Care Manager

Coordinated Care Services, Inc.; City of Rochester (NY); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Job summary

COORDINATED CARE service inc in Rochester, NY seeks a full-time Care Manager to provide patient-centered care management for clients with complex conditions. The role includes outreach, assessments, and development of individualized care plans in coordination with primary and behavioral health providers.

Responsibilities cover care coordination, health promotion, crisis planning, and timely documentation while supporting transitions of care and community referrals.

Qualifications

• Associate’s degree in Human Services or related field; 2 years of related experience.
• Bachelor’s degree with 1 year of related experience in public or community mental health.
• Computer literacy required; valid NYS driver's license with acceptable driving record and access to a vehicle.

Responsibilities

• Provide patient-centered care management including outreach, assessments, and care plan development.
• Coordinate with physicians, specialists and social services to obtain needed care.
• Review cases, advocate for services, and assist with scheduling as needed.
• Collaborate with providers to ensure service delivery and monitor progress.
• Provide transitional care; follow up after ER/hospital/discharge with appropriate planning.
• Support patients and families with education and referrals to community resources.
• Complete all documentation timely and maintain compliance with policies.

Skills

Care management

Care coordination

Assessment

Documentation

Computer literacy

Education

Associate's degree in Human Services

Bachelor's degree (or higher)

Tools

Driver's license

Job description

Salary $18.00 – $22.00/hr

Employment Full Time, 40 hours per week, Monday through Friday

Purpose:

To provide patient-centered, high quality care management services in a timely manner

to clients with complex chronic conditions by navigating systems such as primary medical, specialty and behavioral health care, as well as social services.

Key Functions:

• Provides comprehensive care management services including: outreach and engagement; assessment/reassessment; development and implementation of initial and revised individualized care plans; consult with primary care physician, and other care provider(s); identify crisis intervention plan.
• Provides care coordination and health promotion including: collaborate with service providers and health plans to obtain medically necessary care, share crisis intervention(s) and emergency info; linkage to services to support care and treatment goals/plans; patient education; self-help recovery and self-management;
• case reviews; advocate for services and assist with scheduling;
• collaborate with providers to ensure service delivery; monitor, support,
• accompany (as indicated) patient to/with scheduled appointments; crisis intervention.
• Provides comprehensive transitional care including: follow up on notice of ER/hospital/residential/rehab setting admission and discharge; facilitate discharge planning with ER/hospital/residential/rehab setting staff to a safe location with care needs in place; notify service providers of admission/discharge and follow appointment needs; link with community supports; post discharge follow-up.
• Provide member and family support including: care planning with patient/family; patient/family consultation and education around health care needs; patient/family meetings; patient/family referral to peer supports, support groups, social services and other programs as indicated; collaborate with community providers to support service utilization based on patient/family need.
• Provide referral to community and social support services including: identifying and linking to community supports as needed; assure and assist with access to medical, behavioral health, substance abuse and other community-based services as needed.
• Timely and comprehensive completion of documentation including notes, assessments, tracking tools, etc.
• Adhere to Company policies and procedures to include being aware of the importance of Corporate Compliance Policies and the Code of Conduct. Staff is responsible for maintaining required certifications and licenses.
• Attends necessary trainings and in-services, participates in department and agency meetings as required.
• Performs other related duties as assigned by supervisor/director.

Education, Experience, Skills and/or Licensing/Certification Required:

An Associate’s degree in Human Services field 2 years of related experience OR

Bachelor’s degree AND 1 year of related experience in public or community mental health

settings serving low income and culturally diverse populations. Computer literacy

required. Valid New York State driver’s license with approved driving record and access

to a reliable vehicle with proof of insurance for vehicle is required.

Supervisory Responsibility:

None

Values:

• Customer Service
• Communications
• Continuous Improvement
• Collaboration/Teamwork
• Accountability

What we offer:

• Affordable Medical / Dental / Vision Insurance
• Paid Time Off (PTO)
• 9 Paid Holidays
• Matching 403B Retirement Plan
• Additional Insurance Offerings – Specified Disease Insurance w/ Cancer Rider, Accident Insurance, Identity Theft Protection
• Employer Paid Health Reimbursement Arrangement (HRA)
• Employer paid Life Insurance, Short-term and Long-term Disability Insurance
• Tuition Reimbursement

Closing Date: until filled Posted 10/16/25

The agencies are equal opportunity employers. We do not discriminate against employees or applicants in the hiring, promotion, compensation, placement, termination, layoff, recall, transfer, leaves of absence or any other term or condition of employment on the basis of race, color, religion, sex, sexual orientation, gender identity/expression, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran, domestic violence victim status, prior arrest and conviction records or any other protected category in accordance with applicable federal, state and local laws.