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About the Role

The Care Manager partners with individuals with I/DD, their families, and providers to coordinate care and services. This role aims to help individuals achieve optimal health, wellness, independence, and community integration. The Care Manager provides core Health Home services, including comprehensive care management, care coordination, health promotion, transitional care, individual and family support, referrals, and utilizing Health Information Technology, all with a person-centered approach.

Responsibilities

Conduct comprehensive assessments to identify an individual’s clinical and psychosocial needs, choices, and preferences for services
Assess and address health and safety issues as well as barriers to care and treatment including social determinants of health
Collaborate with interdisciplinary team and incorporate input into comprehensive assessment and the person’s Life Plan
Facilitate, develop, and maintain a person-centered Life Plan that integrates an individual’s personal wants and needs, clinical and non-clinical healthcare related needs, community services, OPWDD services, and natural supports
Incorporate health promotion and support opportunities for individuals to achieve and maintain optimal health and wellbeing
Adhere to Incident Management regulations, guidelines, and policies and procedures
Coordinate and ensure access to chronic disease management
Facilitate referrals to clinical and community resources, including planning, implementation, and follow-up for comprehensive care management and transitional care
Participate in internal and external audits
Coordinate and provide access to long-term care supports and services
Engage families and natural supports in the care coordination process
Provide all individuals and families with services that are culturally and linguistically appropriate
Advocate on behalf of the individual
Promote self-advocacy and the ability to self-direct
Use Health Information Technology for documentation, to link services, and facilitate communication among care coordination team
Secure all health records and other protected information with the highest regard to confidentiality and HIPAA laws and regulations
Maintain compliance with all state and federal laws and regulations, Medicaid compliance, and PCC policies and procedures
Document all services and maintain appropriate records following all established documentation policies and procedures
Complete all required training including annual, ongoing, and educational trainings
Perform all other duties relevant to the position as requested

Requirements

Ability to act quickly, assess and act accordingly in crisis situations
Intermediate technology skills in Outlook, Teams, Word, Excel, online applications as needed
Understanding use of an EHR system
Knowledge of ethical and professional responsibilities and boundaries
Demonstrate professional work habits including dependability, time management, organization, autonomy, and productivity
Must have a valid driver’s license
Ability to conduct in-person visits and meetings at individuals homes, communities, schools, and other locations as applicable
Reasonable accommodations may be made to the extent required under applicable law to enable individuals with disabilities to perform the essential functions of this position
Adhere to all Prime Care Coordination policies and procedures
Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards
Attend mandatory education and training modules as scheduled; obtain and maintain required certifications
Maintain all required certifications/training by State regulations and PCC policy
Act as a professional representative of PCC in regard to appearance, behavior, temperament, communication, language, and dress

Skills

Bi-lingual skills may be required for some positions
Ability to sit/stand throughout day to accomplish job
Ability to enter data, notes, and other documentation into a computer

Location

Upstate NY
Remote
Satellite office locations
Primary office location

Work Type

Remote
Satellite office locations
Primary office location

Experience Level

Two years of relevant experience with a Bachelor's degree
Two years of relevant experience with a Registered Nurse license
One year of relevant experience with a Master's degree

Education Level

Bachelor's degree
Registered Nurse license
Master's degree

Benefits

Paid time off (25 days per year)
10 Paid Holidays
Affordable health care coverage including health, dental, vision, starting as low as $10.00/month
401(K) Retirement plan
Tuition Reimbursement
Generous Employee referral program
Employee Wellness Program (earn up to $250 per year!)
Bilingual pay differential available

About the Company

Prime Care Coordination is committed to equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, sex, disability, protected veteran status, or any other basis protected by applicable federal, state, or local law. Prime Care Coordination will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-347-1037.

Equal Opportunity

Prime Care Coordination is committed to equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, sex, disability, protected veteran status, or any other basis protected by applicable federal, state, or local law. Prime Care Coordination will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-347-1037.