Health Homes Care Manager
About The Position
Cornerstone Family Healthcare is recruiting a full-time Health Homes Care Manager in Newburgh, NY. Under the supervision of a Program Supervisor, the Care Manager provides core care coordination services to individuals with chronic illnesses, including mental health conditions and HIV. The position has a dedicated caseload that varies according to client needs, and an assigned county office as the primary office location. The Care Manager engages clients and assesses their needs, coordinates with service providers, and develops client-centered care plans. The role includes supporting clients with treatment, health services, entitlements, housing, care transitions, and other identified needs, as well as maintaining records and meeting program productivity and documentation standards. The listed pay rate is $25.00 per hour.
Requirements
- Master’s degree in social work or a related degree, with some experience in the field; or a bachelor’s degree in social work or a related degree, with some experience or knowledge in case management, chemical dependency, mental health, and/or human services; or an LPN with one year of experience providing case management or medical coordination among multiple providers.
- Computer experience that includes Microsoft Word and Excel.
- Access to a car and a valid driver’s license.
Nice To Haves
- Experience with Electronic Health Records (EHR) data entry.
- Bilingual English/Spanish skills.
Responsibilities
- Engage new Health Home clients and maintain their engagement in care coordination.
- Conduct intake and comprehensive health assessments and reassessments, identifying mental health, chemical dependency, and social service needs.
- Develop comprehensive, measurable, goal-oriented care plans in collaboration with an interdisciplinary team of external providers, integrating the continuum of care and needs identified in assessments.
- Advocate for and assist clients in obtaining and maintaining entitlements and housing.
- Assist and support clients with treatment and adherence recommendations, including prevention, wellness, recovery, and care transitions.
- Refer clients to services and follow up to support medical stabilization.
- Coordinate hospital discharges with hospital or acute care settings and follow up on discharge plans and recommendations.
- Help clients and families resolve barriers to obtaining medical services.
- Escort clients to appointments when necessary to support medical adherence.
- Conduct home and field visits.
- Maintain ongoing contact with interdisciplinary medical providers and act as team leader for clients’ care coordination activities.
- Provide crisis intervention when required.
- Meet and maintain program productivity standards.
- Maintain the Electronic Health Record and required electronic data.
- Track patient medical appointments, labs, and other time-sensitive activities necessary to maintain client health.
- Complete required program documentation.
- Participate in weekly supervision and program review.
- Attend and participate in monthly department, All Staff, and other required meetings.
- Follow Cornerstone policies and procedures and the Employee Handbook.
- Maintain confidentiality, including patient confidentiality and confidential financial and employee-relations information.
- Perform other related duties as assigned.
Benefits
- Health benefits
- Retirement plan
- Paid time off
- Sick time
- Flexible spending
- Dependent care
- Paid holidays
- Competitive salaries
