Care Manager l Manhattan & Brooklyn

Collaborative for Children & Families; New York (NY); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Flexible spending account

Health insurance

Life insurance

Paid time off

Job summary

Collaborative for Children & Families in New York seeks a Care Manager to coordinate care for children, youth, and families with complex medical, developmental and behavioral needs (0–21). You will develop and implement an individualized Plan of Care in partnership with caregivers and providers, serving as the primary contact to ensure needs and voices are integrated into the plan.

The role requires in-person visits across the five boroughs, travel as needed, strong documentation in EHR, and

Qualifications

• Bachelor’s degree with two years working with children, youth and adolescents.
• Knowledge of New York health and behavioral health care systems.
• Strength-based approach with diverse populations.
• Trustworthy for independent work; in-person visits and travel required.
• Strong verbal and written communication and literacy considerations.

Responsibilities

• Coordinate enrollment consents and assess clinical eligibility.
• Lead initial and annual CANS-NY assessments for planning.
• Manage individualized care plans and monitor service delivery.
• Document care in the Electronic Health Record within timelines.
• Coordinate with MMCP and other providers to prevent gaps in care.
• Lead Interdisciplinary Team Meetings and advocate for members.

Skills

Telephonic skills

Interpersonal skills

Team collaboration

Cultural sensitivity

Verbal and written communication

Education

Bachelor's degree

Tools

Microsoft Word

Outlook

Excel

Job description

The Care Manager (CM) works under the direct supervision of the Community Based Services Supervisor and plays a critical role in achieving the overall goals for coordination, integration, and partnership in the delivery of care to children, youth, and families with complex medical, developmental and behavioral health needs between the ages of Zero (0) to Twenty-One (21). The Care Manager develops and implements a patient-centered, comprehensive Plan of Care (POC) for the member, in partnership with his/her caregivers and providers. The Care Manager is the central point of contact for the family and the child/youth, to ensure that their needs and services are met, their voices are heard, and their needs and preferences are integrated into their plans of care. The care manager must ensure that all minimum required face-to-face contacts occur timely based on the member’s complexity level, which is determined by the Child Adolescent Needs and Strengths-New York (CANS-NY) assessment. Core Services include:

• Care Coordination & Health Promotion, including linkages to needed services to support care plan/treatment goals, coordination and advocacy with service providers and health plans, and interdisciplinary team case reviews.
• Transitional Care, including planning and follow-up for admission to, and discharge from hospital and other inpatient settings.
• Patient & Family Support, including partnership and consultation with each child’s family/caregivers on the child’s care plan.
• Referral to Community & Social Support Services

Responsibilities

• Obtain the required Care Management enrollment consents from the medical consenter, ensuring all necessary documentation is gathered to support clinical eligibility criteria from providers. Additionally, assess the member against appropriateness criteria to verify that the services being requested align with the member's needs and clinical requirements.
• Assess the appropriateness criteria for other children and youth in the household who are Medicaid-eligible and may benefit from Care Management services. Additionally, evaluate the caregiver to determine if they qualify for Adult Health Home services, making referrals as appropriate.
• Complete an initial needs assessment including the Child Adolescent Needs and Strengths-New York (CANS-NY), and annually thereafter, or sooner in the event of a significant life event.
• Responsible for the overall management of the member’s Individualized Plan of Care (POC) to ensure the following: coordination of services, Support adherence to treatment recommendations, and monitor and evaluate the member’s needs, including prevention, wellness, medical, behavioral health treatment, care transition, and social and community services when appropriate.
• Complete all program/case relevant documentation in the Electronic Health Record (EHR) within the assigned timeframes.
• Based on the complexity outcome of the members, the care manager must meet the specified minimum face-to-face requirements for billing as per the Department of Health’s (DOH) mandates.
• Monitor caseloads and member progress to ensure appropriate engagement, timely service delivery, goal attainment,and closure of social care needs.
• Provide Level 2 navigation support to connect members with appropriate community-based services and resources.
• Conduct all other required additional assessments within prescribed time frames including a Comprehensive Assessment, Crisis Plan, and Home and Community Based Services (HCBS) Level of Care (LOC) eligibility determination for the provision of services when appropriate.
• Function as an advocate for the member.
• Communicate with the members’ Medicaid Managed Care Plan (MMCP) to ensure there are no gaps in care.
• Promote wellness and prevention by linking members with resources and services based on their individual needs and preferences.
• Effectively communicate and share information with the member and their family/caregivers with appropriate consideration for language, literacy, and cultural preferences.
• Facilitate and lead Interdisciplinary Team Meetings to effectively coordinate services.\
• Identify any available community-based resources and actively manage appropriate referrals, access, engagement, follow-up, and coordination of services. This may include scheduling appointments, transportation, and providing interpreter services when needed; as well as accompanying members to appointments and following up with their caregiver to ensure appointments are kept.
• Develop close working relationships with other care team members including child welfare case planners when applicable and/or case managers in other service systems and/or settings.
• Perform all other duties as assigned.

Qualifications

• A bachelor’s degree (Masters Preferred) with two years of experience working with children, youth and adolescents.
• Have a working knowledge of the health & behavioral health care industry in New York.
• Maintains a strength-based approach in working with children, youth, and their families.
• The ability to work directly with a diverse population consisting of individuals who are diagnosed with chronic life-threatening conditions including behavioral health conditions and substance use challenges.
• Computer literacy, specifically Microsoft Word, Outlook, and Excel.
• Excellent telephonic and interpersonal skills.
• Ability to work directly with a multidisciplinary care team of professionals and paraprofessionals.
• Applicants must demonstrate trustworthiness as a prerequisite for independent work in this role. This position requires in-person visits, and candidates must be able to travel via car or public transportation. The caseload will primarily be within the identified counties but may extend beyond the counties in which the candidate resides.
• Strong verbal and written communication skills.
• Uses a strength-based, culturally sensitive approach when working with children, families, and staff.
• Accepts and applies feedback constructively to improve service delivery.
• Works effectively in a team environment and builds collaborative relationships.
• Demonstrates respect for cultural diversity among people served and staff.
• Believes in the capacity for growth and change; promotes a partnership-based model of support.
• Maintains appropriate professional boundaries and provides effective interventions when needed.

Working Conditions

• Must be willing to maintain case load sizes from 25-40 cases monthly.
• Work is conducted in the home and communities of the members.
• Travel within the five Boroughs is required based on caseload.
• 35 hours/week, flexible in accordance with program needs.
• Nights and weekends are required based on the choice and preferences of the members served.

Job Type: Full-time

• 401(k)
• 401(k) matching
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off

Education:

• Bachelor's (Required)

Experience:

• Working with children, youth, and adolescents: 2 years (Required)