Care Manager

Constructive Partnerships Unlimited; New York (NY); Hybrid; USD 50,000 - 55,000; Full time

Job summary

CP Unlimited is seeking a Care Manager to join its Health Home Care Management program. The Care Manager provides person-centered care coordination to individuals with complex medical, behavioral health, and social service needs.

This role works directly with members, families, healthcare providers, and community partners to develop individualized care plans, connect members with appropriate services, and address barriers to care, supporting engagement and progress toward improved health and

Qualifications

• Bachelor's degree in Social Work, Human Services, Psychology, Nursing, Public Health, Rehabilitation Counseling, or a related field.
• 1-3 years of relevant experience in healthcare, care management, case management, behavioral health, human services, or social services.
• Strong assessment, organizational, communication, and problem-solving skills.
• Ability to develop collaborative relationships with members, families, healthcare providers, and community partners.
• Knowledge of community resources and ability to navigate service systems.
• Ability to manage competing priorities and complete documentation within required timeframes.

Responsibilities

• Conduct comprehensive assessments to identify members' medical, behavioral health, housing, benefits, and other service needs.
• Develop, implement, and update person-centered care plans in collaboration with members and their support teams.
• Manage an assigned caseload and maintain regular contact with members to monitor needs and progress toward goals.
• Coordinate access to primary care, specialty care, behavioral health treatment, substance use services, and other supports.
• Connect members with housing resources, public benefits, transportation, food assistance, and community services.
• Conduct outreach, home visits, and community-based meetings to engage members in services.
• Coordinate with healthcare providers, hospitals, and community partners to address gaps in care.
• Support transitions of care, including hospital discharge follow-up and scheduling.

Skills

Assessment skills

Care coordination

Communication

Problem solving

Collaboration

Documentation

Home visits

Resource navigation

Education

Bachelor's degree

Tools

Electronic Health Records

Microsoft Office

Job description

CP Unlimited is seeking a Care Manager to join its new Health Home Care Management program. The Care Manager provides person-centered care coordination to individuals with complex medical, behavioral health, and social service needs.

This position works directly with members, families, healthcare providers, and community partners to develop individualized care plans, connect members with appropriate services, and address barriers to care. The Care Manager supports member engagement, continuity of care, and progress toward improved health, stability, and independence.

Essential Duties and Responsibilities

• Conduct comprehensive assessments to identify members' medical, behavioral health, housing, benefits, and other service needs.
• Develop, implement, and update person-centered care plans in collaboration with members and their support teams.
• Manage an assigned caseload and maintain regular contact with members to monitor needs, service participation, and progress toward identified goals.
• Coordinate access to primary care, specialty care, behavioral health treatment, substance use services, and other appropriate supports.
• Connect members with housing resources, public benefits, transportation, food assistance, and community services.
• Conduct outreach, home visits, and community-based meetings to engage members and support ongoing participation in services.
• Coordinate with healthcare providers, hospitals, community organizations, and other service partners to address gaps in care.
• Support transitions of care, including hospital discharge follow-up, appointment scheduling, and connections to recommended services.
• Assist members in understanding their care plans and developing skills to manage their health and service needs.
• Identify urgent concerns, assist with crisis intervention and safety planning, and consult with the supervisor when additional support is needed.
• Advocate for members and help resolve barriers to accessing appropriate care and resources.
• Maintain accurate, timely assessments, care plans, case notes, referrals, and follow-up documentation in the electronic health record.
• Participate in supervision, case conferences, staff meetings, and required training.
• Maintain confidentiality and follow agency policies and applicable program requirements.
• Provide respectful, culturally responsive services that support member choice and independence.

Required Qualifications

• Bachelor's degree in Social Work, Human Services, Psychology, Nursing, Public Health, Rehabilitation Counseling, or a related field.
• One to three years of relevant experience in healthcare, care management, case management, behavioral health, human services, or social services.
• Strong assessment, organizational, communication, and problem-solving skills.
• Ability to develop collaborative relationships with members, families, healthcare providers, and community partners.
• Knowledge of community resources and the ability to help members navigate service systems.
• Ability to manage competing priorities, maintain an assigned caseload, and complete documentation within required timeframes.
• Proficiency with electronic records and standard computer applications.
• Ability to work independently and as part of a team in a hybrid, community-based setting.
• Ability to conduct home visits and travel within the community to meet members' service needs.

Preferred Qualifications

• Master's degree in a related field.
• Experience in a Health Home care management program.
• Knowledge of Medicaid benefits and service systems.
• Experience conducting fieldwork, community outreach, or member engagement.
• Experience supporting individuals with chronic medical conditions, behavioral health needs, housing instability, or other complex needs.

Compensation

The annual salary range is $50,000-$55,000, based on relevant experience and qualifications.

EOE