Health Home Care Manager (Buffalo, NY / Field-based)

<p><span data-teams="true">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.</span></p> <p><span style="font-weight: 400;">We pride ourselves on our values which drive the level of care that we deliver to our patients:</span></p> <ul> <li style="font-weight: 400;"><span style="font-weight: 400;">Here For You (An attitude of service, empathy, and availability)</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Own It (Drive and ownership)</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Do the Right Thing (High integrity)</span></li> <li style="font-weight: 400;"><span style="font-weight: 400;">Be Positive (Great attitude and a can-do positive approach to challenges)</span></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 patient's homes in Buffalo, 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>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</li> <li>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</li> <li>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</li> <li>Coordinate patient services and care with pharmacies, insurance companies, hospital discharge planning, family caregivers, and other providers</li> <li>Provide crisis intervention when needed</li> <li>Conduct home visits and maintain patient contact and documentation of all services in accordance with Health Homes standards</li> <li>Maintain patient confidentiality at all times</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><span style="font-weight: 400;">Ability to travel in the field to accompany patients to appointments and meet patients in person when needed</span></li> <li><span style="font-weight: 400;">Strong working knowledge of local community resources</span></li> <li><span style="font-weight: 400;">Demonstrated abili