SUMMARY:
The Health Home Plus (HH+) Care Manager is expected to provide intensive case management services to adults with Serious Mental Illness (SMI) enrolled in the HH+ program.
RESPONSIBILITIES:
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Maintain a caseload of up to 20 clients, conducting assessments, developing care plans, providing service referral/navigation and crisis intervention
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Recommend and implement strategies to persuade members to fully participate in the program
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Accurately document services and outcomes to ensure compliance with billing and quality standards
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Deliver a minimum of 4 HH+ core services monthly—2 must be face-to-face
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Adhere to organizational protocols and contractual obligations from CBC, OMH and DOH under the HH+ program model
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Attend regular internal team meetings to review caseload progress and goal attainment
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Provide coordination with behavioral health or medical providers, facility or family members and/or community agencies regarding treatment and/or care plan issues
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Monitor client’s progress toward their care plan goals via telephone and/or in-person visits, and document via care plan outcomes and detailed progress notes
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Work with clients to break through barriers to member goals and to assist clients in advocating for themselves and move toward self-sufficiency
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Follow-up with clients for a period of time after successful completion of their primary goals to assure member stability
QUALIFICATIONS:
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Master’s degree in an applicable field and 1 year of experience; OR
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Bachelor’s degree in an applicable field and 2 years of experience; OR
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CASAC and 2 years of Experience; OR
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Bachelor’s degree or higher in ANY field with either: 3 years of Experience or 2 years of experience as a Health Home care manager serving the SMI or SED population
- Ability to work in a fast-paced environment
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Prior experience working with at-risk populations needed
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Strong written and communication skills are required
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Time management is essential with an ability to handle competing priorities in a timely fashion
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Must have the ability to work with Microsoft Office; Word, Excel etc. and utilize web-based reporting platforms
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Physical ability to perform the essential job functions are needed
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The Agency reserves the right to review and change job duties and responsibilities as the need arises
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This job description does not constitute a written or implied contract of employment
