Health Homes Care Manager

Job Title: Health Homes Care Manager
Dept: Care Management Services
Reports to: Health Homes Manager
Location: Syracuse
Salary Range:  $22.00 – $24.00/Hourly

Apply: Submit resume to: recruitment@acrhealth.org

Position Summary: The Health Homes Care Manager is responsible for delivering high-quality care management services to Health Home participants and their families. The Care Manager facilitates referrals, conducts assessments, develops service plans, coordinates services, and assists participants in overcoming barriers to care. Consistent with New York State Health Home regulations, the position works collaboratively with participants, healthcare providers, community agencies, and support systems to improve health outcomes and access to services

Authority and Independence: The Health Homes Care Manager works under the general supervision of the Health Homes Manager and exercises independent judgment in participant engagement, assessment, care planning, service coordination, advocacy, and resource development activities. The position requires maintaining strict confidentiality, building effective relationships with service providers and community partners, and ensuring compliance with all Health Home, Medicaid, and regulatory requirements.

Minimum Qualifications

Education and Experience

 Bachelor’s degree and a minimum of two (2) years of experience in health, human services, or a related field working with individuals living with HIV/AIDS, Hepatitis C (HCV), substance use diagnoses, chronic illnesses, or related populations.

• Experience providing care coordination, case management, advocacy, or related support services.
• Experience working with diverse populations and individuals facing medical, behavioral health, housing, legal, social, or financial barriers is preferred.

 Skills and Competencies

• Ability to foster an inclusive and collaborative work environment.
• Excellent verbal, written, interpersonal, organizational, and time management skills.
• Strong ability to develop relationships with healthcare providers, hospitals, community agencies, participants, caregivers, and other stakeholders.
• Ability to work effectively with diverse populations.
• Proficiency with Microsoft Office programs, including Outlook, Word, and Excel.
• Demonstrated commitment to the mission, vision, and values of ACR Health.
• Sensitivity to HIV/AIDS, chronic illness, LGBTQ+ issues, harm reduction principles, and culturally responsive service delivery.

Other Requirements

• Valid New York State driver’s license, satisfactory driving record, and access to a reliable vehicle with current automobile insurance to fulfill travel requirements throughout the service region.
• Ability to pass a Medicaid fraud background check.
• Ability to work occasional evenings and weekends for meetings, trainings, conferences, seminars, and participant needs.

 Primary Responsibilities

• Incorporate best practices regarding confidentiality into all job duties and communications in accordance with Article 27-F, HIPAA, ACR Health policies and procedures, and all applicable regulations. Always protect agency and participant information.
• Assist participants in assessing immediate and long-term needs and identifying services and support to meet those needs.
• Develop, implement, and monitor individualized care plans in conjunction with participants and service providers.
• Coordinate access to medical, behavioral health, legal, housing, financial, social service, and other community-based resources.
• Conduct assessments, reassessments, goal planning, and service planning activities in accordance with Health Home requirements.
• Maintain regular participant contact to support engagement, motivation, service utilization, and continuity of care.
• Conduct home visits and community-based visits as appropriate to assess needs and support service engagement.
• Coordinate care with hospitals, healthcare providers, discharge planners, behavioral health providers, and community agencies.
• Conduct interdisciplinary case conferences and collaborate with participant support networks when appropriate.
• Advocate for participants to obtain appropriate services and address barriers to care through persistent engagement and documentation of service gaps.
• Maintain complete, accurate, and timely participant records, assessments, care plans, progress notes, statistical reports, and other required documentation.
• Prepare and submit all required reports and documentation within established timeframes.
• Maintain working knowledge of area resources, Health Home regulations, Medicaid requirements, care management standards, and community services.
• Participate in all required staff, department, and agency training courses and complete a minimum of twenty-four (24) hours of professional development annually.
• Provide crisis intervention and support when appropriate.
• Participate as a culturally competent member of the department and agency and demonstrate respect for the beliefs, values, and needs of diverse populations.
• Perform other duties as assigned by the Health Homes Manager, Director of Care Management Services, Chief Program Officer, and/or Chief Executive Officer.

Benefits

• Comprehensive medical, dental, and vision coverage.
• Generous paid time off and holiday pay
• Life Insurance.
• 403(b) retirement savings plan with agency contributions.
• Employee Assistance Program (EAP)

FLSA Status: Exempt. Office  Hours per week:  35   Work Schedule:  Full Time in Office, occasional evenings and weekends may be required for meetings, workshops, outreach, and events.

 Disclaimer: This job description provides an overview of primary duties and responsibilities. It is not exhaustive; additional consistent tasks may be assigned.