Health Homes Plus Case Manager

SUMMARY:

The Health Home Plus (HH+) Care Manager is expected to provide intensive case management services to adults with Serious Mental Illness (SMI) enrolled in the HH+ program.

RESPONSIBILITIES:maintain a caseload of up to 20 clients, conducting assessments, developing care plans, providing service referral/navigation and crisis intervention

Recommend and implement strategies to persuade members to fully participate in the program

Accurately document services and outcomes to ensure compliance with billing and quality standards

Deliver a minimum of 4 HH+ core services monthly—2 must be face-to-face Adhere to organizational protocols and contractual obligations from CBC, OMH and DOH under the HH+ program model

Attend regular internal team meetings to review caseload progress and goal attainment

Provide coordination with behavioral health or medical providers, facility or family members and/or community agencies regarding treatment and/or care plan issues

Monitor client’s progress toward their care plan goals via telephone and/or in-person visits, and document via care plan outcomes and detailed progress notes

Work with clients to break through barriers to member goals and to assist clients in advocating for themselves and move toward self-sufficiency

Follow-up with clients for a period of time after successful completion of their primary goals to assure member stability

QUALIFICATIONS:

Master’s degree in an applicable field and 1 year of experience; OR Bachelor’s degree in an applicable field and 2 years of experience; ORCASAC and 2 years of Experience; OR Bachelor’s degree or higher in ANY field with either: 3 years of Experience or 2 years of experience as a Health Home care manager serving the SMI or SED population

Ability to work in a fast-paced environment

Prior experience working with at-risk populations needed

Strong written and communication skills are required

Time management is essential with an ability to handle competing priorities in a timely fashion

Must have the ability to work with Microsoft Office;
Word, Excel etc. and utilize web-based reporting platforms

Physical ability to perform the essential job functions are needed

The Agency reserves the right to review and change job duties and responsibilities as the need arises

This job description does not constitute a written or implied contract of employment