About The Position

FreedomCare is a healthcare company founded in 2016, dedicated to revolutionizing the home care industry by empowering patients to choose their caregivers. The company supports patients across the U.S. and operates with core values of service, empathy, ownership, integrity, and a positive attitude. This role is a contract opportunity for a Health Home Care Manager to join the Care Management team, focusing on patients in Erie and Monroe Counties.

Requirements

  • Associate's degree is a must.
  • 2 years of Care Management experience.
  • Ability to travel in the field to accompany patients to appointments and meet patients in person when needed.
  • Strong working knowledge of local community resources.
  • Demonstrated ability to work with data reporting, documentation, and outcomes.
  • Strong communication and assessment skills; the ability to relate to patients, their families, and community care providers, along with ability to handle rapidly changing crisis situations.
  • Ability to manage high volume caseloads.
  • Able to express empathy and compassion for the underserved.
  • Experience navigating several data management systems, such as Salesforce.

Nice To Haves

  • Bachelor's Degree is a plus.
  • Bilingual Spanish strongly preferred.

Responsibilities

  • Screen for Health Home functional scale eligibility, conduct initial Health Homes assessments and reassessments of patient needs, including medical, mental health, substance use, financial, housing, and additional support needs.
  • Collaborate with medical providers and patients to develop, implement, and coordinate Health Homes compliant care plans for patients with chronic diseases, such as diabetes, asthma, congestive heart failure, hypertension, mental health conditions, substance use, and more, and document care plan outcomes.
  • Provide direct service to a caseload of chronically ill patients and help them achieve their care plan goals by facilitating referrals, addressing access issues, connecting them to local resources, and developing relationships with healthcare providers.
  • Coordinate patient services and care with pharmacies, insurance companies, hospital discharge planning, family caregivers, and other providers.
  • Provide crisis intervention when needed.
  • Conduct home visits and maintain patient contact and documentation of all services in accordance with Health Homes standards.
  • Maintain patient confidentiality at all times.

Benefits

  • Competitive compensation
  • Medical benefits
  • Retirement plans
  • Wellness programs
  • Fun company events
  • Ongoing learning opportunities
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