What are the responsibilities and job description for the Care Manager - LHV position at Abbott House?
Abbott House, an innovative community-based social service organization, is seeking a Care Manager for Health Home Care Management in Irvington, NY. The Care Manager will oversee all applicable services an individual may need to prevent hospitalizations, remain healthy, and maintain stability in the least restrictive setting. The program covers cases within the Lower Hudson Valley, travel to the Irvington office is required as applicable.
The Care Manager is ultimately responsible for the overall provision and coordination of services to assigned caseload. The Care Manager guides program enrollees and their caretakers (legal guardians) through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.
Job Responsibilities
The Care Manager is ultimately responsible for the overall provision and coordination of services to assigned caseload. The Care Manager guides program enrollees and their caretakers (legal guardians) through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.
Job Responsibilities
- Obtains required Care Management enrollment consents from the individual or legal guardian.
- Completes initial and ongoing needs assessments Child and Adolescent Needs and Strengths (CANS) to determine the individual’s most appropriate level of care management.
- Responsible for the overall management of the patient’s Individualized Plan of Care.
- Coordinate the enrollee’s provision of services as per their acuity level.
- Support adherence to treatment recommendations.
- Monitor and evaluate a patient’s needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate.
- Meets client contact requirements (keeping in mind that caseloads may be “blended”):
- Care Managers serving children will be required to have some face-to-face visits on a consistent schedule as per the mandates of their acuity level (high, medium, or low).
- Meets Care Management documentation requirements in a timely and accurate manner by effectively utilizing designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs) as needed.
- Functions as an advocate for clients within the agency and external service providers.
- Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences.
- Educate the child/caregiver on care of chronic conditions, immunization, screening and other preventative interventions.
- Helps clients to obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility, Social Security, SNAP, housing, legal services, employment and training supports, and others.
- Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences.
- Conducts care planning meetings/conferences and serves as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care.
- Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services.
- In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge.
- Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position.
- Ensures that child has periodic evaluations and follow-up treatment for dental, vision and hearing care, following Medicaid EPSDT guidelines.
- All other duties, as needed, by Care Management Agency.
- Bachelors of Arts or Science with two years’ experience required
- A Master’s Degree in related field (Licensed preferred)
- Knowledge of best practice working with children and families in health, preventive and wellness care
- Bilingual Spanish a plus
- Health Insurance
- Dental insurance
- Life Insurance
- Employee assistance program
- Flexible spending account
- Paid time off
- Retirement plan
- Tuition reimbursement
- Vision insurance
- Professional growth opportunities
- Employee Recognition Awards
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