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Wheeler Health & Wellness is seeking a Care Manager in Plainville, CT to welcome new patients, monitor outcomes, and coordinate health screenings and external referrals. The role includes community engagement and ensuring access to Wheeler services within an integrated primary care model.
The position emphasizes patient-centered care, collaboration with the care team, and adherence support while addressing social determinants of health and resource navigation across the community.
The Care Manager welcomes and engages all new patients to the health center. The Care Manager supports the monitoring of patient outcomes, and ensures the completion of and assistance with various health screenings. The Care Manager attends local community collaborative meetings and arranges external referrals for Wheeler services. Wheeler Health & Wellness provides an integrated, comprehensive continuum of patient-centered primary care, behavioral health and community resources to enhance health equity and achieve the triple aim of health reform: improve health, reduce costs & increase quality.
Bachelor’s in Social Work, psychology, or other human services related field plus at least 1 year of related experience including face to face interaction with clients is required. Care coordination experience may be substituted for education on a year for year basis. Case management experience in a health care setting is preferred. Knowledge of Connecticut community resources and organizations. A valid Connecticut driver’s license is also required. Spanish speaking is preferred.
Exhibits strong interpersonal, critical thinking and problem-solving skills. Good written and communication skills. Demonstrates proficiency in Microsoft Office applications and other software programs
Plainville, CT
Full time
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Welcomes and engages all new patients to the health center.
Attends local community collaborative meetings to support and foster relationships in the community. Lead responsibility for arranging for Health and Wellness Center services based on the needs identified in the care plan.
Supports the monitoring of patient adherence to Care Plan and to follow up with patient, provider and integrated care team for wrap around services to enhance patient treatment by identifying barriers and resources and navigating access to care.
Attends, or conducts health care meetings when necessary to facilitate the coordination of services and resources.
Documents care coordination efforts, as indicated.
Supports clinical best practices and patient centered care plans to help patient reach wellness and social goals, including ensuring the completion of and assistance with social determinants of health and other relevant screenings. Maintains a working knowledge of the resources available in the community and provides appropriate referrals.
Provides telephonic and face-to-face support to patients to assist in navigation of health system, external supports and learning self-management goals.
Utilizes external systems to obtain relevant patient information and reports to support tracking of client activities in the community.
Maintains competencies to meet expectations in all position-specific key performance indicators.
Pursues and utilizes available trainings and staff development opportunities, to enhance knowledge and growth with the agency.
Continues to develop knowledge and understanding about the history, traditions, values, family systems, and artistic expression of groups served as well as uses appropriate methodological approaches, skills, and techniques that reflect an understanding of culture.