Care Manager - Queens (Bilingual in Hebrew or Yiddish

Job Details

Job Location:

Lake Success Hub – Lake Success, NY 11040
Position Type:
Full Time
Education Level: 4 Year Degree
Salary Range: $29.87 - $31.93 Hourly
Travel Percentage:
Up to 75%

The Care Manager provides services within the Care Management programs, including Health Home Care Comprehensive Care Management, HCBS Basic Plan Support, and State Paid Care Management services. This position may support Willowbrook Class Members. The core responsibility of the Care Manager is to oversee and coordinate access to services for people with intellectual and developmental disabilities.

The Care Manager works with the member, their family and/or representative, and providers to develop, implement, and monitor an integrated and person‑centered Life Plan following the completion of a comprehensive assessment process. The Life Plan is the foundation upon which service delivery is built. It identifies services that meet medical and behavioral health needs, community and social supports, and other necessary services to help members live their healthiest and most meaningful lives.

A key function of this role is to be a strong advocate in supporting the member to access needed services to reach their identified goals and live a meaningful and quality life.

ACA/NY is a 501(c)(3) not‑for‑profit organization that has been designated as a Care Coordination Organization/Health Home (CCO/HH) by New York State. ACA/NY is dedicated to meeting the needs of people with intellectual and developmental disabilities by providing comprehensive care management and coordination of services. ACA/NY supports 25,000+ people in its program with services spanning New York City, Long Island, and the Lower Hudson Valley.

• Deliver person‑centered care management services in compliance with regulatory standards and in alignment with the agency’s quality management plan, policies, and standard operating procedures.
• Responsible for the completion of a comprehensive assessment/reassessment process.
• Identify gaps in service provision and make referrals when appropriate; advocate on the member’s behalf to reach their identified goals and live a meaningful and quality life.
• Develop, implement, and monitor member Life Plans within required time frames, by leading an interdisciplinary team planning process, with the person at the center.
• Develop strategies that address conflict or disagreements in the person‑centered planning process and work with the interdisciplinary team to resolve those conflicts in a timely manner.
• Complete all required service documentation with stated time frames; ensure all billing‑critical documentation is present and valid prior to the submission of any billable service documentation.
• Maintain the member’s continued eligibility for care management through the completion of an annual Level of Care (Re)
  Determination, ensuring OPWDD eligibility is maintained, and enrolling in the Home and Community Based (HCBS) waiver.
• Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when a member is eligible; ensure existing benefits and other entitlements are maintained.
• Ensure a current and accurate information‑sharing consent is present within the electronic health record and updated as necessary when changes occur or are requested by the member and/or representative.
• Coordinate and provide access to high‑quality healthcare services, including medical, behavioral health, and specialized services; provide regular communication, monitoring, and action‑oriented follow‑up on critical and acute healthcare needs.
• Identify, coordinate, and provide access to preventative and health promotion services as needed.
• Coordinate transitional care inclusive of appropriate follow‑up from inpatient to other settings, discharge planning, facilitating transfers within the healthcare system, residential settings, and aging out of childhood services to adult services.
• Use health information technology in the delivery of care management services, including the use of electronic health records and programs to facilitate telehealth services for members; maintain a thorough and accurate electronic…