Care Manager Health Home Plus

Overview

The Health Home Plus Care Coordinator is responsible for Health Home Plus qualified individuals in the following categories: Serious Mental Illness (SMI), HIV/AIDS, Homelessness, and High inpatients ED utilization. The Care Coordinator will also responsible for case retention activities and maintain a caseload at 20 HH+ members or as determined by DOH. Adjustments to case load will be made according to DOH recommendations. Provide follow-up services according to the standards or care and tracking for their caseload.

Responsibilities

· Maintain full responsibility for caseload including Assessments, Care Plans, HML’s, timely documentation; Conduct home visits and fieldwork on an ongoing basis and in accordance with the DOH guidance on minimum standards for Health Home Plus; Conduct case conference to review POC with members, HCBS providers and supporting team. Obtain necessary records from all primary agencies that are involved with the clients.

· Ensure follow-up by monitoring the quality of services, verifying and ensuring client participation; Provide education and supportive counseling to ensure that clients understand and follow up with services to which they are referred.

· Ensure that ALL required services are delivered for each member monthly. Services should be prioritized and specific to members’ needs and not prescriptive.

· Ensure that documentation is completed in a timely manner including progress notes written and document the billable and non-billable services within 24 hours. Be specific and include comprehensive notes for every service provided.

· Participate in the agency quality improvement and professional development programs, attending internal and external training courses and committees.

· Attend weekly care management meetings facilitated by the Care Coordinator supervisor. Work with your supervisor to ensure that your caseload is covered when you are out of the office.

· Available for evening and weekend telephone crisis intervention and coverage for other staff as needed.

· If bilingual, translate for non-English speaking clients. Additional duties as assigned.

Qualifications

Master’s Degree in health or human services related field and 1 year of experience in behavioral health setting OR

· Bachelor’s Degree in health or human services related field and 2 years of experience in behavioral health setting; Or a wavier provided through DOH.

· Experience working with HIV/AIDS; mental illness; or those returning to independent living from institutional care; Interest in chronic illnesses, substance abuse and homelessness.

· Awareness of and sensitivity to cultural and socioeconomic characteristics of populations served.

· Ability to work collaboratively with other professionals.

· Excellent writing and oral communication skills. Good management and organizational skills. · Basic computer skills required.

· Able to work onsite, Monday through Friday during normal business hours, or as needed to carry out the job responsibilities.

Pay: $27.00 - $28.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Retirement plan
• Vision insurance

Work Location: In person