Health Homes Plus Case Manager

SUMMARY:

The Health Home Plus (HH+) Care Manager is expected to provide intensive case management services toadults 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 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
• 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:

• Master’s degree in an applicable field and 1 year of experience; OR
• Bachelor’s degree in an applicable field and 2 years of experience; OR
• CASAC and 2 years of Experience; OR
• 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
• 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