Integrated Support Care Manager - Monticello

Sun River Health•Monticello, NY

13d

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 communication with patients and care teams. The role supports patients with needs related to HIV, substance use, hepatitis C, mental health, and chronic conditions, and requires ongoing training. Duties must be performed in compliance with applicable systems and job-specific standards.

Requirements

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 high-quality standards and achieve client satisfaction.
Emotional, mental, and physical capability to perform the duties and commitment to achieving goals.
Strong verbal and written communication skills, initiative, enthusiasm, and creativity.
Ability to organize work effectively, 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.
High school diploma or GED.

Nice To Haves

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

Responsibilities

Complete care management intakes and support medication-assisted treatment (MAT) addiction programs.
Develop, implement, and monitor individualized patient care plans.
Establish linkages to 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 effectively with patients and interdisciplinary care teams, including providers.
Provide Naloxone training to patients and staff.
Conduct 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 promptly.
Empower, educate, and link patients to HIV, HCV, and STI testing and treatment, PrEP, substance use services, and primary care.
Attend ongoing training to enhance professional skills and patient care.
Support quality improvement initiatives and perform other duties as assigned.

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 and education programs.
Loan assistance and potential access to eligible federal and state loan repayment or forgiveness programs.
Tuition reimbursement for eligible job-related coursework.
A $1,500 sign-on bonus for eligible external applicants; terms and conditions apply.