Case Manager / Care Manager

Bond Health; New York (NY); On-site; USD 50,000 - 60,000; Full time

Job summary

Bond Health in Queens, NY is seeking full-time Care Managers to deliver person-centered care across six core services. Responsibilities include comprehensive assessments, life planning, care coordination, and ongoing family support, with regular visits and community resource referrals.

The role requires a Bachelor's with 2 years or a Master's with 1 year of relevant experience, plus bilingual Spanish. Salary ranges $50,000–$60,000 annually with benefits.

Qualifications

• Bachelor's degree with 2 years relevant experience or Master's with 1 year relevant experience.
• Bilingual Spanish required.
• MSC Service Coordinators prior to July 1, 2018 are grandfathered to facilitate continuity of care.

Responsibilities

• Perform comprehensive assessments identifying medical, mental health, substance use, developmental disability, and social needs.
• Develop Life Plans with the individual, including family and providers, with goals, interventions, and timeframes.
• Maintain caseloads up to 35–40 members; conduct face-to-face visits monthly, quarterly, or bi-annually as needed.
• Coordinate care across teams; monitor adherence to treatment plans and coordinate appointments.
• Assist transitions between care levels and post-discharge follow-up.
• Provide ongoing family support, monthly contact, and engagement with members and families.
• Identify community resources, manage referrals, and document service delivery.

Skills

Interpersonal skills

Conflict management

Verbal and written communication

MS Office

Time management

Analytical thinking

Education

Bachelor's degree with 2 years relevant experience

Master's degree with 1 year relevant experience

Tools

Microsoft Office

Job description

Care Managers needed in Queens-full time position!

Job Overview:

The role of the Care Manager is to deliver the 6 core services in a person-centered manner in order to meet the needs of the individual, the OPWDD valued outcomes, the objectives of the People First Transformation, and the State requirements. The Care Manager provides referral and linkage to benefits and services, and in-person visits with members ranging from monthly to bi-annually dependent on the need of each member.

Essential Responsibilities:

1. Comprehensive Care Management

• Complete a Comprehensive Assessment for each individual that identifies medical, mental health, chemical dependency, developmental disability, and social service need
• Develop a Life Plan with the individual; include family, collaterals, and service providers in fulfillment of the Life Plan; parties should agree with the goals, interventions, and timeframes
• Caseload size up to a weight of 20, generally 35-40 members, but may vary
• Conduct face-to-face visits as required (Monthly, Quarterly, or Bi-Annually dependent on regulatory requirement and individual needs of each individual)

2. Care Coordination and Health Promotion

• Engage the individual in the adherence to treatment recommendations, monitor and evaluate individual's needs; coordinate all aspects of the individual's care; develop relationship between the care planning team
• Review and update the Life Plan with the care planning team; initiate changes in care
• Ensure timely access to appointments for individuals to medical/behavioral health care services; link individuals with resources
• Collaboration with both internal and external interdisciplinary teams.
• Instituting recommendations from internal clinical teams
• Involvement in post-hospital/rehabilitation discharge

3. Comprehensive Transitional Care

• Assist the individual to transition between levels of care, or after critical events, such as: hospital, school, rehabilitation facility, etc., follow up in a timely manner post discharge, support individual during crisis events
• Use Health Information Technology to facilitate collaboration among all providers

4. Individual and Family Support

• Communicate and share information with individuals and their family/representative, ensure that the Life Plan reflects the individual's and their family/representative's preferences
• Utilize peer supports, support groups to increase family/representative's awareness
• Provide monthly contact and engagement with all members/families
• Follow up to strive for complete member satisfaction with TCC and external services

5. Referral to community and social support services

• Identify available resources and actively manage referrals, engagement, and follow-up
• Ensure that the Life Plan includes community-based and other social support services that respond to the individual's needs and preferences and contribute to achieve the individual's goals

6. Use of HIT link services

• Meet the HIT standards in the delivery of core services and the Life Plan, as described in the manual

Maintain written documentation of service delivery and individuals' information on the Electronic Health Record System while practicing all HIPAA and Privacy regulations.

Additional Responsibilities:

• Monitoring/Assisting individuals with maintaining benefits (Food Stamps, Medicaid, and SSI)
• Support individuals with P&P related to schooling, and any relevant issues
• Report any incident of abuse, neglect, or maltreatment immediately
• Other duties as assigned/requested

Specific Knowledge, Skills, and Abilities:

• Excellent interpersonal skills, including conflict-management and knowledge of de-escalation techniques
• Advanced ability to effectively communicate in both verbal and written manner
• Computer software skills, particularly skills with Microsoft Suite
• Ability to organize, schedule, and utilize time well
• Capability to analyze situations accurately, prioritize, and take effective action

Required Education, Experience, and Licenses:

• A Bachelor's degree with two years of relevant experience, OR
• A Master's degree with one year of relevant experience
• Bilingual Spanish required.
• MSC Service Coordinators prior to July 1, 2018 are "grandfathered” to facilitate continuity of care

Salary: $50,000-$60,000 per year plus benefits.