Care Manager, Children & Families

CareCollab; New York (NY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

CareCollab is seeking a Children's Care Manager to coordinate care for children enrolled in New York Health Home programs. You will conduct assessments, develop plans of care, and coordinate services across medical, behavioral health, educational, and community systems.

You will serve as primary contact for families, ensuring integrated, accessible care while engaging in field visits and telehealth. The role supports families to achieve better health outcomes in home and community settings.

Qualifications

• Bachelor's degree in Social Work, Nursing, Public Health, Education or related field, or RN with relevant experience, or MSW/related with experience.
• Experience working with children, adolescents and families in healthcare, behavioral health, child welfare or social services.
• Proficiency with EHRs, care management platforms, and Microsoft Office.

Responsibilities

• Conduct comprehensive assessments to identify medical, behavioral health, educational, social, and environmental needs.
• Develop and implement individualized Plans of Care in collaboration with families and teams.
• Coordinate services across healthcare providers, schools, and community organizations.
• Monitor service utilization and progress, adjust care plans as needed.
• Maintain case records per Health Home standards and HIPAA requirements.

Skills

Organizational skills

Communication skills

Problem-solving skills

Education

Bachelor's degree in Social Work

Licensed RN

Master's in Social Work / related field

Tools

EHR systems

Care management platforms

Microsoft Office

Job description

CareCollab is launching a Children's Care Management Agency (CMA) under New York State's Medicaid Health Home program in partnership with the Collaborative for Children and Families (CCF) Health Home. The program serves children and adolescents with complex medical, behavioral, and developmental health needs, providing comprehensive, person-centered care coordination in home and community-based settings.

At CareCollab, we believe technology should enhance, not hinder, care delivery. We are building an innovative care management model that leverages technology and streamlined workflows to reduce administrative burden, allowing Care Managers to spend more time focused on members and families while maintaining compliance with Health Home, Medicaid, and regulatory requirements.As a Children's Care Manager, you will play a critical role in helping children and families navigate healthcare, behavioral health, educational, and community systems to achieve improved health outcomes, greater stability, and long-term success.

The Role:

The Children's Care Manager is responsible for coordinating care and services for children and adolescents enrolled in the Children's Health Home program. Using a strengths-based, family-driven, and trauma-informed approach, the Care Manager conducts assessments, develops comprehensive Plans of Care, coordinates services across multiple systems, monitors progress toward goals, and advocates for members and families.

The Care Manager serves as the primary point of contact for the child, family, providers, and community partners, ensuring services are integrated, accessible, and responsive to each member's unique needs.

This position is eligible for remote work; however, substantial field-based responsibilities require travel throughout the assigned service area to conduct member visits and coordinate services.

What You’ll Do:

Care Coordination & Case Management:

• Conduct comprehensive assessments to identify medical, behavioral health, educational, social, and environmental needs.
• Develop and implement individualized Plans of Care (POC) in collaboration with children, families, and multidisciplinary teams.
• Coordinate services among healthcare providers, behavioral health specialists, schools, social service agencies, and community organizations.
• Monitor service utilization, track progress toward goals, and adjust care plans based on changing needs and circumstances.
• Facilitate transitions of care, including hospital discharges, school transitions, and movement between service providers and community programs.
• Maintain progressive and regular contact with members and families through home visits, community visits, telehealth, and other approved methods of engagement.
• Meet productivity, quality, compliance, and member engagement standards established by CareCollab and the Health Home program.

Family Engagement & Support:

• Build trusting relationships with children and families through culturally sensitive, trauma-informed, and person-centered practices.
• Educate children and families regarding available services, benefits, and treatment options.
• Empower children and families to actively participate in care planning and decision-making.
• Support child and family self-advocacy and the development of long-term support systems.
• Foster collaboration among family members, caregivers, and service providers to support successful outcomes.

Service Linkage & Resource Coordination:

• Refer and connect members to medical, behavioral health, educational, housing, transportation, and social support services.
• Facilitate communication among service providers to ensure coordinated and integrated care delivery.
• Monitor service utilization and follow-up on referrals to ensure successful engagement with recommended services.
• Identify barriers to care and work collaboratively with members, families, and providers to address unmet needs.

