Care Manager

Care ManagerWatertown - Watertown, NY 13601OverviewSalary Range $27.00 - $29.00 Hourly Education Level 4 Year Degree Travel Percentage Up to 75%DescriptionFull-TimeField Based – Regional Travel – In Office- HybridRequirements: Bachelor's degree + 2 years of relevant experience or 2 years' experience of caring for a family member with a disabilityMake a Difference Every DayAre you passionate about supporting individuals with intellectual and developmental disabilities to live meaningful, self-directed lives?We're looking for a Care Manager to join our team and help coordinate services, advocate for members, and support person-centered Life Plans that drive real impact.What We're Looking ForBachelor's + 2 years' experience, OR Master's + 1 year, OR RN + 2 years Experience in human services, I/DD, mental health, or related field preferred Strong communication, problem-solving, and organizational skills Ability to work independently in a fast-paced, field-based role Commitment to person-centered, strength-based careWhat You'll DoDevelop and manage individualized Life Plans based on comprehensive assessmentsCoordinate medical, behavioral health, and community-based servicesAdvocate for members to access services, benefits, and supportsLead interdisciplinary team meetings and collaborate with providersMonitor progress, address gaps, and ensure high-quality care deliveryMaintain accurate documentation and compliance with regulatory standardsSupport transitions across care settings and life stagesAdditional RequirementsValid driver's license & ability to travel locallyMust reside in NY State (or within 100 miles of assigned office)Comfortable meeting members in homes and community settingsWork EnvironmentHybrid role: fieldwork, in-office, and remote work blendNot fully remoteFlexible schedule, including occasional evenings/weekendsTravel required throughout the service areaWhy Join Us?Meaningful, mission-driven work Collaborative and supportive team Opportunities for growth and developmentCompetitive Compensation and Benefits PackageApply TodayIf you're ready to make a meaningful impact and support individuals in achieving their goals, we encourage you to apply.Please review the detailed job description below.Job SummaryThe Care Manager provides services within the Care Management programs, including Health Home Care Comprehensive Care Management, HCBS Basic Plan Support, and State Paid Care Management services. This position may support Willowbrook Class Members.The core responsibility of the Care Manager is to oversee and coordinate access to services for people with intellectual and developmental disabilities. The Care Manager works with the member, their family and/or representative, and providers to develop, implement, and monitor an integrated and person-centered driven Life Plan, following the completion of a comprehensive assessment process. The Life Plan is the foundation upon which service delivery is built. The Life Plan identifies services that meet medical and behavioral health needs, community, social supports, and other necessary services to support them to live their healthiest and most meaningful life. A key function of this role is being a strong advocate in supporting the member to access needed services to reach their identified goals and live a meaningful and quality life.Essential Duties and ResponsibilitiesDeliver person-centered care management services in compliance with regulatory standards and in alignment with the agency's quality management plan, policies, and standard operating procedures.Responsible for the completion of a comprehensive assessment/reassessment process.Identify gaps in service provision and make referrals when appropriate. Advocate on the member's behalf, to reach their identified goals and live a meaningful and quality life.Develop, implement and monitor member Life Plans within required timeframes, by leading an interdisciplinary team planning process, with the person at the center.Develop strategies that address conflict or disagreements in the person-centered planning process and work with the interdisciplinary team to resolve those conflicts in a timely manner.Complete all required service documentation with stated timeframes. Ensure all billing critical documentation is present and valid prior to the submission of any billable service documentation.Maintain the member's continued eligibility for care management through the completion of an annual Level of Care (Re)Determination, ensuring OPWDD eligibility is maintained, and enrolling in the Home and Community Based (HCBS) waiver.Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when a member is eligible. Ensure existing benefits and other entitlements are maintained.Ensure a current and accurate information sharing consent is present within the electronic health record and updated as necessary when changes occur or are requested by the member and/or representative.Coordinate and provide access to high quality healthcare services, inclusive of medical, behavioral health, and specialized services. Provides regular communication, monitoring, and action-oriented follow-up on critical and acute healthcare needs.Identify, coordinate, and provide access to preventative and health promotion services as needed.Coordinate transitional care inclusive of appropriate follow-up from inpatient to other settings, discharge planning, facilitating transfers within the healthcare system, residential settings and aging out of childhood services to adult services.Foster self-determination and community inclusion through linkage and referral to community-based resources related to the members' interests, goals and abilities.Use health information technology in the delivery of care management services, included but not limited to the use of electronic health records and programs to facilitate telehealth services for members. Maintain a thorough and accurate electronic health record for all assigned members.Support members self-advocacy utilizing a person centered and strength-based approach and as necessary provide advocacy with and on behalf of members to ensure service needs are met to the fullest extent.Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy.Complete all required trainings within required timeframes.Travel throughout the designated service area to meet with members as needed in alignment with regulatory standards and to ensure identified needs are met. Travel is required to meet with providers, members of the interdisciplinary team, and accompany members where indicated to necessary appointments.Identify and follow all incident reporting guidelines and procedures, ensuring the immediate safety of the member.Adhere to all policies and standard operating procedures for the delivery of comprehensive care management and ancillary functions of the Care Manager.Actively complies with all standards of conduct as determined by – e.g., internal Corporate Compliance Regulations, OPWDD, DOH and the Justice Center.Maintain confidentiality in accordance with HIPAA and privacy practices.Perform other duties as assigned.Must possess a valid Driver's License from New York, or a contiguous state (i.e., Connecticut, New Jersey, Pennsylvania, and Vermont) and dependable vehicle required for frequent travel.QualificationsEducation and Experience :A Bachelor of Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master's degree with one year of relevant experience.Degrees in the field of Health and Human Services, Psychology, Sociology, or related fields are preferred. Work with people with intellectual and/or developmental disabilities, case management, or in the Mental Health or Substance Abuse field, or related experience preferred.Must be able to meet members in their homes or other community locations of their choosing.Travel to off-site locations required. The incumbent must be comfortable driving.Must reside in New York State, or a contiguous state (i.e., Connecticut, New Jersey, Pennsylvania, and Vermont) and the residence must be within 100 miles to the assigned office Hub.Must possess proof a valid Driver's License from New York, or a contiguous state and dependable vehicle required for frequent travel between sites.Proof of valid auto insurance for standard personal vehicles will be required at the time of hire.Excellent interpersonal, public speaking, and written communication skills.Ability to