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

Sun River Health

Verified Company

Bronx, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

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 Count _y.

We are seeking a reliable and talented Care Manager to join our Townsend Health Center Must be flexible to some work in the field. 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.

Pay:
$ $28.75 per hour

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.