Health Home Care Manager
About The Position
The Health Home Care Manager provides outreach and enrollment services to individuals presumed to meet New York State Health Home program eligibility requirements. The Care Manager gathers assessments and enters documentation to confirm eligibility and identify supportive-service needs. In collaboration with individuals and service providers, the Care Manager develops a comprehensive Plan of Health Care, identifies additional service providers as needed, and coordinates ongoing participation in the plan. The role documents progress and arranges transitions between health homes or to other service levels when eligibility changes. The position includes regular home visits and coordinated services for enrolled members, including care coordination, comprehensive care management, transitional care, crisis intervention, and caregiver and family support. The Care Manager maintains records and billing documentation in accordance with applicable New York State guidelines, and participates in training and weekly supervision. The role is with the Schenectady Booth Home Team.
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 written and verbal communication skills.
- Ability to work effectively and knowledgeably across diverse 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.
- Conduct home visits with each enrolled member at least monthly, or more frequently as determined by 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 the member’s care teams and work with the team to develop 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 all case activities in an Electronic Health Record in accordance with New York State documentation quality and time-frame guidelines.
- Meet monthly billing standards for each enrolled member and submit a billing questionnaire within the month the activity took place.
- Participate in mandatory and optional training.
- Participate in weekly supervision.
- Perform other duties associated with job responsibilities as required; duties and responsibilities may change based on business needs.
Benefits
- Generous time off, including 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.
