Integrated Support Care Manager

Sun River Health • Monticello, NY

2d

About The Position

Sun River Health is a Federally Qualified, nonprofit health center serving communities in several New York counties. The Integrated Support Care Manager provides integrated care management to patients using a harm reduction approach to address psychosocial barriers to care. The role coordinates care, provides psychoeducation and casework counseling, connects patients with community supports, follows up on referrals, and maintains communication with patients and care teams. The manager attends ongoing training to support patients with needs involving HIV, substance use, hepatitis C, mental health, and chronic conditions, and performs duties in compliance with applicable systems and job-specific standards. The position is full-time at the Monticello location, with a stated pay range of $23.00–$26.37 per hour.

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.
• Strong verbal and written communication skills.
• Ability to collaborate, organize work effectively, accept and use guidance, and work cooperatively.
• Emotional, mental, and physical capability to perform job duties and commitment to achieving goals.
• 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 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.
• 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.
• Maintain customer service consistent with the organization’s mission and collaborate with other team members to maintain quality standards and client satisfaction.
• Organize work effectively, use guidance, work cooperatively, maintain confidentiality, and demonstrate cultural sensitivity and flexibility.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED