Field-Based HARP Care Manager - Behavioral Health Care

MetroPlusHealth; New York (NY); On-site; USD 70,000 - 95,000; Full time

Job summary

MetroPlusHealth in New York is seeking a Health and Recovery Plan (HARP) Care Manager to develop, facilitate, and communicate comprehensive care plans for members in partnership with Health Homes, primary caregivers, and providers. The role is 100% field-based, with duties spanning clinical assessments, care coordination, and post-discharge follow-up.

You will conduct initial and ongoing behavioral health assessments, coordinate services across settings, and ensure timely follow-up appointments

Qualifications

• Master’s Degree required.
• 3-5 years of Behavioral Health experience with case and utilization management.
• One-year HARP experience preferred.
• Field based Case Management Experience within the Integrated Collaborative Care Model Approach.
• Experience with chronic condition management, including Diabetes, HIV, Heart Disease, Pharmacy, Psyckes, E-Paces, HCS (UAS) MAPP, CORE/HCBS, Microsoft Teams Video knowledge.
• Strong interpersonal and assessment skills, and ability to remain calm with crisis situations.
• Experience with home visits and bedside assessments in inpatient or long-term settings.
• Medical background and bilingual preferred.
• Quality Management liaison experience addressing cost and HEDIS/QARR quality performance.

Responsibilities

• Clinically assess members for acute behavioral and physical health needs; generate referrals to providers and community resources.
• Conduct Utilization Review for designated Case Management members (CORE/HCBS, ACT).
• Meet with members in homes, shelters, community settings, hospital units or day programs.
• Conduct initial and ongoing Behavioral Health clinical assessments.
• Develop a formal plan of care and notify physicians of changes in the plan.
• Assist with post-discharge aftercare appointments and coordinate with inpatient teams for follow-up care.
• Outreach to ensure 7-day follow-up and schedule 30-day appointments as part of HEDIS.
• Mail discharge aftercare letters with referrals for unreachable members.
• Coordinate with nurses for clinical plan updates.
• Review and approve Health Home Plans of Care and CORE/HCBS requests; educate CMA workers on PROS/IOP options.
• Assist providers with pay-for-performance goals and explore Value Based Payment possibilities for HARP.
• Educate providers on medication and treatment compliance; promote Long Acting Injectables.
• Enlist providers for first episode psychosis treatment and coordinate ICT meetings.
• Lead ICT meetings for newly enrolled or high-utilization HARP members.
• Oversee coordination of comprehensive, cost-effective care; evaluate housing needs with housing team.
• Assist with housing applications and coordinating services across settings.
• Provide ongoing Care Coordination across the continuum of care.
• Aim to improve care quality and member outcomes; identify for specialty programs.
• Document care coordination in DCMS and other systems per standards.

Skills

Field-based Case Management

Behavioral Health

Assessment skills

Interpersonal skills

Communication

Education

Master’s Degree

Tools

Microsoft Teams

Job description

MetroPlusHealth in New York is seeking a Health and Recovery Plan (HARP) Care Manager to develop, facilitate, and communicate comprehensive care plans for members in partnership with Health Homes, primary caregivers, and providers. The role is 100% field-based, with duties spanning clinical assessments, care coordination, and post-discharge follow-up.

You will conduct initial and ongoing behavioral health assessments, coordinate services across settings, and ensure timely follow-up appointments