Advance Care Alliance New York Is Hiring A Care Manager

Position Overview

The Care Manager plays a vital role within the Care Management programs, including Health Home Care Comprehensive Care Management, HCBS Basic Plan Support, and State Paid Care Management services. This position may support Willowbrook Class Members.

The primary responsibility is to oversee and coordinate access to essential services for individuals with intellectual and developmental disabilities.

Key Responsibilities

The Care

The Care Manager collaborates with the member, their family or representative, and service providers to develop, implement, and monitor a person-centered, integrated Life Plan. This process follows a comprehensive assessment and serves as the foundation for service delivery.

The Life Plan

The Life Plan outlines services that address:

• Medical and behavioral health needs
• Community and social supports
• Other essential services to support members in living their healthiest and most meaningful lives

A key aspect of this role is acting as a steadfast advocate to help members access the services necessary to achieve their goals and enhance their quality of life.

About ACA/NY

ACA/NY is a 501(c)(3) non-profit organization, designated as a Care Coordination Organization/Health Home (CCO/HH) by New York State. They are dedicated to meeting the needs of individuals with Intellectual and Developmental Disabilities by providing comprehensive care management and service coordination. Supporting over 25,000 people across New York City, Long Island, and the Lower Hudson Valley, ACA/NY is committed to excellence in care.

Responsibilities & Duties

• Deliver person-centered care management: Ensure services align with regulatory standards, agency policies, and quality management plans.
• Conduct assessments: Complete comprehensive assessments and reassessments in a timely manner.
• Identify service gaps: Make appropriate referrals and advocate for members to meet their personal goals.
• Develop and monitor Life Plans: Lead interdisciplinary team planning centered around the member, meeting required deadlines.
• Conflict resolution: Address and resolve disagreements within the person-centered planning process promptly.
• Documentation: Complete all service documentation accurately and on time, ensuring billing readiness.
• Maintain eligibility: Conduct annual Level of Care (Re)Determinations and enroll members in HCBS waivers to retain eligibility.
• Benefit coordination: Access and preserve benefits like Medicaid, Social Security, SNAP, and more.
• Consent management: Ensure current health information sharing consent forms are maintained and updated within electronic health records.
• Healthcare coordination: Facilitate access to medical, behavioral, and specialized health services, maintaining regular communication and follow-up.
• Health promotion: Identify opportunities for preventative and health promotion services.
• Transitional care coordination: Manage follow-up care post-inpatient stays, discharge planning, and transitions between healthcare, residential, and aging services.
• Technology utilization: Use health IT tools, including electronic health records and telehealth platforms, to enhance service delivery and documentation accuracy.
• Engagement: Attend team meetings, trainings, and supervision sessions as scheduled.
• Travel responsibilities: Travel within designated areas to meet with members, providers, and interdisciplinary team members, and accompany members to appointments as needed.
• Incident reporting: Follow all guidelines to ensure safety and proper reporting during incidents.
• Confidentiality maintenance: Safeguard all member information, ensuring confidentiality at all times.