Home Health Plus Care Manager(Adults)

1. SPECIFIC RESPONSIBILITIES

The Health Home Care Manager delivers all six NYS Department of Health (NYS DOH) Health Home Core Services, including:

• Comprehensive Care Management
• Care Coordination and Health Promotion
• Comprehensive Transitional Care
• Individual and Family Support
• Referral to Community and Social Support Services
• Use of Health Information Technology to Link Services

Additional responsibilities include:

• Conducting NYSDOH‑required assessments and developing compliant, person‑centered Plans of Care
• Coordinating medical, behavioral health, substance use, and social service supports
• Engaging members through outreach, advocacy, and ongoing follow‑up
• Collaborating with hospitals, providers, Manage Care Organizations (MCO), and community partners
• Maintaining accurate, timely documentation in NYSDOH‑approved systems
• Meeting Health Home productivity, engagement, and quality benchmarks
• Participating in case conferences, audits, supervision, and training

1. RELATIONSHIP WITH OTHERS & IN THE WORKPLACE

• Demonstrates professionalism, maintains appropriate boundaries, and follows the agency’s

Code of Conduct

• Promotes a positive, respectful, and productive work environment
• Upholds the agency’s mission and vision in all interactions with staff and families served

In addition, employees need to possess the following characteristics:

• Strong team player with effective communication and leadership skills
• Maintains confidentiality, professional boundaries, and appropriate guidance of staff
• Builds trusting, supportive, and culturally responsive relationships
• Believes in growth and collaboration with individuals and families served
• Remains calm and effective during crises and intervenes appropriately

• WORKING CONDITIONS

This is a hybrid office- and field-based position requiring regular travel throughout Suffolk and Nassau Counties and select boroughs of New York City. Travel may occur multiple times per week based on program needs.

The role includes scheduled in-office days, with meetings and trainings held in person at our Brooklyn or Dix Hills locations, as well as virtually as needed. While every effort is made to assign care managers to cases within their designated catchment area whenever possible, flexibility to travel for service delivery is required. Applicants must reside in New York State.

1. QUALIFICATIONS

Education and Experience

1.A Master’s degree in one of the qualifying fields4 and one (1) year of experience; OR

2.A Bachelor’s degree in one of the qualifying fields and two (2) years of experience; OR

3.A Credentialed Alcoholism and Substance Abuse Counselor (CASAC) and two(2)years of experience; OR

4.A Bachelor’s degree or higher in ANY field with either: three (3) years of experience, or two (2) years of experience as a HH Care Manager serving the SMI or Serious Emotional Disturbance (SED) population.

4 Qualifying fields include education degrees featuring a major or concentration in: social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing or other human services field.

Experience shall consist of:

Providing direct services to people with SMI, developmental disabilities, alcoholism or substance abuse, and/or children with SED; OR

2.Linking individuals with SMI, children with SED, developmental disabilities, and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting (e.g. medical, psychiatric, social, educational, legal, housing and financial services).

• Bilingual Preferred ( Spanish )

1. Perks & Benefits

SCO Family of Services offer a comprehensive benefits package designed to support its employees career growth, financial security, and overall well‑being, including:

• Flexible Spending Accounts (FSA)
• Group Term Life Insurance
• Voluntary Term Life Insurance
• Voluntary Short‑Term and Long‑Term Disability Insurance
• Clinical supervision hours for LMSW licensure
• Staff development and professional growth opportunities
• Agency Laptop & Cell Phone
• Travel Reimbursements for scheduled visits
• Tuition Assistance Program (TAP)
• 12 paid holidays per calendar year
• Up to 24 vacation days after one year of employment
• Health & Wellness Challenges and initiatives