Company: Sun River Health
Posted on: August 3, 2022
Job DescriptionSun River Health provides the highest quality of
comprehensive primary, preventative and behavioral health services
to all who seek it, regardless of insurance status and ability to
pay, especially for the underserved and vulnerable. Sun River Heath
is a Federally Qualified, Non-Profit Health Center serving
communities in Suffolk, Rockland, Orange, Dutchess, Ulster,
Sullivan, Columbia and Westchester County. Sun River Health is
currently seeking a full-time Care Manager to support our Hub
location. A Care Manager provides care management for specified
patients in need of care management at Sun River Health. These
patients may be referred by providers/clinical team; or enrolled in
NYS Health Home Program or be included in care management as part
of a grant, insurance program or disease specific program. Links
patients to preventive and primary health care services including
care for: acute, chronic and communicable diseases; dental
services; prenatal care and family planning; WIC and other
nutrition services; pediatric care and immunizations; and
behavioral health or substance abuse programs as needed. This
includes assistance with community resources, social services, and
referrals. This position will be responsible for proper and timely
documentation with ECW and any designated care management software,
as well as communication with internal and external referral
sources. Performs other duties as assigned on an as needed basis.
Essential Duties and Responsibilities of a Care Manager:
Responsible for completing outreach and subsequent intake
activities using required forms and documents as required. This may
include program specific additional consents and assessment tools.
Document as directed in ECW and designated program software.
Consult with multidisciplinary team on client's care
plan/needs/goals. This may include participation in case
conferencing. May also include family members and social supports.
Responsible for referring patients to needed services as directed
by provider to support care plan/treatment goals; including
medical/behavioral health. Responsible for release of all necessary
clinical information to specialist referral; tracks referral
appointments and obtain consultant reports with appropriate consent
for release of information and documents process in eCW per HRHCare
procedure and designated software for care management. Consult with
health care team to link patient to community/ social services
programs and entitlements: including application assistance;
transportation assistance; translation services; housing services;
self-help recovery and self-management programs as needed.
Document. Conduct client outreach and engagement activities at
least monthly to evaluate for on-going emerging needs and to
promote continuity of care and improved health outcomes. Document.
Follow up with Hospitals/ ER upon notification of admission or
discharge and coordinate with health care team to facilitate
communication of the event and transition of care services, to
include, but not limited to medication reconciliation with the
health care team as per policy. Assist patient in developing plans
and community supports to overcome obstacles that would prevent
them from receiving needed services/referrals. Provide basic
instruction/health education to clarify provider instructions,
procedures and referral needs. Minimum Education Requirement: High
School diploma/ GED Creditable Alcohol and Substance Abuse
Counselor in Training optional for Substance Abuse Program only.
Previous experience working with underserved communities. Preferred
Education Requirement: Associate's degree with CASAC-T Minimum Work
Related Experience: 2 - 4 years Preferred Work Related Experience:
5 - 8 years
Keywords: Sun River Health, New Rochelle , Care Manager, Executive , Bronx, New York
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