Documentation & Compliance:

• Maintain accurate, timely, and complete case records in accordance with Health Home standards, agency policies, HIPAA requirements, and regulatory guidelines.
• Complete assessments, care plans, progress notes, and required reports within established timelines.
• Ensure compliance with Medicaid, Health Home, and New York State requirements.
• Utilize CareCollab's technology-enabled care management systems to document activities, manage workflows, and support quality care coordination.

Crisis Intervention & Advocacy:

• Identify risk factors and intervene appropriately during crises.
• Collaborate with emergency services, healthcare providers, family supports, and community partners when urgent needs arise.
• Advocate for children's access to quality healthcare, education, behavioral health, and community-based services.
• Support care planning and coordination efforts that promote member safety, stability, and well-being.

Quality Improvement:

• Assist with quality improvement initiatives and performance measures.
• Maintain current knowledge of Health Home requirements, community resources, and evidence-based care management practices.
• Contribute to a culture of continuous improvement, accountability, and member-centered care.

What You Bring:

Education and Credentials:

• Health Home Care Managers serving children with a decision model complexity (acuity) level of "Complex" as determined by the CANS-NY must meet one of the following requirements:
• Bachelor's degree in Social Work, Human Services, Psychology, Nursing, Public Health, Education, or a related field; or
• Licensed Registered Nurse (RN) with a minimum of two (2) years of relevant experience; or
• Master's degree in Social Work, Human Services, Psychology, Nursing, Public Health, Education, or a related field with a minimum of one (1) year of relevant experience.

Experience:

• Relevant experience working with children, adolescents, and families in healthcare, behavioral health, child welfare, social services, or care/case management.
• Knowledge of child development, family systems, behavioral health conditions, and community resources.
• Strong organizational, communication, and problem-solving skills.
• Ability to effectively manage multiple priorities, deadlines, and member needs.
• Proficiency with electronic health records (EHRs), care management platforms, Microsoft Office, and other technology tools.
• Ability to collaborate effectively with families, providers, schools, community organizations, and multidisciplinary teams.
• Ability to work independently while maintaining accountability and productivity in a remote and field-based environment.

Preferred Qualifications:

• Licensure in Social Work, Mental Health Counseling, or a related clinical discipline .
• Prior Health Home Care Management experience.
• Experience working with children receiving HCBS, CFTSS, child welfare, foster care, education, developmental disability, or behavioral health services.
• Bilingual or multilingual proficiency.

Conditions of Initial and Ongoing Employment

• Being employed as a Care Manager is contingent upon successful completion of all pre-employment and onboarding requirements, including verification of work authorization, education, professional references, and background checks where applicable. Because this role serves children and families within a Medicaid Children’s Health Home program, this offer is further contingent upon satisfactory completion of all clearances required for child-serving and Medicaid-funded positions, which may include: a criminal background check; Medicaid exclusion screening (including the federal OIG List of Excluded Individuals/Entities and the NYS OMIG exclusion list); Justice Center Staff Exclusion List (SEL) clearance; and Statewide Central Register of Child Abuse and Maltreatment (SCR) clearance, including fingerprinting where required. CareCollab reserves the right to withdraw this offer or terminate employment if any required verification is unsatisfactory, incomplete, disqualifying, or cannot be confirmed.
• Care Managers are required to obtain Child and Adolescent Needs and Strengths (CANS) certification within the first 30 days of employment, achieving a passing score of 70% or higher.
• Care Managers must maintain active CANS certification and successfully complete annual recertification requirements in accordance with New York State Health Home standards.

CareCollab is a Medicaid care management organization serving high-acuity populations across

New York City, Westchester, and Nassau County. We work with individuals who have complex

medical, behavioral health, and social needs, including serious mental illness, substance use

disorders, chronic conditions, and housing instability.

Through New York’s Health Home program, we provide care coordination services that help

members:

• Access medical and behavioral health care
• Navigate social services and housing resources
• Stay engaged in treatment
• Avoid unnecessary hospitalizations and emergency room visits