Field-Based Health Home Care Manager - NYC

FreedomCare; New York (NY); On-site; USD 45,000 - 67,000; Part time

Job summary

FreedomCare is seeking a Health Home Care Manager in New York City to outreach, assess, and enroll patients in the Health Home program. You will coordinate care plans with the patient’s care team and ensure comprehensive home-based support.

Responsibilities include conducting assessments, coordinating with providers, scheduling home visits, and documenting outcomes while maintaining patient confidentiality. Strong potential for travel across NYC boroughs and collaboration with diverse teams.

Qualifications

• Associate's degree is a must.
• 2 years of Care Management experience.
• Must be able to travel to minimum of 2 boroughs - Brooklyn and Queens.
• Ability to travel in the field to accompany patients to appointments and meet patients in person when needed.
• Strong working knowledge of local community resources.
• Demonstrated ability to work with data reporting, documentation, and outcomes.
• Strong communication and assessment skills; the ability to relate to patients, their families, and community care providers, along with ability to handle rapidly changing crisis situations.
• Ability to manage high volume caseloads.
• Able to express empathy and compassion for the underserved.
• Experience navigating several data management systems, such as Salesforce.

Responsibilities

• Screen for Health Home functional scale eligibility, conduct initial assessments and reassessments of patient needs.
• Collaborate with medical providers and patients to develop, implement, and coordinate Health Homes compliant care plans; document outcomes.
• Provide direct service to a caseload of chronically ill patients and help them achieve care plan goals via referrals and connections to resources.
• Coordinate patient services and care with pharmacies, insurers, hospital discharge planning, family caregivers, and other providers.
• Provide crisis intervention when needed.
• Conduct home visits and maintain patient contact and documentation of all services per Health Homes standards.
• Maintain patient confidentiality at all times.

Skills

Spanish bilingual

Communication skills

Empathy & compassion

Data reporting

Education

Associate's degree

Bachelor's degree (nice-to-have)

Tools

Salesforce

Job description

FreedomCare is seeking a Health Home Care Manager in New York City to outreach, assess, and enroll patients in the Health Home program. You will coordinate care plans with the patient’s care team and ensure comprehensive home-based support.

Responsibilities include conducting assessments, coordinating with providers, scheduling home visits, and documenting outcomes while maintaining patient confidentiality. Strong potential for travel across NYC boroughs and collaboration with diverse teams.