Taskforce Care Manager

Empower. Unite. Care.

Empower. Unite. Care.
Metro Plus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

Metro Plus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, Metro Plus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, Metro Plus Health 's network includes over 27,000 primary care providers, specialists and participating clinics.

For more than 40 years, Metro Plus Health  has been committed to building strong relationships with its members and providers.

Under the direction of the Manager of Housing Taskforce, the Housing Taskforce Care Manager provides critical support to members experiencing homelessness to optimize their health care and delivery of care experience with expected cost savings due to improved quality of care. They also support those formerly homeless members who are transitioning to permanent housing. This is accomplished through holistic, focused engagement and understanding of the member’s physical, behavioral, and social needs;

environment; providers; support system; and resources/services available to them. The Housing Taskforce Care Manager is a creative, efficient, and resourceful problem‑solver as part of a dynamic team through telephonic outreach, as well as in field work in member’s homes, facilities, provider offices. The Housing Taskforce Care Manager serves as a member’s advocate and accompanies the member throughout their care journey, assisting with medical and behavioral health stabilization, so that members can maintain or improve their day‑to‑day functioning.

This is a hands‑on, intensive position that is a hybrid remote/office/field position, that will require some field‑based work, and travel within the Metro Plus Health  service area. The Housing Taskforce Care Manager will sometimes be needed to physically meet the members where they are to gain a deeper understanding of their situation and needs.

9:00 AM-5:00PM

• Assess and address member’s problems and needs: clinical, psychosocial, financial, environmental
• Provide services to members of varying age, clinical scenario, culture, financial means, social support, and motivation
• Engage members in a collaborative relationship, empowering them to manage their physical, psychosocial, and environmental health to improve and maintain lifelong well being
• Support members through transitional period from shelter to permanent housing as well as once they are housed to settle into their new living situation
• Assess and address risks and gaps in care
• Maximize member’s access to available resources
• Develop a member‑centered plan of care with input from member, caregivers, and health care providers, integrating concepts of cultural sensitivity and privacy practices
• Communicate plan of care to Primary Care Physician initially and provide updates, as needed
• Ensure member’s understanding as it relates to language barriers, stress reaction or cognitive limitations/barriers using verbal and nonverbal techniques
• Train member on relevant chronic diseases, preventive care, medication management (medication reconciliation and adherence), home safety, etc.
• Provide complex care management, including but not limited to ensuring access to care, reducing unnecessary hospitalizations, and appropriately referring to community supports
• Advocate for members by assisting them to address challenges and make informed choices regarding clinical status and treatment options
• Develop collaborative relationships with clinical providers and facility staff
• Employ critical‑thinking and judgment when dealing with unplanned issues
• Use data…