Care Manager
Company: VNS Health
Location: Essex Fells
Posted on: May 2, 2024
|
|
Job Description:
OverviewConducts assessments and develops client/member centered
plans of care. Provides coordination of services between the
varying providers for clients / members with complex psychiatric,
substance use, and/or co-morbid medical conditions. Ensures access
and linkage to the full array of necessary physical and behavioral
health services and other community based services to address
social determinants of health. Coordinates effective communication
between all providers for the ultimate benefit of the
client/member. Works under general direction.Compensation:$23.17 -
$28.96 Hourly--- Utilizes approved assessments to identify
clients/members needs and develop initial and ongoing clinical plan
of care.
--- Updates plan at specified intervals, and as needed based on
changes in client/member condition or circumstances.
--- Performs and maintains effective care management for assigned
caseload of clients/members. Tracks and monitors progress;
maintains detailed, accurate and timely progress notes and other
documentation.
--- Develops inventory of resources that meet the clients/members
needs as identified in the assessment.
--- Provides linkage, coordination with, referral to and follow-up
with appropriate service providers and managed care plans.
Facilitates periodic case record reviews and case conferences with
all providers serving the clients/members.
--- Works collaboratively with team members to provide outreach for
and engage resistant/hard to reach clients/members to accept
program services.
--- Provides information and assistance through advocacy and
education to clients/members and family on availability and
eligibility of entitlements and community services. Arranges
transportation and accompanies clients/members to appointments as
necessary.
--- Participates in initial and ongoing trainings as necessary to
maintain and enhance care management skills.
--- Maintains updated case records in program EMR. Maintains case
records in accordance with program policies/procedures, VNS Health
standards and regulatory requirements.
--- Participates and consults with team supervisor in case
conferences, staff meetings, and discharge planning meetings to
determine if client/member requires an alternate level of care or
is appropriate for discharge.
--- FOR Recovery Coordination Agencies (RCA) and State Designated
Entities (SDE) programs:
--- Conducts in-person visits to perform NYS eligibility
assessments to determine Tier 1 or 2 eligibility for HCBS service.
Works with clients/members, Peer Specialist, Supervisor and MCOs to
develop Initial and Ongoing Plan of Care (PoC) and request
necessary approvals and authorizations as needed.
--- Participates in initial and ongoing trainings as necessary to
maintain current knowledge of Health Home, HARP HCBS and DOH
processes.
--- Maintains knowledge of the service providers in the HCBS, MCO
and health home network if applicable. Provides overarching service
coordination between clients/members, SDE/RCA, HCBS service
provider and MCOs.
--- FOR Health Home programs:
--- Maintains appropriate documentation and standards for all
specialized caseloads such as HH+, AOT, Non Medicaid, HARP cases
and other special populations.
--- For Children's Health Home:
--- Completes the Child and Adolescent Needs and Strengths New York
(CANS) assessment to determine acuity and to develop initial and
ongoing Plan of Care documents.
--- Consults with management and provides reports of suspected
abuse and neglect when there is reasonable cause to suspect that a
child is a victim of child abuse/neglect.
--- Provides support to legal parent/guardian addressing specific
needs relevant to care management of children/adolescents.
--- Maintains appropriate documentation and standards for all
specialized caseloads such as waiver transition Home and Community
Based Services (HCBS) and other special populations.
--- FOR Critical Time Intervention (CTI):
--- Utilizes approved CTI assessments to prepare initial and
ongoing clinical and psychosocial evaluations of mental health,
health and other related service needs of identified patients.
Confirms acuity level of identified patient and tailors service
plan accordingly, reassessing as needed.
--- Establishes CTI patient relationship (pre-CTI) while patient is
still in hospital and performs at least one pre-CTI visit;
schedules first post-discharge visit prior to discharge. Makes home
visits thereafter.
--- Identifies appropriate staff/family support for hand-off during
last six weeks of Phase 2 (four - six months of engagement). Meets
with Health Home manager/staff to facilitate warm hand-off of each
patient Phase 3 care/services; conducts a telephone call at the end
of Phase 3 for each patient to review patient's progress toward
goals and determine whether additional follow-up is required.
--- Participates in special projects and performs other duties as
assigned.QualificationsLicenses and Certifications:
Valid NYS ID or NYS driver's license required. NYS Community Mental
Health Assessment instrument and HCBS training completion
preferred
Must complete necessary training to administer NYS Eligibility
Assessment for HCBS service in the UAS system within 60 days of
start date.
Child and Adolescent Needs and Strengths New York (CANS)
certification preferred
Must complete necessary training to administer the CANS NY
assessment in the UAS system within 60 days of start date.
Education:
Bachelor's Degree in a human services or related field required
Enrollment/attendance in Master's degree program in human services
or related field preferred
Work Experience:
Minimum of two years of experience providing direct services to
clients/members with Serious Mental Illness (SMI), developmental
disabilities, substance use disorders and/or chronic medical
conditions client required with a Bachelor's degree; minimum of one
year of experience with a Master's degree.
Effective oral/written/interpersonal communication skills
required
Bilingual skills may be required as determined by operational
needs.
Basic computer skills required
Keywords: VNS Health, Paterson , Care Manager, Executive , Essex Fells, New Jersey
Click
here to apply!
|