Overview The Care Manager’s primary function is to work in partnership with individuals with I/DD to coordinate care and services needed to assist individuals achieve optimal health, wellness, and life goals. The Care Manager provides Health Home core services including comprehensive care management, care coordination and health promotion, comprehensive transitional care, individual and family support, referral to community and social support services, and uses Health Information Technology to link services. Services are delivered with a person-centered approach aligned with NYS OPWDD Valued Outcomes.
Responsibilities Conduct comprehensive assessments to identify an individual’s clinical and psychosocial needs, choices, and preferences for services
Assess and address health and safety issues as well as barriers to care and treatment including social determinants of health
Collaborate with interdisciplinary team and incorporate input into comprehensive assessment and Life Plan
Develop and maintain a person-centered Life Plan that coordinates and integrates an individual’s clinical and non-clinical healthcare related needs and services
Monitor and facilitate implementation of and provide updates as needed to the Life Plan
Incorporate health promotion and support opportunities for individuals to achieve and maintain optimal health and wellbeing
Coordinate and ensure access to chronic disease management
Facilitate referrals to clinical and community resources, including planning, referrals, and follow-up for transitional care
Coordinate and provide access to long-term care supports and services
Engage families and natural supports into the care coordination process
Ensure all individuals and families receive services that are culturally and linguistically appropriate
Advocate on behalf of the individual
Promote self-advocacy and the ability to self-direct
Use Health Information Technology for documentation, to link services, and facilitate communication among care coordination team
Secure all health records and other protected information with confidentiality and HIPAA compliance
Maintain compliance with all state and federal laws and regulations, Medicaid compliance, and Agency policies and procedures
Document all services and maintain appropriate records following established documentation procedures
Participate in opportunities for continued training and education
Perform all other duties relevant to the position as requested
Knowledge, Skills, and Abilities Ability to act quickly, assess and act accordingly in crisis situations
Basic technology skills and understanding of health records
Knowledge of ethical and professional responsibilities and boundaries
Demonstrate professional work habits including dependability, time management, independence and responsibility
Education and Experience Bachelor’s degree with two years of relevant experience
A license as a Registered Nurse with two years of relevant experience (not limited to case management/service coordination duties)
A Master’s degree with one year of relevant experience
The listed salary range represents the organization’s good faith and reasonable estimate of the range of possible compensation at the time of posting. The offered salary will be determined by applicant qualifications and experience, education, position-specific licensing/training and departmental budgets.
Prime Care Coordination is committed to equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, sex, disability, protected veteran status, or any other basis protected by applicable federal, state, or local law. Prime Care Coordination will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-347-1037.