Adult Health Home Care Manager

Overview Seeking: compassionate individuals looking to help make a difference! If you are passionate about making a difference in someone’s life and want to work for an organization that appreciates and recognizes their employee’s success, we encourage you to apply today! Seeking a Full Time Adult Health Home Care Manager on our Oswego Corps Team Our Full-Time opportunities offer: · Generous time off every year including 14 paid holidays, up to 3 personal days, vacation time, and sick time · Employer funded Pension Plan (company contributions begin after 1 year of continuous employment) · Comprehensive Health Care Coverage with low cost employee premiums, co-pays, and deductibles · Company Paid Basic Term Life Insurance for Employee · Long Term Disability Insurance · Eligibility for supplemental insurance plans including Short Term Disability, AFLAC, and Voluntary Term Life · Flexible Spending Account · Eligibility for Federal Student Loan Forgiveness Program · Tax Deferred Annuity (403B) · Christmas Bonus · Wireless discount for Verizon customers · Free parking SCOPE AND PURPOSE OF POSITION: Care Manager provides outreach and enrollment services to individuals presumed to meet eligibility requirements of New York State’s Health Home program. They gather assessments and enter documentation that confirms eligibility and identifies areas requiring supportive services. They work with individuals and service providers to create a comprehensive Plan of Health Care, identify additional service providers as necessary, and coordinate the continuing involvement of individuals and service providers in the execution of the plan. Care Manager documents progress and arrange for eventual transition between health homes as necessary, or from health homes to other levels of service following changes in eligibility. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Assesses, engages and enrolls clients into health home program, per NYSDOH and Lead Health Home regulations.• Complete home visits with enrolled member at least once/month; at a frequency determined by client need.• Collaboratively complete a yearly assessment of needs, strengths and goals with the member/family and care teams.• Facilitates yearly (minimum) meeting with member's care teams and works within that team to develop a comprehensive Plan of Care.• Provide the following core services to enrolled members: care coordination, comprehensive care management, transitional care, crisis intervention and caregiver/family support (coordinating with care team, making referrals to other providers, ensuring follow up from hospital discharges/ED visits, ensures preventive medical/dental care, etc.)• Document all case activities in an Electronic Health Record, following the NYS guidelines around documentation quality and time frames.• Ensure that…