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    Care Manager of Health Home Care Management - New York, United States - Sun River Health

    Sun River Health
    Sun River Health New York, United States

    3 weeks ago

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    Description

    Job Description


    Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable.

    Sun River Health is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Duchess, Ulster, Sullivan, Columbia and Westchester County.

    We are seeking a reliable and talented Care Manager to join our Manhattan Health Center Must be flexible to some work in the field and travel within all boroughs except Staten Island.

    This position is Full Time onsite Monday-Friday.


    SUMMARY OF POSITION:

    The Health Home Care Manager provides care coordination and support to clients with chronic medical and behavioral health conditions that are also impacted by social determinants of health.

    Assists clients navigate social service, community, and healthcare systems.


    ESSENTIAL FUNCTIONS:
    Completes comprehensive assessments within the required timeframes. Maintains detailed, accurate and timely case notes. Conducts intakes as needed

    Facilitates enrollment in Benefit and Entitlement programs. Develops linkages and refers patients for additional service supports

    Provides timely and appropriate follow up on newly referred clients

    Provides Health Home Care Management services at community-based locations and within the Sun River health centers

    Facilitates periodic case record reviews and case conferences with all providers serving the client

    Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers, including mental health and medical specialists

    Case conferences with interdisciplinary team including but not limited to PCP, substance abuse treatment team, residential, hospital discharge planners, etc.

    , to coordinate care delivery between all linked providers and client

    Conducts field work to meet their clients in the community

    Maintains data and case records as required and prepares necessary reports

    Develops, coordinates and integrates a coordinated care plan in cooperation with the client, the client's family, and/or the other providers serving the patient.

    Updates plan at specified intervals, and as needed based on changes in client's condition / circumstances

    Performs and maintains effective care management for a caseload of clients, as assigned, from assessment to discharge

    Tracks/ monitors client progress and produces/maintains detailed, accurate and timely case notes

    Maintains updated case records through health home EMR, and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with health home policies/procedures, agency standards and regulatory requirements

    Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client requires an alternate level of care or is appropriate for discharge


    EDUCATION/EXPERIENCE:

    Bachelor's degree preferred in Health or Human Services related field with 2 years of related work experience. High School Diploma/GED required.


    Job Type:
    Full-time


    Pay:
    $ $28.75 per hour


    Responsibilities

    Relation to Mission

    The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable.

    Equal Employment Opportunity

    Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

    Americans with Disabilities Act

    Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation.

    The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

    Job Responsibilities

    The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position.

    Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.


    About Us

    Sun River Health is a network of 43 Federally Qualified Health Centers (FQHCs) providing primary, dental, pediatric, OB-GYN, and behavioral health care to over 245,000 patients annually.

    With a dedicated staff of 2,000 doctors, nurses, and health care professionals, we pride ourselves on delivering high-quality, affordable care to those who need it most.

    Sun River Health started in 1975 when four African American mothers spearheaded efforts to open our first health center in Peekskill, New York to deliver accessible, high-quality, affordable services to patients in need - no matter their race, religion, income, or insurance status.

    Today, after 45 years of service, Sun River Health is still delivering on that promise to communities across the Hudson Valley, New York City, and Long Island.

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