HEALTH HOME CARE MANAGER

ANTHONY L JORDAN HEALTH CORPORATION•City of Rochester, NY

82d•$24 - $25•Onsite

About The Position

The Health Home Care Manager, under the guidance of the Director of Social Emotional and Mental Health, is primarily responsible for working in conjunction with a care team to identify and proactively manage the care needs of high risk patients within the Federally Qualified Health Center practice setting. This role offers an opportunity to apply specialized experience and education in an environment where you can make a difference and significantly impact patients’ quality of life.

Requirements

BSW/Human Services or other related field with 5 years care management experience.
Excellent communication skills and ability to form collaborative partnerships across all serving settings.
Working knowledge of the provision of health care in a variety of settings.
Valid driver’s license
Infection Control Certificate
BLS Certificate through the American Heart Association.

Nice To Haves

Bilingual preferred.

Responsibilities

Develop a plan of care that promotes improved health care outcomes and quality of life informed by the patient’s goals, strengths, and barriers.
Provide comprehensive care management including self-management support, health promotion, connection/referral to appropriate physical, mental health, or substance abuse providers as well as community-based organization social supports to decrease the barriers preventing the patient from attending appointments and following the plan of care.
Facilitate care coordination with primary or specialty medical care as well as acute and outpatient/inpatient medical, mental health and substance abuse services, and other care managers involved in supporting the individual.
Provide culturally competent interventions based on patient assessment and identified cultural needs.
Develop an intervention plan that addresses events such as emergency department visits, inpatient admissions or other crisis events to ensure planned crisis interventions are effective and result in necessary modifications to the plan of care and addresses potential need for additional support services.
Review patient progress no less than quarterly.
Participates as a member of the care team.