Adult Health Home Care Manager

Job Details

Description

HeartShare St.Vincents is looking for a Care Manager for our Integrated Health Department! The Care Manager has overall day to day responsibility for coordinating the activities of the care team for clients with complex medical and / or psychiatric co-morbid conditions and for facilitating clients’ access to the full range of medical and psychosocial services in an efficient and effective manner.

Primary Responsibilities and Essential Functions of Position :

Use positive approaches when handling difficult situations.

Remains flexible and adapts to change.

Serves as a role model for program participants.

Remains sensitive and responsive to cultural differences of program participants and staff.

Participates in multi-disciplinary case conferences and projects, demonstrating team spirit and ability to work with other community-based organizations to meet clients’ needs.

Works closely with the interdisciplinary care team including PCP, psychiatrist, therapist, residential services, substance abuse treatment program, ACT Team, etc.

Provides input to providers / client / family for written individualized care plans.

In conjunction with the client, identifies potential barriers to care and resolutions to those barriers; outreaches to clients who have not met treatment goals to resolve barriers / adjust goals when possible.

Evaluate medication compliance and assess potential barriers to adherence; ensure medication reconciliation is current

Receives alerts for ER admissions of assigned clients, visits clients during admission and participates actively in discharge planning and care transition activities; and contacts clients on the day of discharge from client services and ER or within 24 hours

Outreaches to clients to facilitate keeping scheduled appointments; arranges for metabolic and periodic preventive screening, per evidence-based guideline standards

Coordinates services between client and extended care team providers to ensure that integrated care plan is fully implemented

Regularly reviews client information from care team members to identify clients requiring outreach and engagement, and identifies quality of care issues and refers appropriately.

Provides or arranges for provision of self-management / wellness education, peer and other support groups in the language that the client / family prefers.

Reviews benefits, entitlements, housing with the client / family and assist in the application process. Follows up as necessary to ensure services are approved.

Complete outreach to clients to enroll into services if there is a decrease in current caseload.

Adhere to all government and funder regulations.

Qualifications

• ​​High school diploma or GED ​ Required
• Associates preferred majoring in a Health related or Social Services field  Preferred
• Minium of two years’ experience in case management or related medical field
• Ability to travel across all 5 boroughs for Home Visits  Required
• With Mileage Reimbursement

Benefits

At HeartShare we offer a comprehensive benefit package based on full-time / part-time status. You can expect :

HeartShare is an Equal Opportunity Employer (EOE). If you need to request accommodation during the recruiting process, please reach out to .

About Heartshare

Who WE ARE :

For over 150 years, Heartshare has been dedicated to championing and empowering New Yorkers society has too often overlooked and underestimated.

To learn more about HeartShare, please visit our website at or Follow us on

HeartShare Human Services of New York |

HeartShare Human Services of New York nurtures and empowers children and adults with intellectual and developmental disabilities.