Integrated Support Care Manager - Monticello

Sun River Health•Monticello, NY

14d•$23 - $26•Onsite

About The Position

Sun River Health is seeking a full-time Integrated Support Care Manager for its Monticello location. The position provides integrated care management using a harm-reduction approach to address psychosocial barriers to care. Services include care coordination, psychoeducation, casework counseling, connections to community supports, referral follow-up, and ongoing communication with patients and care teams. The manager attends training related to patient needs, including HIV, substance use, hepatitis C, mental health, and chronic conditions, and performs duties in accordance with applicable systems and job-specific standards. The role includes conducting care management intakes; supporting medication-assisted treatment (MAT) addiction programs; developing and monitoring individualized care plans, recovery support plans, and crisis plans; facilitating referrals and linkage to support services; collaborating with patients and interdisciplinary care teams; providing naloxone training; supporting HIV testing and follow-up; and maintaining accurate records and reports. The position also supports quality improvement initiatives and other assigned duties. Sun River Health is a nonprofit Federally Qualified Health Center serving communities across several New York counties. It describes its culture as supportive, collaborative, inclusive, and focused on wellness, recognition, and professional growth. The listed pay range is $23.00–$26.37 per hour. A $1,500 sign-on bonus is available to eligible external applicants, subject to terms and conditions.

Requirements

High school diploma or GED.
Ability to communicate in English, orally and in writing.
Experience in health or social services.
Knowledge of the geographic community served and available resources.
Ability to collaborate with colleagues to maintain quality standards and client satisfaction.
Emotional, mental, and physical capability to perform job duties and commitment to achieving goals.
Initiative, enthusiasm, creativity, and strong verbal and written communication skills.
Ability to organize work, accept and use guidance, and work cooperatively.
Flexibility, cultural sensitivity, and ability to maintain confidentiality.
Knowledge of stages of change, substance use disorders, HIV, HCV, and other co-occurring conditions.

Nice To Haves

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

Responsibilities

Complete care management intakes and support MAT addiction programs.
Develop, implement, and monitor individualized patient care plans.
Establish linkages and refer patients to internal and external support services, and follow up on referrals.
Complete patient Recovery Support Plans and Crisis Plans as appropriate.
Communicate and collaborate 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.
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.
Provide care coordination, psychoeducation, casework counseling, community-support linkages, referral follow-up, and communication with patients and care teams.

Benefits

Medical, dental, and vision insurance.
Life and disability coverage.
Retirement savings plan.
Commuter and transit benefits.
Employee Assistance Program (EAP).
Employee discount program.
Professional development opportunities.
Eligible employees may participate in federal and state loan repayment or loan forgiveness programs, including HRSA and NHSC programs.
Tuition reimbursement for eligible employees and job-related coursework at accredited institutions.
$1,500 sign-on bonus for eligible external applicants, subject to terms and conditions.