Integrated Support Care Manager
About The Position
Sun River Health is a Federally Qualified, non-profit health center providing comprehensive primary, preventive, and behavioral health services to communities in several New York counties, especially underserved and vulnerable populations. The full-time Integrated Support Care Manager role is based at the Monticello location and provides integrated care management using a harm reduction approach to address psychosocial barriers to care. The position coordinates care, provides psychoeducation and casework counseling, links patients with community supports, follows up on referrals, and maintains communication with patients and care teams. The Care Manager attends ongoing training to address patient needs involving HIV, substance use, hepatitis C, mental health, and chronic conditions, and performs duties in compliance with applicable systems and job-specific standards.
Requirements
- High school diploma or GED.
- Experience in health or social services.
- Knowledge of the geographic community served and available resources.
- Ability to communicate in English, orally and in writing.
- Ability to communicate in Spanish, orally and in writing, preferred.
- Ability to collaborate, organize work effectively, accept and utilize guidance, and work cooperatively.
- Emotional, mental, and physical capability to perform job duties and commitment to achieving goals.
- Initiative, enthusiasm, creativity, and strong verbal and written communication skills.
- Flexibility, cultural sensitivity, and ability to maintain confidentiality.
Nice To Haves
- Associate degree.
- Certified Recovery Peer Advocate (CRPA).
- Ability to communicate in Spanish, both orally and in writing.
Responsibilities
- Complete care management intakes and support medication-assisted treatment (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 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, hepatitis C, and other co-occurring conditions.
- Empower, educate, and link patients to HIV, hepatitis C, 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.
- Maintain a customer service level consistent with the organization's mission.
- Collaborate with other Sun River Health members to maintain high-quality standards and achieve client satisfaction.
- Organize work effectively, accept and use guidance, work cooperatively, and maintain confidentiality.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
