Health Home Plus Care Manager #1718

Lakeview Health Services Inc.•Geneva, NY

just now•$20 - $26

About The Position

With general supervision of the Care Management Program Manager, works from a trauma informed care perspective to provide intensive support, advocacy, linkage, and coordination of services in a care management program for persons with mental illness and/or chronic health conditions, who qualify for Health Home services as designated by the Department of Health, specifically high need SMI individuals. Individual should strive to create a healing environment that respects the perspectives and experiences of the individuals, families, staff and communities we serve by practicing safe, respectful communication as well as respecting individuals’ boundaries and differences.

Requirements

A Master’s degree in one of the qualifying1 fields and one (1) year of Experience; OR
A Bachelor’s degree in one of the qualifying fields and two (2) years of Experience; OR
A Credentialed Alcoholism and Substance Abuse Counselor (CASAC) and two (2) years of Experience; OR
A Bachelor’s degree or higher in ANY field with either: three (3) years of Experience, or two (2) years of experience as a Health Home care manager serving the SMI or SED population
Staff who meet the Waiver qualifications as outlined by the state.
NYS Driver’s License (as driving is an essential function of this position)
Thorough knowledge of community services within service area; general knowledge and understanding of Mental Illnesses, Psychiatric Rehabilitation model and related issues. Has a basic understanding of the importance of working from a trauma sensitive perspective. General knowledge of chronic health issues and the impact they have on overall well-being. Understanding of and ability to utilize motivational interviewing.
Must encompass and be able to incorporate key skills to practice and engage high-need SMI individuals which can include; motivational interviewing, suicide prevention, risk screening, trauma informed care, person centered care planning and interventions, and recovery oriented approaches; Proficient in the ability to improve quality of life and outcomes for high-need individuals with SMI; Use of contemporary office equipment particularly a computer with word processing, database and report generating software; to communicate effectively with diverse individuals and to record notes as needed; to listen, understand and appreciate the experiences of clients; to establish rapport and meaningful professional relationships; to manage and resolve conflicts; to provide positive role-modeling; to inspire respect, confidence and trust in consumers and co-workers; to respect and maintain appropriate confidentialities; to effectively encourage clients toward greater independence and self-sufficiency; to perceive and describe changes in behavior; to generate and maintain accurate records and reports as required; to seek, accept, and learn from supervisor and peer feedback; to organize time effectively; to plan and implement strategies consistent with consumer needs and overall organization goals, objectives, and standards; to meet deadlines regularly; effectively manage change.

Responsibilities

Maintain engagement with individuals who are often disengaged from care, have difficulty adhering to treatment recommendation, or have a history of homelessness, criminal justice involvement, first episode psychosis, and transitional-aged youth
Effectively support individuals through skills and practices including but not limited to motivational interviewing suicide prevention, risk screening, trauma-informed care and person-centered planning.
Hold a caseload of up to 20 individuals who meet HH+ eligibility for high need services
Ensure documentation is accurate and completed on time
Responsible for, but not limited to comprehensive assessment, outreach and engagement, service and treatment linkages and coordination using evidence-based practices and outcomes
Conduct appropriate screening and either performing or arranging for more detailed assessments when needed (e.g., high-risk substance use or mental health related indicators, harm to self/others, abuse/neglect and domestic violence)
Demonstrate proficiency at navigating the health care system, including ability to make referrals to housing services, crisis intervention, peer support.
Support consumers using trauma informed practices with linkages to identified resources, coordination of care among providers, advocacy, and support with identified recovery goals.
Develop and revise individual plans of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members.
Develop and maintain professional relationships through open communication and strong collaboration with community services
Personally assist consumers with identifying and achieving person centered goals and recovery
Monitor consumer wellness and ensure well-coordinated care among all providers
Develop and maintain appropriate and accurate records and files according to all county and organization policies and procedures as well as all governing and regulatory standards
Attend necessary meetings
Maintain regular and effective communications with supervisor, county service providers, and all relevant parties as needed
Collaborate with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of care
Address the quality, adequacy, and continuity of services to ensure appropriate support for individuals mental health and psychosocial health needs
Meet weekly to bi-weekly for supervision, participate in monthly clinical supervision, case conferences, and other relevant meetings and trainings
Participate in On-call rotation
Adhere to Medicaid, Office of Mental Health and Health Homes billing standards
Secure all health records and other protected information with the highest regard to confidentiality and HIPPA laws and regulations
Provide each member of the caseload with a minimum of four health home core services per month, including but not limited to face to face, at home visits and telephonic contact
Engage families, natural supports, and providers into the care coordination process