Care Manager: Life Plan Advocate for I/DD

Advance Care Alliance New York; New York (NY); On-site; USD 90,977,000 - 97,424,000; Full time

Job summary

Advance Care Alliance New York is seeking a Care Manager to oversee and coordinate access to services for individuals with intellectual and developmental disabilities. You will develop person-centered Life Plans, advocate for members, and ensure timely assessments and documentation.

The role requires completing comprehensive assessments, coordinating with an interdisciplinary team, and maintaining HIPAA-compliant records while traveling across service areas as needed.

Qualifications

• A Bachelor of Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master’s degree with one year of relevant experience.
• Fluent understanding of community cultural traditions, norms, and practices of Members and their families.
• Absolute sense of integrity and personal commitment to serving people with I/DD and their families.
• Excellent interpersonal, public speaking, and written communication skills.

Responsibilities

• Deliver person-centered care management services in compliance with regulatory standards and in alignment with the agency’s quality management plan, policies, and standard operating procedures.
• Responsible for the completion of a comprehensive assessment/reassessment process.
• Identify gaps in service provision and make referrals when appropriate. Advocate on the member’s behalf, to reach their identified goals and live a meaningful and quality life.
• Develop, implement, and monitor member Life Plans within required timeframes, by leading an interdisciplinary team planning process, with the person at the center.
• Develop strategies that address conflict or disagreements in the person-centered planning process and working with the interdisciplinary team to resolve those conflicts in a timely manner.
• Complete all required service documentation with stated timeframes. Ensure all billing critical documentation is present and valid prior to the submission of any billable service documentation.
• Maintain the member’s continued eligibility for care management through the completion of an annual Level of Care (Re)Determination, ensuring OPWDD eligibility is maintained, and enrolling in the Home and Community Based (HCBS) waiver.
• Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when a member is eligible. Ensure existing benefits and other entitlements are maintained.
• Ensure a current and accurate information sharing consent is present within the electronic health record and updated as necessary when changes occur or are requested by the member and/or representative.
• Coordinates and provides access to high quality healthcare services, inclusive of medical, behavioral health, specialized services. Provides regular communication, monitoring, and action oriented follow up on critical and acute healthcare needs.
• Identifies, coordinates, and provides access to preventative and health promotion services as needed.
• Coordinates transitional care inclusive of appropriate follow up from inpatient to other settings, discharge planning, facilitating transfers within the healthcare system, residential settings and aging out of childhood services to adult services.
• Use health information technology in the delivery of care management services, included but not limited to the use of the electronic health records and programs to facilitate telehealth services for members. Maintain a thorough and accurate electronic health record for all assigned members.
• Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy.
• Complete all required trainings within required timeframes.
• Travel throughout the designated service area to meet with members as needed in alignment with regulatory standards and to ensure identified needs are met. Travel is required to meet with providers, members of the interdisciplinary team, and accompany members where indicated to necessary appointments.
• Identify and follow all incident reporting guidelines and procedures, ensuring the immediate safety of the member.
• Maintains confidentiality in accordance with HIPAA and privacy practices.
• Adheres to all policies and standard operating procedures for the delivery of comprehensive care management and ancillary functions of the Care Manager.
• Adheres to and upholds ACA/NY’s Code of Conduct.
• Perform other duties, as assigned.

Skills

Interpersonal skills

Public speaking

Written communication

Autonomy

Education

Bachelor's degree + 2 years experience

Registered Nurse license + 2 years experience

Master’s degree + 1 year experience

Job description

Advance Care Alliance New York is seeking a Care Manager to oversee and coordinate access to services for individuals with intellectual and developmental disabilities. You will develop person-centered Life Plans, advocate for members, and ensure timely assessments and documentation.

The role requires completing comprehensive assessments, coordinating with an interdisciplinary team, and maintaining HIPAA-compliant records while traveling across service areas as needed.