Care Manager

HOUSING WORKS INC; New York (NY); On-site; USD 50,000 - 52,000; Full time

Benefits offered by this job

Tuition reimbursement

Robust benefits package

Job summary

Housing Works Inc. is hiring a Care Manager in New York to support individuals with complex medical, behavioral health, and social service needs.

You will conduct in-person assessments in home, community, or office settings and develop person-centered care plans with clients and providers. This role emphasizes regular field presence, collaboration with multidisciplinary teams, and direct client engagement to navigate systems and improve outcomes.

Qualifications

• Bachelor’s Degree with 2 years related experience or a Master’s Degree with one.

Responsibilities

• Conduct comprehensive in-person initial assessments and annual reassessments.
• Develop and maintain individualized plans of care with input from clients and providers.
• Collaborate with medical and behavioral health providers through face-to-face meetings.
• Engage clients in person to review housing options and assist with housing applications.
• Coordinate client services with internal and external providers.
• Document all activities and outcomes in the case record.
• Maintain confidentiality in all client interactions.
• Perform other duties as assigned.

Skills

In-person assessments

Care coordination

Communication with providers

Education

Bachelor’s degree with 2 years related experience

Master’s degree

Job description

Compensation:$50,000-$52,000annuallycommensurate 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