Veteran

What This Job Offers