Care Manager - Manhattan​/Bronx; American Sign Language

Job Details

• Location:
  
  Manhattan Hub - New York, NY 10018
• 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 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, person-centered Life Plan following a comprehensive assessment process.

The Life Plan identifies services that meet medical and behavioral health needs, community, social supports, and other necessary services to support them to live their healthiest and most meaningful life. The role also serves as a strong advocate to help members access needed services and achieve their goals.

• Deliver person-centered care management services in compliance with regulatory standards and the agency’s quality management plan, policies, and standard operating procedures.
• Complete a comprehensive assessment/reassessment process.
• Identify gaps in service provision, make referrals when appropriate, and advocate on the member’s behalf to reach their identified goals.
• Develop, implement, and monitor member Life Plans within required time frames, leading an interdisciplinary team planning process.
• Develop strategies to address conflict or disagreements in the person-centered planning process and work with the team to resolve them timely.
• Complete all required service documentation within stated time frames, ensuring all billing critical documentation is present and valid before submission.
• Maintain the member’s continued eligibility for care management by completing an annual Level of Care (Re)
  Determination, ensuring OPWDD eligibility and enrolling in the Home and Community Based (HCBS) waiver.
• Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when members are eligible and maintain existing benefits.
• Ensure a current and accurate information sharing consent is present within the electronic health record and update it as necessary.
• Coordinate and provide access to high-quality healthcare services, including medical, behavioral health, and specialized services, and provide regular communication and follow-up on critical and acute needs.
• Identify, coordinate, and provide access to preventative and health promotion services as needed.
• Coordinate transitional care, including follow-up from inpatient to other settings, discharge planning, transfers within the healthcare system, residential settings, and transition from childhood to adult services.
• Use health information technology, including electronic health records and telehealth programs, to deliver care management services.
• Attend department and team meetings, trainings, and supervisions as scheduled.
• Complete all required trainings within required time frames.
• Travel throughout the designated service area to meet with members, providers, and team members, and accompany members to appointments when indicated.
• Identify and follow incident reporting guidelines and procedures to ensure immediate safety of the member.
• Maintain confidentiality in accordance with HIPAA and privacy practices.
• Adhere to all policies and standard operating procedures for comprehensive care management and ancillary functions.
• Adhere to and uphold ACA/NY’s Code of Conduct.
• Perform other duties as assigned.

• Bachelor of Arts or Science degree with…