Health Home Plus Care Manager - The Salvation Army Eastern Territory

Seeking a Full Time Health Home Plus Care Manager on our Utica Social Services Team

Our Full Time opportunities offer:

·      Generous time off every year including 14 paid holidays, up to 3 personal days, vacation time, and sick time

·      Employer funded Pension Plan (company contributions begin after 1 year of continuous employment)

·      Comprehensive Health Care Coverage with low cost employee premiums, co-pays, and deductibles

·      Company Paid Basic Term Life Insurance for Employee

·      Long Term Disability Insurance

·      Eligibility for supplemental insurance plans including Short Term Disability, AFLAC, and Voluntary Term Life

·      Flexible Spending Account

·      Eligibility for Federal Student Loan Forgiveness Program

·      Tax Deferred Annuity (403B)

·      Christmas Bonus

·      Wireless discount for Sprint or Verizon customers

·      Free parking

SCOPE AND PURPOSE OF POSITION:
Care Manager provides outreach and enrollment services to individuals presumed to meet eligibility requirements of New York State’s Health Home program. They gather assessments and enter documentation that confirms eligibility and identifies areas requiring supportive services. They work with individuals and service providers to create a comprehensive Plan of Health Care, identify additional service providers as necessary, and coordinate the continuing involvement of individuals and service providers in the execution of the plan. Care Manager documents progress and arrange for eventual transition between health homes as necessary, or from health homes to other levels of
service following changes in eligibility.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Assesses, engages and enrolls clients into health home program, per NYSDOH and Lead Health Home regulations.
• Develop relationships with local hospitals and jails to connect individuals returning to the community from inpatient/incarceration with health homes program.
• Maintain engagement with individuals who are often disengaged from care, have difficulty adhering to treatment recommendation, or have a history of homelessness, criminal justice involvement, or high ED/Inpatient utilization.
• Work within the community to engage individuals who meet Health Home Plus
• Complete face to face visits with enrolled member at least once/month; at a frequency determined by client need.
• Collaboratively complete a yearly assessment of needs, strengths and goals with the member/family and care teams.
• Facilitates yearly (minimum) meeting with member's care teams and works within that team to develop a comprehensive Plan of Care.
• Provide the following core services to enrolled members: care coordination, comprehensive care management, transitional care, crisis intervention and caregiver/family support (coordinating with care team, making referrals to other providers, ensuring follow up from hospital discharges/ED visits,
ensures preventive medical/dental care, etc.)
• Document all case activities in an Electronic Health Record, following the NYS guidelines around documentation quality and time frames.
• Ensure that monthly billing standards are met for each enrolled member and that a billing questionnaire is submitted within the month that the activity took place.
• Participate in mandatory and optional training.
• Participate in weekly supervision.

SPECIAL SKILLS, CERTIFICATES, LICENSES, REGISTRATIONS:
• Bachelor’s Degree with two years of experience; Master’s Degree with one year of experience preferred.
• Relevant experience in serving children and families in child welfare, developmental disabilities, behavioral health, primary health care, or social services
• Experience coordinating and participating in team settings
• Solid writing and verbal communication
• Work effectively and knowledgeably across a broad spectrum of cultural, ethnic, and racial communities
• Ability to work in an effective and focused manner when self-directed and beyond immediate oversight
• Ability to deliver family-driven, youth-guided services
• Requires computer proficiency including word processing skills and the ability to provide culturally competent practice
• Must have valid driver’s license that meets The Salvation Army insurance requirements
• Must have access to a vehicle to provide home visits.
• Perform all duties associated with job responsibilities

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.