Care manager

at The New York Foundling

Job Detail




3+ years minimum experience

Schedule Type

Full Time


590 6th Ave, New York, NY 10011, USA




03/17/2019, 06:35 PM


Description Completes initial and ongoing needs assessments to determine the individual's most appropriate level of care management. Facilitates solutions to patient care delivery problems and identifies with client any potential barriers to care. Responsible for the overall management of the patient's Individualized Plan of Care. Through the creation of an Individual Plan of Care the Care Manager is able to: Coordinate the enrollee's provision of services including as per their acuity level. Support adherence to treatment recommendations Monitor and evaluate a patient's needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate. Meets client contact requirements Meets Program documentation requirements in a timely and accurate manner by effectively utilizing designated Electronic Health Records (EHRs) as needed Functions as an advocate for clients within the agency and external service providers Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences Educate the child/caregiver on care of chronic conditions, immunization, medication management, screening and other preventive interventions. Accompany child and adult as needed to appointments. Helps clients to obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility, Social Security, SNAP, housing, legal services, employment and training supports, and others. Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences. Conducts care planning meetings/conferences and serves as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position Ensure that child has periodic evaluations and follow up treatment for dental, vision and hearing care, following Medicaid EPSDT guidelines Handle confidential information in accordance with HIPAA as well as state and federal privacy and confidentiality rules. Must be able to provide home-based and community based care management services. All other duties, as needed, by New York Foundling Care Coordination & Management Department Requirements Bachelor's degree required. Ability to travel to assigned operational areas/facilities and perform home and community based care management services. Ability to be flexible with programmatic needs and changes Ability to work directly with a diverse multidisciplinary team Capable of effective clear direct communication with others (oral and written Qualifications Education Required Bachelor's Level Degree or better in Psychology or related field. Bachelor's Level Degree or better in Social Work or related field. Bachelor's Level Degree or better in Sociology or related field. Experience Required 1-2 years: Previous experience in social services