Health Homes Plus Case Manager

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:

- maintain a caseload of up to 20 clients, conducting assessments, developing care plans, providing service referral/navigation and crisis intervention

- Recommend and implement strategies to persuade members to fully participate in the program

- Accurately document services and outcomes to ensure compliance with billing and quality standards

- Deliver a minimum of 4 HH+ core services monthly—2 must be face-to-face

- Adhere to organizational protocols and contractual obligations from CBC, OMH and DOH under the HH+ program model

- Attend regular internal team meetings to review caseload progress and goal attainment

- Provide coordination with behavioral health or medical providers, facility or family members and/or community agencies regarding treatment and/or care plan issues

- Monitor clients progress toward their care plan goals via telephone and/or in-person visits, and document via care plan outcomes and detailed progress notes

- Work with clients to break through barriers to member goals and to assist clients in advocating for themselves and move toward self-sufficiency

- Follow-up with clients for a period of time after successful completion of their primary goals to assure member stability

Qualifications

QUALIFICATIONS:

- Masters degree in an applicable field and 1 year of experience; OR

- Bachelors degree in an applicable field and 2 years of experience; OR

- CASAC and 2 years of Experience; OR

- Bachelors 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

- Prior experience working with at-risk populations needed

- Strong written and communication skills are required

- Time management is essential with an ability to handle competing priorities in a timely fashion

- Must have the ability to work with Microsoft Office; Word, Excel etc. and utilize web-based reporting platforms

- Physical ability to perform the essential job functions are needed

- The Agency reserves the right to review and change job duties and responsibilities as the need arises

- This job description does not constitute a written or implied contract of employment