Care Manager

Care Manager Position in Brooklyn

The role of the Care Manager is to deliver the six core services in a person-centered manner in order to meet the needs of the individual, the OPWDD valued outcomes, the objectives of the People First Transformation, and the State requirements. The Care Manager provides referral and linkage to benefits and services, and in-person visits with members ranging from monthly to bi-annually dependent on the need of each member.

Essential Responsibilities

• Provide comprehensive, person-centered Care Management services focusing on the six core services:
• Complete a Comprehensive Assessment for each individual that identifies medical, mental health, chemical dependency, developmental disability, and social service need
• Develop a Life Plan with the individual; include family, collaterals, and service providers in fulfillment of the Life Plan; parties should agree with the goals, interventions, and timeframes
• Conduct face-to-face visits as required (Monthly, Quarterly, or Bi-Annually dependent on regulatory requirement and individual needs of each individual)
• Engage the individual in the adherence to treatment recommendations, monitor and evaluate individual's needs; coordinate all aspects of the individual's care; develop relationship between the care planning team
• Review and update the Life Plan with the care planning team; initiate changes in care
• Ensure timely access to appointments for individuals to medical/behavioral health care services; link individuals with resources
• Collaboration with both internal and external interdisciplinary teams
• Assist the individual to transition between levels of care, or after critical events, such as: hospital, school, rehabilitation facility, etc., follow up in a timely manner post discharge, support individual during crisis events
• Communicate and share information with individuals and their family/representative, ensure that the Life Plan reflects the individual's and their family/representative's preferences
• Identify available resources and actively manage referrals, engagement, and follow-up
• Meet the HIT standards in the delivery of core services and the Life Plan, as described in the manual

Additional Responsibilities

• Monitoring/Assisting individuals with maintaining benefits (Food Stamps, Medicaid, and SSI)
• Support individuals with P&P related to schooling, and any relevant issues
• Report any incident of abuse, neglect, or maltreatment immediately

Specific Knowledge, Skills, and Abilities

• Excellent interpersonal skills, including conflict-management and knowledge of de-escalation techniques
• Advanced ability to effectively communicate in both verbal and written manner
• Computer software skills, particularly skills with Microsoft Suite
• Ability to organize, schedule, and utilize time well
• Capability to analyze situations accurately, prioritize, and take effective action

Required Education, Experience, and Licenses

• A Bachelor's degree with two years of relevant experience, OR
• A Master's degree with one year of relevant experience
• MSC Service Coordinators prior to July 1, 2018 are "grandfathered" to facilitate continuity of care

Salary

$50,000-$60,000 per year plus benefits