Care Manager - Health Homes - Bilingual Proficiency in Spanish is Required

Family Health Centers at NYU Langone is the largest federally qualified health center network in New York State and the second largest in the nation. The network includes eight primary‑care sites, 40 school‑based health centers and dental clinics, four day‑care centers, the nation’s largest dental residency program, New York State’s largest behavioral health program, 12 community medicine sites, comprehensive HIV services, chemical dependency programs, and a family support center that offers educational, vocational, and other social support programs. Position Summary Care Manager – Health Homes (Bilingual proficiency in Spanish required). The Care Manager is part of an interdisciplinary team that includes medical and behavioral health providers servicing patients with complex medical and/or psychiatric co‑morbid conditions. The successful candidate will improve patient access to care and coordinate services to enhance patient health and quality of life. Job Responsibilities Outreach patients to enroll them in programming. Assess patient care‑management needs via patient intake assessments. Maintain caseload size established by the department and meet monthly core service productivity requirements. Perform other duties as assigned or volunteered in alignment with the medical center mission, goals and values. Maintain electronic records and compile statistical data in accordance with department standards. Complete clinical documentation within required time frames. Assist patients in scheduling and obtaining transportation to medical and specialty appointments. Conduct hospital discharge calls within 24 business hours of discharge to confirm outpatient FHC appointments, schedule or reschedule appointments when necessary, and address barriers to appointment compliance. Monitor patient transition from inpatient to outpatient care and coordinate after‑care. Conduct pre‑visit planning for high‑risk patients and communicate patient health status alerts to the patient care team. Advocate for patients when barriers to care exist, including language and literacy barriers, access to transportation, insurance coverage problems, child‑care problems, and appointment scheduling conflicts. Assist patients in accessing a full range of medical, behavioral health, chemical dependency, psychosocial, and community services, including referral to self‑help groups and faith‑based organizations. Assist patients and families with benefits, entitlements, housing, and any other identified needs that impact patient physical health and emotional well‑being. Provide case‑management services in the office and via home visits that promote high quality, efficient, and cost‑effective care. Identify case‑management interventions tailored to the patient’s Stage of Change using the principles and techniques of Motivational Interviewing to assist patients to achieve behavior change goals. Monitor goal achievement and revise the plan as needed. Assist patients in creating and implementing care plan goals, including lifestyle behavior change goals to improve health outcomes. Minimum Qualifications Bachelor’s degree or a current CASAC certification. Previous case‑management or patient navigation experience. Computer, telephone, fax machine, and photocopy machine skills. Basic Life Support (BLS) Certification through the American Heart Association required at the time of hire and required to be maintained. Preferred Qualifications BA in social service or medical care fields. Bi‑lateral English/Spanish proficiency. Benefits NYU Langone Health offers a comprehensive benefits and wellness package, including financial security benefits, a generous time‑off program, employee resource groups for peer support, and a holistic employee wellness program focused on physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow employees to focus on what truly matters. Equal Opportunity Employer Family Health Centers at NYU Langone is an equal‑opportunity employer committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply. Salary Salary range: $66,215.52 – $66,215.52 annually. Actual salaries depend on experience, specialty, education, and hospital need. #J-18808-Ljbffr Family Health Center at NYU Langone