Advance Care Alliance New York Is Hiring A Care Manager Bilingual

Join Our Team as a Care Manager! 🌟

We are seeking a dedicated Care Manager to oversee services within our Care Management programs, including Health Home Care, Comprehensive Care Management, HCBS Basic Plan Support, and State Paid Care Management. Support may extend to Willowbrook Class Members, ensuring personalized, person-centered care for individuals with intellectual and developmental disabilities.

Position Summary

The Care Manager's primary responsibility is to coordinate access to services and develop comprehensive, person-centered life plans for members. This role involves collaborating with members, their families or representatives, and providers to ensure services align with each individual's unique needs and goals.

The cornerstone of this role is crafting and monitoring a Life Plan, which identifies necessary medical, behavioral, social, and community supports to empower members to lead healthy, meaningful lives. advocating passionately to facilitate access to these services.

Our organization, ACA/NY, a 501(c)(3) not-for-profit, is designated as a Care Coordination Organization/Health Home (CCO/HH) by New York State. With a commitment to serving over 25,000 individuals across New York City, Long Island, and the Lower Hudson Valley, we focus on comprehensive care management and coordination for people with Intellectual and Developmental Disabilities.

Duties & Responsibilities

• Provide person-centered care management in compliance with regulatory standards, agency policies, and quality management plans.
• Complete comprehensive assessments and reassessments to evaluate member needs.
• Identify gaps in service provision and make appropriate referrals; advocate on behalf of members to help them reach their goals.
• Develop, implement, and monitor member Life Plans within required timeframes, leading interdisciplinary team planning with the member at the core.
• Address conflicts or disagreements during planning processes, working collaboratively to find resolution.
• Document all services accurately within specified timeframes, ensuring billing documentation is valid and complete prior to submission.
• Maintain member eligibility through annual Level of Care (Re)Determination and ensure enrollment in HCBS waivers and benefits like Medicaid, Social Security, and SNAP.
• Manage information sharing by updating consent forms within the electronic health record as needed.
• Coordinate healthcare services, including medical, behavioral, and specialized care, with timely communication and follow-up.
• Promote health and wellness by identifying and facilitating access to preventive and health promotion services.
• Manage transitional care, including follow-up after inpatient stays, discharge planning, and support during transitions within healthcare and residential settings.
• Utilize health information technology effectively, including maintaining accurate electronic health records and facilitating telehealth services.
• Participate in team meetings, trainings, and supervisory sessions as scheduled.
• Complete required trainings and certifications within designated timeframes.
• Travel within the service area to meet with members, providers, and team members, ensuring their needs are addressed appropriately.
• Follow incident reporting protocols promptly to ensure member safety.
• Maintain confidentiality of all member information in accordance with agency policies.