Care Manager, Brooklyn

VNS Health; New York (NY); On-site; USD 31,918 - 39,895; Full time

Benefits offered by this job

Referral bonus opportunities

Generous PTO starting at 20 days and 9

Health insurance for you and family

Employer-matched 401k

Personal and financial wellness

Pre-tax FSAs for healthcare and care/d

Tuition reimbursement for qualifying

Professional growth and CEU credits

Job summary

VNS Health seeks a Health Home Care Manager to coordinate long-term care for adults with complex needs. You will assess, plan, and link clients to behavioral and physical health services while maintaining detailed records.

Role requires strong communication, eligibility knowledge, and ability to engage hard-to-reach clients in coordinated care and transportation when needed.

Qualifications

• Bachelor's degree in human services or related field required; Master’s preferred.
• Experience providing direct services to clients with complex needs.
• Strong communication and documentation skills.
• Ability to coordinate across multiple providers and settings.

Responsibilities

• Utilizes assessments to identify client needs and develops care plans.
• Updates plans regularly based on client condition and circumstances.
• Manages a caseload with detailed progress notes and documentation.
• Links clients to providers and coordinates with managed care plans.
• Engages hard-to-reach clients to participate in services.
• Ensures access to entitlements and transportation when needed.

Skills

Care coordination

Care management

Communication skills

Documentation

Bilingual (needed)

Education

Bachelor's degree in human services or related field

Job description

Overview

Conducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditions. Ensures access and linkage to the full array of necessary physical and behavioral health services and other community based services to address social determinants of health. Coordinates effective communication between all providers for the ultimate benefit of the client/member. Works under general direction.

What We Provide

• Referral bonus opportunities


• Generous paid time off (PTO), starting at20 daysof paid time offand 9 company holidays


• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability


• Employer-matched 401k retirement saving program


• Personal and financial wellness programs


• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program


• Generous tuition reimbursement for qualifying degrees


• Opportunities for professional growth and career advancement and CEU credits

What You Will Do

• Utilizes approved assessments to identify clients/members needs and develop initial and ongoing clinical plan of care.


• Updates plan at specified intervals, and as needed based on changes in client/member condition or circumstances.


• Performs and maintains effective care management for assigned caseload of clients/members. Tracks and monitors progress; maintains detailed, accurate and timely progress notes and other documentation.


• Develops inventory of resources that meet the clients/members needs as identified in the assessment.


• Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members.


• Works collaboratively with team members to provide outreach for and engage resistant/hard to reach clients/members to accept program services.


• Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility of entitlements and community services. Arranges transportation and accompanies clients/members to appointments as necessary.


• Participates in initial and ongoing trainings as necessary to maintain and enhance care management skills.


• Maintains updated case records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements.


• Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge.


• Maintains appropriate documentation and standards for all specialized caseloads such as HH+, AOT, Non Medicaid, HARP cases and other special populations.

About the Program

Health Home Care Management

Health Home Care Management provides long-term care coordination and case management services for adults living with serious mental illness, substance use disorders, HIV/AIDS, and other complex chronic conditions. The program helps individuals navigate healthcare systems, access community resources, improve health outcomes, and achieve greater stability through coordinated, person-centered care.

Why Join This Program:Work across healthcare and community systems to help high-risk individuals improve their health, independence, and quality of life.

Qualifications

Licenses and Certifications:

Must complete necessary training to administer NYS Eligibility Assessment for HCBS service in the UAS system within 60 days of start date.

Must complete necessary training to administer the CANS NY assessment in the UAS system within 60 days of start date.

Education:

Bachelor\'s Degree in a human services or related field required Enrollment/attendance in Master’s degree program in human services or related field preferred

Work Experience:

Minimum of two years of experience providing direct services to clients/members with Serious Mental Illness (SMI), developmental disabilities, substance use disorders and/or chronic medical conditions client required with a Bachelor’s degree; minimum of one year of experience with a Master’s degree. Effective oral/written/interpersonal communication skills required. Bilingual skills may be required as determined by operational needs. Basic computer skills required

Pay Range

USD $23.17 - USD $28.96 /Hr.

About Us

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.