Care Manager

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 Description
The 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 Bachelors degree with two years of relevant experience OR
b) 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 OR
c) A Masters degree with one year of relevant experience
d) MSC Service Coordinators prior to July 1 2018 are grandfathered to facilitate continuity of care

Requirements-
Comprehensive Care Management
Complete a Comprehensive Assessment for each individual that identifies medical mental health chemical dependency developmental disability and social service need
Develop 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 timeframes
Caseload size up to a weight of 20 generally 35-40 members but may vary
Conduct 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 Promotion
Engage the individual in the adherence to treatment recommendations monitor and evaluate individuals needs coordinate all aspects of the individuals care; develop relationship between the care planning team
Review and update the Life Plan with the care planning team; initiate changes in care
Ensure timely access to appointments for individuals to medical/behavioral health care services; link individuals with resources
Collaboration with both internal and external interdisciplinary teams.
Instituting recommendations from internal clinical teams
Involvement in post-hospital/rehabilitation discharge

#3. Comprehensive Transitional Care
Assist 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 events
Use Health Information Technology to facilitate collaboration among all providers

#4. Individual and Family Support
Communicate and share information with individuals and their family/representative ensure that the Life Plan reflects the individuals and their family/representatives preferences
Utilize peer supports support groups to increase family/representatives awareness
Provide monthly contact and engagement with all members/families
Follow up to strive for complete member satisfaction with TCC and external services

#5. Referral to community and social support services
Identify available resources and actively manage referrals engagement and follow-up
Ensure that the Life Plan includes community-based and other social support services that respond to the individuals needs and preferences and contribute to achieve the individuals goals
#6. Use of HIT link services
Meet the HIT standards in the delivery of core services and the Life Plan as described in the manual
Maintain written documentation of service delivery and individuals information on the Electronic Health Record
System 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 issues
Report any incident of abuse neglect or maltreatment immediately
Other duties as assigned/requested

Specific Knowledge Skills and Abilities:
Excellent interpersonal skills including conflict-management and knowledge of de-escalation techniques
Advanced ability to effectively communicate in both verbal and written manner
Computer software skills particularly skills with Microsoft Suite
Ability to organize schedule and utilize time well
Capability to analyze situations accurately prioritize and take effective action

GCG is one of worlds leading providers of business transformation solutions related to supply chain and technology solutions for order fulfillment and marketing execution. We are committed to an inclusive workplace that does not discriminate against racenationality religion age marital status physical or mental disability sexual orientation gender orgender identity. We believe in diversity and encourage any qualified individual to apply. We are an EEOCEmployer.