Health Home Care Manager

When you work for Gateway Hudson Valley, you make a difference in people's lives.

Our Vision: To be a leader in supporting individuals as they strive to achieve a hopeful, satisfying, active, and contributing life.

We offer Medical, Dental, Life Insurance, 403(b) Retirement, Holidays, and generous PTO

POSITION SUMMARY

The Care Manager is responsible for the provision of Care Management services in Ulster County. The Care Manager collaborates with mental health professionals in Ulster County and Managed Care Organizations to connect with and refer recipients of service with vital resources in the community to be successful in reaching goals.

ESSENTIAL RESPONSIBILITIES

Function as a member of the Health Home Care Management team in Ulster County.

• Participate in county-wide care management trainings, case reviews, and utilization reviews.
• Participate in treatment team meetings for the purpose of facilitating Care Management services
• Provide linkage and referral facilitation for services, resources, and tools on behalf of Care Management recipients to support them in achieving their goals
• Provide Person -Centered, comprehensive, accessible services with continuous follow-up
• Conduct comprehensive outreach and follow-up services to facilitate continued engagement with care
• Facilitate smooth transitions in care, including inpatient admissions, discharge and transfer between providers
• Assist individual's in the community to help them obtain care management goals
• Identify and address barriers to accessing consistent care and inform interventions
• Provide regular communication with the care team members to share information and ensure care is relevant and informed
• Plan regular case conferences with relevant care team members
• Develop comprehensive care plans based on assessments of need, ongoing reassessments, case conferences, and routine contact with network providers
• Monitor and ensure incorporation of care plan goals into all aspects of care
• Prepare and maintain records of individual progress and services performed, reporting changes in the electronic health record
• Abide by HIPAA laws, regulations, and related agency's policies and procedures
• Provide outreach and presentations to key players regarding Care Management services and service utilization
• Travel to clinics throughout Ulster County to meet with individuals, consult with mental health practitioners, and provide services
• Track utilization of services and monitor outcomes of those referrals
• Complete and submit statistical reports and other required program documentation in a timely manner
• Maintain communication and relationships with individuals, outside agencies, referral sources, and other service providers
• Ensure the achievement of program objectives and contract expectations
• Represent the agency's Care Management services on community committees
• Keep abreast of trends, changes, and new developments in the field of Health Home Care Management and other related areas through professional affiliations, community involvement, conferences, and trainings
• Other duties as assigned

REQUIRED QUALIFICATIONS

Education:

• Associate's Degree

Experience:

• Two (2) years' experience in human services or related field

WORKING CONDITIONS

• Must be able to Sit or stand for 8 hours/day
• Must be able to bend down or kneel occasionally (1-2 times/week)
• Must be able to use hands, wrists, and fingers with full range of motion
• May occasionally be required to lift no more than 25 pounds (1-2 times per month)

REGULATORY CLEARANCES REQUIRED:

• Must have a valid NYS Driver's License.
• Background checks are required.

We are an EEO/AA employer M/F/D/V/SO employer