Care Manager

Job Description

Job Description

Description :

Care Management is a service model designed to ensure comprehensive communication and coordination among all caregivers involved in a resident's care.

A designated "care manager" takes the lead, overseeing and providing access to the necessary services to address the resident's needs, preventing hospitalizations, maintaining health, and ensuring stability.

The Care Manager is responsible for providing and coordinating services for their assigned caseload. This involves guiding program enrollees and their legal guardians through the healthcare system, addressing access issues, building relationships with service providers, and monitoring interventions and outcomes.

MAJOR DUTIES AND RESPONSIBILITIES :

Ø Obtain required Care Management enrollment consent from individuals or legal guardians.

Ø Conduct initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the most appropriate level of care management.

Ø Manage the patient’s Individualized Plan of Care, coordinating services, supporting treatment adherence, and monitoring various needs, including prevention, wellness, medical mental health, care transitions, and social and community services.

Ø Meet client contact requirements, including face-to-face visits based on acuity levels.

Ø Fulfill Care Management documentation requirements using designated tools like Medicaid Analytics Performance Portal (MAPP) and Electronic Health Records (EHRs).

Ø Serve as an advocate for clients within the agency and with external service providers.

Ø Promote wellness and prevention by connecting enrollees with resources based on individual needs and preferences.

Ø Educate children / caregivers on the care of chronic conditions, immunization, screening, and preventive interventions.

Ø Assist clients in obtaining and maintaining public benefits essential for healthcare services.

Ø Effectively communicate and share information with individuals, families, and other caregivers, considering language, literacy, and cultural preferences.

Ø Conduct care planning meetings / conferences and serve as an interdisciplinary team member for comprehensive and holistic care.

Ø Identify available community-based resources and actively manage referrals, access, engagement, follow-up, and service coordination.

Ø Engage in discharge planning for hospital admissions, ensuring recommended post-discharge services are in place.

Ø Attend ongoing staff development training to enhance Care Manager skills.

Ø Ensure periodic evaluations and follow-up treatment for dental, vision, and hearing care per Medicaid EPSDT guidelines.

Ø Perform other duties as assigned by the Care Management Agency.

SKILLS and ABILITIES REQUIRED :

Ø Effective communication with staff.

Ø Excellent writing, communication, and organizational skills.

Ø Passion for serving children and families with special needs.

Ø Ability to travel to community-based agency offices, participants’ communities, and homes within the assigned catchment area.

Ø Receptiveness to feedback for professional growth and improvement.

Ø Proven self-management abilities, meeting deadlines, ensuring compliance with agency policies, and overseeing complete and timely maintenance of agency records.

Requirements :

MINIMUM QUALIFICATIONS :

Ø Associate Degree with two years’ experience.

Ø Bachelor of Arts or Science with two years’ experience.

Ø Registered Nurse or Licensed Practical Nurse with two years’ experience.

Ø Master’s Degree in a related field (License preferred).

EXPERIENCE :

Efficient knowledge of / familiarity with CANS and any Care Management software.

PREFERRED SKILLS :

Ø Bilingual in Spanish is a plus

Ø Proficiency in computer software packages (MS Word, Excel, Outlook, etc.).

Ø Excellent oral and written communication skills.

Ø Problem-solving solid capability and capacity to meet multiple deadlines under pressure.

Ø Highly organized and detail-oriented.

Ø Relevant expertise and experience in serving children and families in child welfare, developmental disabilities, mental health, healthcare, and / or other systems, as well as those receiving preventive services.

Ø Care Managers serving high acuity enrollees should demonstrate knowledge and understanding through additional experience, education, or training.

Ø Care Managers for children with medical fragility must have extensive experience coordinating their care.

Ø Experience providing service coordination, information, linkages, and referrals for community-based services.

BACKGROUND VERIFICATION and CLEARANCE :

Ø Credential Verification.

Ø Medical clearance, including TB screening.

Ø Section 424-A of the New York Social Services Law requires an inquiry into a candidate's child abuse and maltreatment report.

Ø State Central Registry Clearance.

Ø Staff Exclusion List (SEL).

Ø Justice Center Background Check

LICENSE and ACTIVE CERTIFICATION :

Ø Valid driver’s license with a good driving record.

Ø Child and Adolescent Needs and Strengths (CANS) Training.

Ø CPR / First Aid.

Ø Mandated Reporter.

Ø Trauma-Informed Care.

Ø Lasallian Culture of Care (LCC).

Ø LGBTQI.

Ø Residential Child & Youth Care Professional Trainer Certification.

Ø All other mandatory training and certifications as required by ACS, OCFS, State, and / or Federal guidelines.

PHYSICAL REQUIREMENT :

Ø Lifting requirement of 50 lbs.

Ø Ability to meet physical requirements of the position during standing, walking, sitting, bending, stooping, squatting, kneeling, and climbing.