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About the Role
New Horizon Counseling Center is seeking a Health Home Care Manager to help individuals with complex medical, behavioral health, and social needs successfully live in the community. This is a hands-on, community-based position for someone who enjoys building relationships, advocating for clients, coordinating services, and helping people overcome barriers to care.
Responsibilities
- Engage clients in the community through face-to-face outreach and regular contact.
- Complete initial and ongoing assessments to identify client strengths, needs, goals, and barriers.
- Develop and implement individualized care plans with clients and their providers.
- Coordinate appointments and follow-up care with primary care, behavioral health, hospitals, rehabilitation facilities, and other providers.
- Assist clients transitioning from hospitals, emergency departments, or rehabilitation programs back into the community.
- Identify and address gaps in care, including missed appointments, medication concerns, and unmet healthcare needs.
- Connect clients to resources addressing housing, food insecurity, transportation, benefits, employment, and other social determinants of health.
- Assist clients with accessing benefits and community resources such as SSI/SSD, SNAP, HEAP, Medicaid, housing programs, and other supportive services.
- Advocate for clients and help them navigate complicated healthcare and social service systems.
- Collaborate with providers, family members, community agencies, and other members of the client's care team.
- Maintain accurate and timely documentation, care plans, assessments, and required reports.
- Travel regularly throughout the community to meet with clients and providers.
Requirements
- Bachelor's degree in Social Work, Human Services, Psychology, Public Health, or a related field.
- At least one year of direct human services experience working with individuals with serious mental illness, HIV/AIDS, disabilities, or other complex needs preferred.
- Strong communication, organization, documentation, and advocacy skills.
- Ability to build trusting relationships with individuals from diverse backgrounds.
- Ability to work independently while also collaborating effectively with a team.
- Reliable transportation and the ability to travel regularly throughout the community.
- Experience in Health Home, care management, behavioral health, case management, social services, housing, hospital discharge planning, or community-based services.
- Bilingual/multilingual skills.
- Experience working with Medicaid, SSI/SSD, SNAP, housing, or other public benefits.
Skills
- Communication skills
- Organization skills
- Documentation skills
- Advocacy skills
- Relationship building
- Collaboration
- Independent work
- Problem-solving
- System navigation
- Creative thinking
Location
- Community-based
Work Type
- Full-Time
Experience Level
- 1+ year of direct human services experience preferred
Education Level
- Bachelor's degree in Social Work, Human Services, Psychology, Public Health, or a related field.
Salary/Compensations
- $50,000/year
Benefits
- Supportive team environment
- Opportunities for mentorship
- Professional growth
- Professional development
- Training
About the Company
- Mission-driven work that directly impacts the lives of individuals and families.
- New Horizon Counseling Center is seeking a Health Home Care Manager to join our team and help individuals with complex medical, behavioral health, and social needs successfully live in the community.