Health Home Care Manager – Complex Care & Community Linkages

Coordinated Care Services, Inc.; New York (NY); Sur place; USD 32 000 - 44 000; Plein temps

Résumé du poste

University of Rochester seeks a dedicated Care Manager to provide comprehensive care management services for patients in Health Home programs. You will collaborate with medical, behavioral health, and social service providers to assess needs and develop patient-centered care plans, focusing on complex patients who require intensive care coordination.

You will engage patients through phone and in-person visits across clinics, home, community settings, and other environments, documenting

Qualifications

• Bachelor’s degree required in a human services field.
• Minimum 1 year of direct service experience with serious mental illness, intellectual/developmental disabilities, or substance abuse.
• Equivalent combination of education and experience acceptable.

Responsabilités

• Provides professional comprehensive care management services for enrolled patients.
• Collaborates with health, behavioral health, and social service providers to develop patient-centered care plans.
• Engages patients via telephonic outreach and in-person visits across multiple settings.
• Links patients to clinical and social services within community resources.
• Documents services thoroughly in electronic medical records and supports quality initiatives.
• Coordinates outreach to connect and retain patients in Health Home Care Management Services.
• Supports transitions of care and reduces unnecessary acute care utilization.
• Performs duties in compliance with URMC and NYS regulations and policies.

Formation

Bachelor’s degree in an appropriate human services field

Description du poste

University of Rochester seeks a dedicated Care Manager to provide comprehensive care management services for patients in Health Home programs. You will collaborate with medical, behavioral health, and social service providers to assess needs and develop patient-centered care plans, focusing on complex patients who require intensive care coordination.

You will engage patients through phone and in-person visits across clinics, home, community settings, and other environments, documenting