Job Title: Care Manager
Job Location: Remote (Must be based in NY/NJ)
Job type: Full-time
Work setup: hybrid, remote
Salary range: $50k - $60k
Job DescriptionThe role of the Care Manager is to deliver the 6 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.
Required Education, Experience, and Licenses:a) A Bachelor’s degree with two years of relevant experience, ORb) A License as a Registered Nurse with two years or relevant experience, which can include any employment experience and is not limited to case management/service coordination duties, ORc) A Master’s degree with one year of relevant experienced) MSC Service Coordinators prior to July 1, 2018 are “grandfathered” to facilitate continuity of care
Requirements-Comprehensive Care ManagementComplete a Comprehensive Assessment for each individual that identifies medical, mental health, chemical dependency, developmental disability, and social service needDevelop 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 timeframesCaseload size up to a weight of 20, generally 35-40 members, but may varyConduct face-to-face visits as required (Monthly, Quarterly, or Bi-Annually dependent on regulatory requirement and individual needs of each individual)#2. Care Coordination and Health PromotionEngage 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 teamReview and update the Life Plan with the care planning team; initiate changes in careEnsure timely access to appointments for individuals to medical/behavioral health care services; link individuals with resourcesCollaboration with both internal and external interdisciplinary teams.Instituting recommendations from internal clinical teamsInvolvement in post-hospital/rehabilitation discharge#3. Comprehensive Transitional CareAssist 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 eventsUse Health Information Technology to facilitate collaboration among all providers#4. Individual and Family SupportCommunicate and share information with individuals and their family/representative, ensure that the Life Plan reflects the individual’s and their family/representative’s preferencesUtilize peer supports, support groups to increase family/representative’s awarenessProvide monthly contact and engagement with all members/familiesFollow up to strive for complete member satisfaction with TCC and external services#5. Referral to community and social support servicesIdentify available resources and actively manage referrals, engagement, and follow-upEnsure that the Life Plan includes community-based and other social support services that respond to the individual’s needs and preferences and contribute to achieve the individual’s goals#6. Use of HIT link servicesMeet the HIT standards in the delivery of core services and the Life Plan, as described in the manualMaintain written documentation of service delivery and individuals’ information on the Electronic Health RecordSystem while practicing all HIPAA and Privacy regulations
Additional Responsibilities:Monitoring/Assisting individuals with maintaining benefits (Food Stamps, Medicaid, and SSI)Support individuals with P&P related to schooling, and any relevant issuesReport any incident of abuse, neglect, or maltreatment immediatelyOther duties as assigned/requested
Specific Knowledge, Skills, and Abilities:Excellent interpersonal skills, including conflict-management and knowledge of de-escalation techniquesAdvanced ability to effectively communicate in both verbal and written mannerComputer software skills, particularly skills with Microsoft SuiteAbility to organize, schedule, and utilize time wellCapability to analyze situations accurately, prioritize, and take effective actionAdvatix®, Inc. is one of the world’s leading providers of e-commerce Supply Chain and Logistics Consulting Services and Solutions that enable its clients to transform their operations for speed, service, and cost of fulfillment and delivery of goods and services. We are committed to an inclusive workplace that does not discriminate against race, nationality, religion, age, marital status, physical or mental disability, sexual orientation, gender, or gender identity. We believe in diversity and encourage any qualied individual to apply. We are an EEOC Employer.
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