Care Manager, Health Homes (Bronx & Manhattan, NY / Field-based)

<p>FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.</p> <p>We pride ourselves on our values which drive the level of care that we deliver to our patients:</p> <ul> <li>Here For You (An attitude of service, empathy, and availability)</li> <li>Own It (Drive and ownership)</li> <li>Do the Right Thing (High integrity)</li> <li>Be Positive (Great attitude and a can-do positive approach to challenges)</li> </ul> <p><span data-contrast="auto">Join our team and make a positive impact on the lives of others! We are looking for a <strong>Health Home Care Manager</strong></span><em> </em><span data-contrast="auto">for our <strong>Care Management team</strong>.</span><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":259}">&nbsp;</span></p> <p><strong><em><span data-contrast="auto">This is a field-based position that requires frequent travel to patients' homes in Manhattan and Bronx, New York.</span></em></strong></p> <p><strong><span data-contrast="auto">Department &amp; Position Overview:</span></strong><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":259}">&nbsp;</span></p> <p><span data-contrast="auto">T</span><span data-contrast="none">he Health Home Care Manager will work to outreach and engage potentially eligible patients and obtain appropriate consents to enroll the patient in the Health Home Care Management Program. Once the patient is enrolled, the Health Home Care Manager will work collaboratively with the patient's care team to complete a comprehensive assessment and patient centered care plan, and to coordinate care based on the care plan.</span><span data-ccp-props="{"201341983":0,"335559739":160,"335559740":259}">&nbsp;</span></p> <p><strong>Every Day You Will:</strong></p> <ul> <li style="font-weight: 400;"><span style="font-weight: 400;">Screen for Health Home functional scale eligibility, conduct initial Health Homes assessments and reassessments of patient needs, including medical, mental health, substance use, financial, housing, and additional support needs</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Collaborate with the medical providers and patients to develop, implement, and coordinate Health Homes compliant care plans for patients with chronic diseases, such as diabetes, asthma, congestive heart failure, hypertension, mental health conditions, substance use, and more and document care plan outcomes</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Provide direct service to a caseload of chronically ill patients and help them achieve their care plan goals by facilitating referrals, addressing access issues, connecting them to local resources, and developing relationships with healthcare providers</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Coordinate patient services and care with pharmacies, insurance companies, hospital discharge planning, family caregivers, and other providers</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Provide crisis intervention when needed</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Conduct home visits and maintain patient contact and documentation of all services in accordance with Health Homes standards</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Maintain patient confidentiality at all times</span></li> </ul> <p><strong>Ideal Candidate Will Possess:</strong></p> <ul> <li>Associate's degree is a must</li> <li>2 years of Care Management experience</li> <li>Must be able to travel to minimum of 2 boroughs - Bronx and Manhattan</li> <li><span style="font-weight: 400;">Ability to travel in the field to accompany patients to appoi