Care Manager Health Home +

Access: Supports for Living; Nanuet (NY); On-site; USD 28,000 - 40,000; Full time

Job summary

Access: Supports for Living in New York State seeks Health Home Plus Care Managers to coordinate comprehensive health and social services for individuals with serious mental illness. You will proactively engage clients, linking them to medical, psychiatric, social, and housing resources.

Role requires strong organization, trauma‑informed approach, reliable transportation, and ability to travel across counties.

Qualifications

• Valid and unrestricted driver’s license required.
• Bachelor’s degree in human services or related field or equivalent.
• Two years of direct service experience with SMI, developmental disabilities, or substance abuse; master’s degree may substitute for one year.

Responsibilities

• Engage with clients to stabilize housing and address medical/psychiatric needs.
• Connect clients to community services and resources.
• Provide HHCM to adults enrolled in Health Home Plus.
• Ensure high-risk clients receive enhanced care.
• Deliver a minimum of four Health Home core services monthly (two face-to-face).
• Conduct at least four face-to-face visits monthly for individuals under AOT.
• Maintain caseload ratios: one full-time care manager per 20 HH+ recipients.
• Participate in supervision and follow DOH guidelines.

Skills

Driver's license

Strong communication

Organized

Trauma-informed care

Cultural sensitivity

Education

Bachelor's degree in human services or related field

CASAC or RN/BSN preferred

Master’s degree may substitute for experience

Tools

Electronic Health Records

Databases

Word processing

Spreadsheets

Email

Internet

Job description

Do Work That Matters. In a Culture That Means It.

Be part of a team that values connection, accountability, and real impact.

Why Access?

Because how we work matters just as much as what we do. At Access, our Culture Playbook isn’t a poster on the wall – it’s how we show up for each other and for the people we support.

You’ll Be Part Of a Team That Is

• Clear about expectations
• Supportive and accountable
• Focused on outcomes that matter to people.

Location: Nanuet, NY

Pay Rate: $25.00 per hour

Hours: Monday-Friday 8:30AM-5:00PM with Flexibility (40hrs)

Overview Of Primary Responsibilities

Health Home Plus Care Managers provide comprehensive support to individuals in order to coordinate all health care needs, including but not limited to: medical, mental health, substance abuse, specialty care, social services, and self-management/wellness. Ongoing care management activities must demonstrate active progress toward achieving each member’s goals.

Primary Functions

• Engage directly with clients to stabilize housing and address medical/psychiatric needs.
• Connect clients to appropriate community services and resources.
• Provide intensive Health Home Care Management (HHCM) to adults with Serious Mental Illness (SMI) enrolled in the Health Home Plus (HH+) program.
• Ensure clients at high risk for chronic disease and early mortality receive enhanced care.
• Deliver a minimum of four (4) Health Home core services monthly—two (2) of which must be face-to-face.
• For individuals under AOT (Assisted Outpatient Treatment), conduct at least four (4) face-to-face visits monthly.
• Maintain required caseload ratios: one (1) full-time care manager per 20 HH+ recipients.
• Participate in regular supervision and follow guidelines as outlined by the Department of Health.

Additional Functional / Organizational Support

• Attend regular internal team meetings to review caseload progress and goal attainment.
• Accurately document services and outcomes to ensure compliance with billing and quality standards.
• Collaborate with interdisciplinary teams to align services with individual care plans.
• Utilize clinical discretion and best practices when supporting high-need individuals.
• Adhere to organizational protocols and contractual obligations under the HH+ program model.

Qualifications And Attributes

• Valid and unrestricted driver’s license
• Required to have a reliable vehicle to use during work day
• Must be willing to travel to multiple counties
• Highly organized with excellent oral and written communication skills
• Ability to maintain a non-judgmental disposition and communication with a diverse population
• Effective verbal and written communication skills
• Proficient technology and computer skills including internet, email, word processing, spreadsheets, electronic health records, and databases. The ability to use technology to communicate effectively and professionally, and organize information
• Ability to engage and build rapport with high-risk individuals and vulnerable populations.
• Strong communication, time management, and organizational skills.
• Comfortable with working independently and as part of a collaborative team.
• Sensitive to cultural diversity and trauma-informed care principles.
• Demonstrated ability to link clients with a broad range of services (medical, psychiatric, legal, housing, etc.).

Education And Experience

• Bachelor’s degree in social work, psychology, nursing, rehabilitation, education, occupational/physical therapy, recreation, counseling, community mental health, child/family studies, sociology, speech/hearing, or another human services field, OR
• NYS teacher’s certificate requiring a bachelor’s degree, OR
• NYS RN licensure with bachelor’s degree, OR
• Bachelors in any field with five (5) years of direct experience with individuals with behavioral health diagnoses, OR
• CASAC (Credentialed Alcoholism and Substance Abuse Counselor) certification.

Experience Requirements

• Two (2) years of related experience providing direct services to individuals with SMI, developmental disabilities, or substance abuse issues.
• A master’s degree in a relevant field may substitute for one (1) year of required experience.

Supervision

• Supervised by a licensed healthcare professional (RN, clinician, psychologist) or a master’s-level professional with at least three (3) years of experience supervising clinical staff in behavioral health.

Physical Characteristics

• Must be capable of accessing all rooms in a 2-story home
• Able to work in open space floor plan
• Must be capable of moving throughout workday
• Occasional lifting of > _25+ pounds

An Equal Opportunity Employer, including disability and Veterans