Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

Fountain House's Care Management is a Health Home Care Management agency serving individuals living with serious and persistent mental illness. The Care Coordinator is responsible for coordinating health care and ensuring all needs are met for members in the community who have chronic medical and/or mental health conditions. This role aims to improve health outcomes, decrease redundancy of care, reduce hospitalizations, and secure social determinants of health such as benefits, food security, and housing. The position involves telephonic care coordination, on-site service provision, and community visits. Care Coordinators embody fierce optimism, professional curiosity, and a communitarian approach.

Responsibilities

Determine member eligibility through ePaces or Medicaid Analytics Performance Portal.
Outreach eligible members through phone, zoom, or in-person meetings.
Give educational presentations on care management services to internal programs.
Enroll members into Relevant (Electronic Health Record, EHR).
Maintain and update member demographics in EHR quarterly.
Document all services provided in progress notes within 48 hours.
Conduct State-regulated Eligibility Assessments for HARP members in UAS-NY.
Complete the Plan of Care for HCBS/CORES referrals within 60 days of enrollment and annually.
Conduct initial and subsequent periodic needs assessments for care plans.
Conduct comprehensive assessments within 60 days and annually.
Complete extensive trainings for Relevant EHR, PSYCKES, Medicaid Redesign, HCBS, CORES, Housing, Benefits, MAPP, UAS-NY, and weekly Health Home value add webinars.
Use resources or insurance databases to connect members to quality medical and behavioral health providers.
Connect members to supports for education, employment, legal, food insecurities, and other community supports.
Apply for and/or maintain benefits such as Medicaid, Food Stamps (SNAP), Social Security, and Social Security Disability.
Secure safe and affordable housing for low income, mental health, and/or lottery apartments.
Complete applications for one shot deals to ensure housing stability.
Conduct case conferences with member, service providers, and consented supports.
Accompany and support members to and during appointments when follow-up and advocacy is necessary.
Assist with transitional care during and after hospitalizations.
Assess safety and conduct safety planning as needed.
Assist members in improving activities of daily living and goal setting.
Assist members in accessing transportation.
Improve health literacy and provide psychoeducation for health conditions.
Assist members in reading and understanding health care materials.
Connect individuals to long term care services.
Assist members in managing chronic health conditions.
Collaborate with support team including consented family members.
Operate using social practice and relationship building within the care management model.

Requirements

Excellent verbal and written communication skills.
Excellent interpersonal skills and ability to engage members effectively.
Excellent computer proficiency (MS Office – Word, Excel, and Outlook).
Must be able to work under pressure and meet strict deadlines while maintaining a positive attitude and providing high quality services.
Ability to work independently and complete assignments within parameters of instructions, prescribed routines, and standard accepted practices.

Skills

Care coordination
Health Home Care Management
Medicaid
Mental health
Community supports
Benefits application
Housing assistance
Case conferencing
Advocacy
Safety planning
Goal setting
Transportation assistance
Health literacy
Psychoeducation
Long term care services
Chronic condition management
Social practice
Relationship building
MS Office (Word, Excel, Outlook)

Location

Hell's Kitchen

Work Type

Onsite

Experience Level

3 years of experience in the mental health field or Health Home Care Management preferred

Education Level

Bachelor’s Degree required
Bilingual, Spanish speaking is a plus
Community Health Work certification preferred

Salary/Compensations

$30.58 per hour

About the Company

At Fountain House, we believe in the power of community to transform the lives of individuals with serious mental illness.
Members and staff operate successful employment, education, wellness programs and work as partners to perform all the functions that keep our community going.
The Fountain House model has been replicated in more than 300 locations in 30 countries and 32 states and currently serves more than 100,000 people with mental illness worldwide.
We are committed to reducing social isolation, advocating for mental health policy change, and driving solutions that empower our members.
Fountain House’s Care Management is a Health Home Care Management agency serving individuals living with serious and persistent mental illness.
We are the team helping Medicaid recipients to work on person-centered goals and care management to ensure all their medical and psychiatric needs are being met in an efficient and effective manner.