Integrated Support Care Manager

Sun River Health

20h•Onsite

About The Position

Sun River Health is seeking a full-time Integrated Support Care Manager to join our team at the Riverhead location. This role provides integrated care management services to patients using a harm reduction approach to address psychosocial barriers to care. The Care Manager will be responsible for coordination of care, psychoeducation, casework counseling, linkage to community supports, referral follow-up, and maintaining communication with the patient and care teams. Ongoing training is provided to address patient needs, including understanding of HIV, Substance Use, Hepatitis C, mental health, and chronic conditions. Job duties must be performed in compliance with systems and job-specific standards.

Requirements

Ability to communicate in English, both orally and in writing
Experience in health or social services
Knowledge of the geographic community served and available resources
Maintains a customer service level commensurate with the expectations of the Mission Statement
Ability to collaborate with other members of Hudson River HealthCare to maintain high-quality standards and achieve client satisfaction
Possesses the emotional, mental, and physical capability to perform duties and demonstrates a strong commitment to achieving goals
Demonstrates initiative, enthusiasm, creativity, and strong verbal and written communication skills
Ability to organize work effectively, accept and utilize guidance, and work cooperatively
Possesses flexibility, cultural sensitivity, and the ability to maintain confidentiality

Nice To Haves

Ability to communicate in Spanish, both orally and in writing
Associate degree and/or Certified Recovery Peer Advocate (CRPA)

Responsibilities

Complete care management intakes and comprehensive patient assessments
Develop, implement, and monitor individualized patient care plans
Establish linkages and refer patients to internal and external support services; provide follow-up on referrals
Complete patient Recovery Support Plans and Crisis Plans as appropriate
Communicate and collaborate effectively with patients and interdisciplinary care teams, including providers
Provide Naloxone training to patients and staff
Conduct and/or support HIV testing and ensure linkage to appropriate services and follow-up
Participate in case conferencing with care teams
Maintain accurate, current case records and complete required documentation and reports in a timely manner
Demonstrate knowledge of stages of change, substance use disorders, HIV, HCV, and other co-occurring conditions
Empower, educate, and link patients to HIV, HCV, and STI testing and treatment, PrEP, substance use services, and primary care
Participate in ongoing training to enhance professional skills and patient care
Support quality improvement initiatives and perform other duties as assigned