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About the Role
The Integrated Support Care Manager provides integrated care management services to patients using a harm reduction approach to address psychosocial barriers to care. This role involves coordination of care, psychoeducation, casework counseling, linkage to community supports, referral follow-up, and maintaining communication with patients and care teams.
Responsibilities
- Complete care management intakes and support MAT addiction programs
- Develop, implement, and monitor individualized patient care plans
- Establish linkages and refer patients to internal and external support services; provide 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
- Demonstrate knowledge of stages of change, substance use disorders, HIV, HCV, and other co-occurring conditions
- 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
Requirements
- Ability to communicate in English, both orally and in writing
- Ability to communicate in Spanish, both orally and in writing, preferred
- Experience in health or social services
- Knowledge of the geographic community served and available resources
- Maintains a customer service level commensurate with the expectations of the Mission Statement
- Ability to collaborate with other members of Hudson River HealthCare to maintain high-quality standards and achieve client satisfaction
- Possesses the emotional, mental, and physical capability to perform duties and demonstrates a strong commitment to achieving goals
- Demonstrates initiative, enthusiasm, creativity, and strong verbal and written communication skills
- Ability to organize work effectively, accept and utilize guidance, and work cooperatively
- Possesses flexibility, cultural sensitivity, and the ability to maintain confidentiality
Skills
- Harm reduction approach
- Coordination of care
- Psychoeducation
- Casework counseling
- Linkage to community supports
- Referral follow-up
- Communication
- Understanding of HIV
- Understanding of Substance Use
- Understanding of Hepatitis C
- Understanding of mental health
- Understanding of chronic conditions
- Customer service
- Collaboration
- Initiative
- Enthusiasm
- Creativity
- Organization
- Flexibility
- Cultural sensitivity
- Confidentiality
- Naloxone training
- HIV testing
- Stages of change
- Substance use disorders
- HCV
- STI testing and treatment
- PrEP
- Substance use services
- Primary care
Location
- Poughkeepsie
- Amenia
Work Type
- Full-Time
Education Level
- High School Diploma or GED
- Associate degree preferred
- Certified Recovery Peer Advocate (CRPA) preferred
Salary/Compensations
- $23.00 - $26.37 per hour
About the Company
- Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable.
- Sun River Health is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia and Westchester County.
Equal Opportunity
- Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.
- Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.