Full-Time

Health Home Care Manager

Deadline 3/2/27
The Salvation Army

The Salvation Army

No salary listed

Utica, NY, USA

In Person

Category
Medical, Clinical & Veterinary (1)
Requirements
  • Bachelor’s Degree with two years of experience; Master’s Degree with one year of experience preferred.
  • Relevant experience in serving children and families in child welfare, developmental disabilities, behavioral health, primary health care, or social services
  • Experience coordinating and participating in team settings
  • Solid writing and verbal communication
  • Work effectively and knowledgeably across a broad spectrum of cultural, ethnic, and racial communities
  • Ability to work in an effective and focused manner when self-directed and beyond immediate oversight
  • Ability to deliver family-driven, youth-guided services
  • Requires computer proficiency including word processing skills and the ability to provide culturally competent practice
  • Must have valid driver’s license that meets The Salvation Army insurance requirements
  • Must have access to a vehicle to provide home visits
  • Perform all duties associated with job responsibilities
Responsibilities
  • Assesses, engages and enrolls clients into health home program, per NYSDOH and Lead Health Home
  • Develop relationships with local hospitals and jails to connect individuals returning to the community from inpatient/incarceration with health homes program
  • Maintain engagement with individuals who are often disengaged from care, have difficulty adhering to treatment recommendations, or have a history of homelessness, criminal justice involvement, or high ED/Inpatient utilization
  • Work within the community to engage individuals who meet Health Home Plus
  • Complete face-to-face visits with enrolled members 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) meetings with members’ 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 monthly billing standards are met for each enrolled member and that a billing questionnaire is submitted within the month that the activity took place
  • Participate in mandatory and optional
  • Participate in weekly
Desired Qualifications
  • Master’s Degree with one year of experience preferred

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