Care Manager of Behavioral Health

The Behavioral Health Care Manager provides care management for specified CCBHC patients, Health Center patients, and community members in need of care management at Sun River Health. These patients may be referred by providers/clinical team; enrolled as a Behavioral Health CCBHC Program, be included in care management as part of a grant, insurance program or disease specific program. Links patients to preventive and primary health care services including care for: acute, chronic and communicable diseases;

dental services; prenatal care and family planning; WIC and other nutrition services; pediatric care and immunizations; and behavioral health or substance abuse programs as needed. This includes assistance with community resources, social services, and referrals. This position will be responsible for proper and timely documentation within eCW and any designated care management software, as well as communication with internal and external referral sources to capture services provided.

Performs other duties as assigned on an as needed basis.

• Responsible for completing outreach and subsequent intake activities using required forms and documents as required. This may include program specific additional consents and assessment tools. Document as directed in eCW and designated program software
• Responsible for referring patients to needed services as directed by provider to support care plan/treatment goals, including medical/behavioral health
• Responsible for release of all necessary clinical information to specialist referral; tracks referral appointments and obtain consultant reports with appropriate consent for release of information and documents process in eCW per Sun River Health procedure and designated software for care management
• Consult with health care team to link patient to community/social services programs and entitlements: including application assistance; transportation assistance; translation services; housing services; self-help recovery and self-management programs as needed
• Conduct client outreach and engagement activities at least monthly to evaluate for on-going emerging needs and to promote continuity of care and improved health outcomes
• Follow up with Hospitals/ER upon notification of admission or discharge and coordinate with health care team to facilitate communication of the event and transition of care services, to include, but not limited to medication reconciliation with the health care team as per policy
• Assist patient in developing plans and community supports to overcome obstacles that would prevent them from receiving needed services/referrals
• Provide basic instruction/health education to clarify provider instructions, procedures and referral needs
• Conduct field visits to coordinate the care of patients

• High School Degree Required
• Bachelor's Degree Optional

Pay: $23.00-$25.00

Full Time

Sun River Health has a rich history of providing quality, affordable health care to communities in need. Founded in the early 1970s by four African American women in Peekskill, New York, the organization was established to address the lack of accessible health services in their community. With the help of a small federal grant, the first Sun River Health site opened its doors in 1975.

Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City and Long Island. Our exceptional primary care practitioners, specialists and support staff are dedicated to delivering high-quality care to all individuals, regardless of their ability to pay.

In December 2018, Sun River Health expanded its reach by merging with Brightpoint Health, an FQHC network offering integrated medical, behavioral and social support services in New York City. This merger allowed us to enhance our services and continue our mission under the unified name of Sun River Health.

At Sun River Health, we believe in fostering a culture of wellness, inclusivity and recognition. Our Workforce Wellness Program promotes staff wellness through ongoing challenges and activities, encouraging participation and rewarding engagement. We celebrate our staff's dedication and person-centered spirit through the Planetree Recognition Awards, which honor innovation, leadership and community spirit. We are committed to creating a supportive and collaborative work environment where all team members can thrive.

Our values of respect, integrity and excellence guide our interactions with patients and colleagues alike, ensuring that everyone receives the care and support they deserve.

At Sun River Health, we are committed to building a personal relationship with our team and supporting you in every way we can. We offer competitive compensation and a comprehensive benefits package for you and your family, including:

• Medical, Dental and Vision Insurance:
  Comprehensive health coverage…