- Responsible for comprehensive care management including creating, documenting, executing and updating individualized, patient centered plan of care to integrate continuum of medical, behavioral health services, rehabilitative, long term care and social service needs and clearly identifies the primary care physician/nurse practitioner, specialist(s), behavioral health care provider(s), other providers directly involved in the child's care.
- Responsible for care coordination and health promotion to engage and retain home health enrollees in care; coordinates and arranges for services; supports adherence to treatment recommendations; monitors and evaluates children's needs, including prevention, wellness, medical, specialist and behavioral health treatment, care transitions, and social and community services where appropriate through the creation of a plan of care.
- Use Health Information Technology to Input information into health record system to allow for patient's health information and plan of care to be accessible to multi-disciplinary team of providers including identification of gaps in care including preventive services.
- Follows-up on tests, treatments, services and referrals.
- Responsible for comprehensive transitional care including providing timely access to follow-up care post discharge which includes at a minimum receipt of a summary care record from discharging entity, medication reconciliation, timely scheduled appointments at recommended outpatient providers, and verification with outpatient provider that patient attended the appointment, and a plan to outreach and re-engage patient in care if appointment was missed.
- Identify available community-based resources and actively manage appropriate referrals, access engagement, follow-up and coordination of services.
- Master's degree with 1 year of experience or Bachelor's degree with 2 years of experience required or Registered Nurse (RN) with 2 years of experience.
- Must be able to work a flexible schedule with variable hours including day, evening, weekend, holiday and subject to call hours.
- Must have a valid driver's license and reliable vehicle.
- Travel is required. Ability to coordinate and plan travel for visits and appointments in efficient manner.
- Weekly travel to meet with clients up to one hour away from home office (Albany, NY)
- Ability to work with economically and culturally diverse population.
- Non-Exempt (Eligible for Overtime) : $22.12/hour to $24.04/hour
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Care Manager
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Cayuga Centers Albany, United StatesCayuga Centers is hiring immediately for a Care Manager** · **Location: Albany, NY** · **Earn: $50,000 annually ($24.04/hour)** · Share our commitment to helping children, youth, and families build strong/life-changing relations and avoid hospitalization or placement. Bring your ...
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Health, Department of Albany, United States**Minimum Qualifications** · Current NYS Department of Health (DOH) employee with permanent or contingent-permanent, competitive status as an Associate Health Care MSA, G-23 OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a tit ...
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Registered Nurse, Care Manager
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Care Manager
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Ellis Medicine Schenectady, United States**The Living Room program is a groundbreaking mental health crisis diversion program, the first of its kind in the Capital Region.** · Located within the Ellis Mental Health Outpatient Services building, the Living Room is a quiet and comfortable atmosphere for adult clients, cal ...
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Care Manager
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TRI-COUNTY CARE LLC Schenectady, United States**Job Overview**: · This position requires applicants outside of New York City to have a valid driver's license and reliable transportation. Travel reimbursement is provided. · - This position requires a quiet distraction-free environment for working, or the ability to work from ...
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Care Manager
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Cayuga Centers Albany, United StatesJob Description · Job DescriptionCayuga Centers is hiring immediately for a Care Manager · Location: Albany, NY · Earn: $50,000 annually ($24.04/hour) · Share our commitment to helping children, youth, and families build strong/life-changing relations and avoid hospitalization or ...
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Registered Nurse, Care Manager Team Lead
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Inpatient Care Manager
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Capital District Physicians' Health Plan Albany, United States· Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that ...
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RN Care Manager
1 week ago
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Nurse Manager Care Management
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RN Care Manager
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RN Care Manager
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Care Manager, Health Homes
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St. Catherine's Center for Children Albany, United StatesJob Description · Job DescriptionAbout Our Organization: · St. Catherine's Center for Children is a leading non-profit organization in New York's Greater Capital District. Our comprehensive range of human services reach more than 1,000 children, 600 families, and hundreds of adu ...
Children Health Home Care Manager - Albany, United States - Berkshire Farm Center & Services For Youth
Description
Join Our MissionThe Children Health Home Care Manager is responsible for core services of health home care management including: comprehensive care management, care coordination and health promotion, comprehensive transitional care, youth and family support and referral services and using technology to link services.
Job Responsibilities
Job Requirements
Skills:
communication skills including written, verbal and listening skills.
Salary
Berkshire Farm Center & Services for Youth is an equal opportunity employer and does not discriminate on the basis of age, race, creed, color, national origin, sexual orientation, military status, sex, pregnancy, gender identity or expression, disability, marital status, or any other basis covered by appropriate law.
We are committed to fostering an inclusive, equitable, and accessible environment where diversity is valued and recognized as a source of strength and enrichment.
As a federal contractor, Berkshire Farm Center & Services for Youth will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
41 CFR c)#BHFCBFC