Health Home Care Manager

The Salvation Army•Schenectady, NY

About The Position

The Health Home Care Manager provides outreach and enrollment services to individuals presumed to meet the eligibility requirements of New York State’s Health Home program. The role involves gathering assessments and documenting information that confirms eligibility and identifies areas where supportive services are needed. The Care Manager works with individuals and service providers to develop a comprehensive Plan of Health Care, identify additional service providers when needed, and coordinate the ongoing participation of individuals and providers in carrying out the plan. The position documents progress and arranges transitions between health homes or to other levels of service when eligibility changes.

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.
Strong written and verbal communication skills.
Ability to work effectively and knowledgeably across diverse cultural, ethnic, and racial communities.
Ability to work effectively and remain focused when self-directed and beyond immediate oversight.
Ability to deliver family-driven, youth-guided services.
Computer proficiency, including word processing skills.
Ability to provide culturally competent practice.
Valid driver’s license that meets The Salvation Army’s insurance requirements.
Access to a vehicle to provide 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 enrolled members 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 one yearly meeting with each member’s care team and collaborate on a comprehensive Plan of Care.
Provide care coordination, comprehensive care management, transitional care, crisis intervention, and caregiver and family support.
Coordinate with care teams, make referrals to other providers, follow up on hospital discharges and emergency department visits, and ensure preventive medical and dental care.
Document case activities in an Electronic Health Record in accordance with New York State documentation quality and timing guidelines.
Ensure monthly billing standards are met for each enrolled member and submit a billing questionnaire during the month the activity occurred.
Participate in mandatory and optional training.
Participate in weekly supervision.

Benefits

14 paid holidays
Up to 3 personal days, vacation time, and sick time
Employer-funded pension plan, with company contributions beginning after one year of continuous employment
Comprehensive health care coverage with low-cost employee premiums, co-pays, and deductibles
Company-paid basic term life insurance for the employee
Long-term disability insurance
Eligibility for supplemental insurance plans, including short-term disability, AFLAC, and voluntary term life
Flexible Spending Account
Eligibility for the Federal Student Loan Forgiveness Program
Tax-deferred annuity (403B)
Christmas bonus