Care Manager

Housing Works; Brooklyn (AL); On-site; USD 50,000 - 52,000; Full time

Benefits offered by this job

Tuition reimbursement

Education benefit

PTO 30 days

Healthcare plans

Job summary

Housing Works is seeking a Care Manager to support individuals with complex medical and social needs. The role involves comprehensive in-person assessments, developing care plans, and coordinating with medical and behavioral health teams, as well as assisting clients with housing applications.

The position emphasizes patient-centered care, field presence, and coordination across home, community, and clinical settings. Bilingual Spanish is preferred for additional compensation.

Qualifications

• Bachelor’s degree with 2 years related experience.
• Masters degree with one year of relevant experience.
• Experience with Electronic Health Records (EHR) preferred.

Responsibilities

• Conduct comprehensive in-person initial assessments and annual reassessments of clients’ medical, mental health, substance use, financial, housing, and support needs in community, home, clinical, or office-based settings.
• Develop individualized, patient-centered plans of care with input and approval from clients and collaborating providers, updating care plans every 3–6 months.
• Collaborate with medical and behavioral health providers through face-to-face meetings and coordinated care activities to develop and monitor care plans for clients with chronic conditions.
• Engage clients in person to review housing options and assist with housing-related applications (e.g., NYC Housing Connect, Section 8).
• Address benefits-related needs (Medicaid, HRA, SNAP) and coordinate with entitlement programs.
• Coordinate client services with internal and external providers through regular in-person or hybrid case conferences.
• Document all activities and outcomes in the case record with timely documentation.
• Uphold confidentiality in all client interactions and records.

Skills

Word processing

Excel

Microsoft Office

Organizational skills

Communication skills

Analytical skills

Spanish bilingual

Education

Bachelor's Degree + 2 years experience

Masters Degree + 1 year experience

Tools

Electronic Health Records

Job description

Compensation: $50,000-$52,000 annually commensurate with experience.

Spanish bilingual proficiency is preferred for this role. Candidates hired to support clients in Spanish are eligible for additional compensation.

Overview:

A Care Manager at Housing Works holds a deeply rewarding, hands‑on role supporting individuals with complex medical, behavioral health, and social service needs. Care Managers are at the forefront of our mission, working directly with clients to help them navigate systems of care, overcome barriers, and achieve meaningful, client‑defined goals as part of a thriving and growing organization. This role offers the opportunity to develop strong clinical and engagement skills within a multidisciplinary team that includes medical providers, behavioral health professionals, supervisors, and community‑based partners. While Care Managers maintain a level of professional autonomy, the work is rooted in accountability, responsiveness, and consistent, direct client contact as the foundation of effective care management. Care Managers serve as the primary point of contact for their assigned clients and are responsible for building trusting, sustained relationships through regular in‑person engagement. This includes meeting clients in their homes, communities, healthcare settings, and the office to conduct assessments, coordinate services, and support ongoing care planning. To ensure high‑quality, person‑centered care, Care Managers are expected to maintain an active and consistent field and office presence. Meaningful face‑to‑face interaction with clients and service providers is an essential component of this role and is critical to fostering engagement, coordinating care, and achieving positive health outcomes. At Housing Works, we believe our staff are one of our greatest assets. We demonstrate this commitment by offering a competitive salary, generous tuition reimbursement, and a robust benefits package, including opportunities for eligible team members to further their education and professional growth

Responsibilities

• Conduct comprehensive in-person initial assessments and annual reassessments of clients’ medical, mental health, substance use, financial, housing, and support needs in community, home, clinical, or office‑based settings.
• Develop and maintain individualized, patient‑centered plans of care with documented input and approval from clients and collaborating providers, updating care plans at least every 3–6 months or when new needs are identified, in accordance with Health Home standards.
• Collaborate closely with medical and behavioral health providers through face‑to‑face meetings and coordinated care activities to develop, implement, and monitor care plans for clients with chronic conditions such as diabetes, asthma, congestive heart failure, hypertension, behavioral health conditions, HIV, and other complex health needs.
• Engage clients in person to review housing options based on program eligibility and provide hands‑on assistance with housing‑related applications, including the 2010E (application submission and psychosocial completion), NYC Housing Connect, Section 8, and other relevant housing programs.
• Address benefits‑related needs through direct client support, including Medicaid, HRA, SNAP benefits, medical transportation, and other entitlement programs, utilizing in‑person advocacy and coordination when appropriate.
• Conduct regular home and field visits to maintain consistent client engagement, assess changing needs, and support progress toward care plan goals in accordance with Health Home program standards and client preferences.
• Coordinate client services with internal and external providers through regular, in‑person or hybrid case conferencing, occurring at least quarterly, to ensure alignment, accountability, and continuity of care.
• Document all in‑person and care coordination activities, client outcomes, and care plan progress in the case record, ensuring timely and accurate documentation for the full caseload.
• Maintain strict confidentiality in all client interactions and records.
• Perform other duties as assigned.

Education

• Bachelor’s Degree with 2 years related experience or a Masters Degree with one year of relevant experience.

Qualifications/Requirements

• Adept with word processing, Excel, and Microsoft Office products; Previous experience with Electronic Health Records a plus
• Ability to communicate well both written and oral
• Good organizational and multi‑tasking skills
• Strong analytical skills centered around collecting, organizing, and disseminating information
• Highly organized with the ability to work independently and prioritize multiple responsibilities in a fast‑paced environment
• Comfortable working with a diverse group of staff and clients

Union Affiliations

This position is included in a bargaining unit of Housing Works’ New York City employees represented by a labor union known as the Retail Wholesale and Department Store Union (“RWDSU”). Accordingly, the RWDSU has the exclusive right to bargain over the terms and conditions of employment related to this position and this position may become covered by the terms of a collective bargaining agreement (a “CBA”) between Housing Works and the RWDSU.

Essential Physical Demands/Working Conditions

• Ability to travel within the boroughs via public transportation as needed and ability to work from remote office locations.

• Requires access to email, phone, Zoom and Teams.

• Requires ability to comply with agency confidentiality guidelines in remote workspace

• This position is an in‑office position

Housing Works

Housing Works was founded in 1990 with a long‑term commitment to AIDS advocacy. Housing Works established New York State’s first harm reduction‑based, OASAS‑licensed outpatient drug treatment program. Other services include Health Home care management, behavioral health, and syringe exchange programs.

A pioneer in the social entrepreneurship movement, Housing Works operates 10 high‑end thrift shops in Manhattan and Brooklyn and a much‑loved Bookstore Cafe in Soho. Housing Works fights for funding and legislation to ensure that all people living with HIV/AIDS have access to quality housing, healthcare, HIV prevention, and treatment, among other lifesaving services. For more information, visit www.housingworks.org.

Important Information for Applicants

• COVID-19 Vaccination Requirement: Housing Works requires employees working in our Health Services division to be fully vaccinated against COVID-19, unless approved for a legal accommodation. If you need an accommodation for any reason, including related to this job requirement, please contact Human Resources.

Benefits

• We have three comprehensive healthcare plans to choose from based on your priorities and budget. Housing Works covers most of the plan; you pay a portion, based on your salary.

• Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year.

• We offer employees an educational benefit. This money is available for tuition loan reimbursement, tuition costs, and textbooks.

Equal Employment Opportunity

Housing Works provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Housing Works complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Housing Works also does not request prior salary information during the hiring process. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.