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About the Role
The Care Manager conducts assessments, referrals, advocacy, support, counseling, and education for patients, enrollees, and care team members to ensure patients receive quality healthcare services without barriers. This role involves outreach and engagement to enroll individuals into the care management program, evaluating needs, establishing and maintaining care plans, and ensuring necessary supports are in place.
Responsibilities
- Develops Interim Plan of Care based on preliminary clinical information and assigned level.
- Ensures all initial linkages are established and maintained.
- Collaborates with all service providers and establishes team communication plan.
- Monitors goals on a continuing basis and team communication.
- Monitors that care plan is relevant to health home policies and procedures.
- Consults with family members and social supports to maintain support consistency.
- Advocates for additional services and linkages as appropriate.
- Maintains current care management documentation and information within the required health information technology (HIT) system.
- Enters and maintains progress notes as it pertains to the Plan of Care.
- Attends Quarterly Regional meetings for the CNYHHN.
- Participates in monthly conference calls with CNYHHN providers.
- Engages families in the outreach process once a referral is received.
- Ensures compliance with the Central New York Health Home Network (CNYHHN) policies and procedures.
- Attends all required online and in-person training required by CNYHHN and agency.
- Participates with agency committee(s) as assigned.
- Attends and satisfactorily completes all required in-services.
- Provides rotating after-hours on-call coverage outside of regular working hours with additional compensation.
Requirements
- A Bachelor’s degree with two (2) years relevant experience, or NYS licensure and registration as a Registered Nurse, or A Master’s degree with one (1) year relevant experience.
- Must have strong written, verbal and organizational skills.
- Computer skills necessary.
- Travels within tri-county frequently.
- Authorized to work in the United States.
Skills
- Written communication
- Verbal communication
- Organizational skills
- Computer skills
- Ethical Conduct
- Time Management
- Project Management
- Personal Effectiveness/Credibility
Location
- Tri-county
Work Type
- 40 hours weekly
- Flexible
Experience Level
- Two (2) years relevant experience with Bachelor's degree
- One (1) year relevant experience with Master's degree
Education Level
- Bachelor's degree
- Master's degree
- NYS licensure and registration as a Registered Nurse
About the Company
- The Arc Jefferson – St. Lawrence has and will continue to provide all employees and applicants’ equal opportunity in the manner provided by law in all aspects of employment regardless of their age, race, creed, color, national origin, sexual orientation, disability, genetic predisposition, or carrier status, or marital status.
- These individuals will be recruited, referred for hiring consideration, and employed with regard to the positive and appropriate utilization of their skills and capabilities.
- Qualified employees will be afforded non-discriminatory consideration for promotion and job advancement, and there will be no discrimination with regard to assignments, rates of pay, promotions, transfers, training, termination, accessibility, working conditions, and benefits.
Equal Opportunity
- The Arc Jefferson – St. Lawrence provides equal opportunity in all aspects of employment regardless of age, race, creed, color, national origin, sexual orientation, disability, genetic predisposition, carrier status, or marital status.
- Recruitment, hiring, and employment will utilize individuals' skills and capabilities appropriately.
- Qualified employees will receive non-discriminatory consideration for promotion and job advancement.
- There will be no discrimination regarding assignments, rates of pay, promotions, transfers, training, termination, accessibility, working conditions, and benefits.