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Lifeplan SE · 1 month ago

Care Manager - Middletown Hub- Rockland County Bilingual- Spanish

Ramapo, NY

Full-time

Hybrid

Entry, Mid Level

$27.81/hr - $29.87/hr

1+ years exp

Lifeplan is a company dedicated to providing care management services for individuals with intellectual and developmental disabilities. The Care Manager will oversee and coordinate access to services, develop and monitor Life Plans, and advocate for members to ensure they achieve their goals and live meaningful lives.

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Responsibilities

Deliver person-centered care management services in compliance with regulatory standards and in alignment with the agency’s quality management plan, policies, and standard operating procedures

Responsible for the completion of a comprehensive assessment/reassessment process

Identify gaps in service provision and make referrals when appropriate. Advocate on the member’s behalf, to reach their identified goals and live a meaningful and quality life

Develop, implement and monitor member Life Plans within required timeframes, by leading an interdisciplinary team planning process, with the person at the center

Develop strategies that address conflict or disagreements in the person-centered planning process and working with the interdisciplinary team to resolve those conflicts in a timely manner

Complete all required service documentation with stated timeframes. Ensure all billing critical documentation is present and valid prior to the submission of any billable service documentation

Maintain the member’s continued eligibility for care management through the completion of an annual Level of Care (Re)Determination, ensuring OPWDD eligibility is maintained, and enrolling in the Home and Community Based (HCBS) waiver

Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when a member is eligible. Ensure existing benefits and other entitlements are maintained

Ensure a current and accurate information sharing consent is present within the electronic health record and updated as necessary when changes occur or are requested by the member and/or representative

Coordinate and provide access to high quality healthcare services, inclusive of medical, behavioral health, specialized services. Provides regular communication, monitoring, and action oriented follow up on critical and acute healthcare needs

Identify, coordinate, and provide access to preventative and health promotion services as needed

Coordinate transitional care inclusive of appropriate follow up from inpatient to other settings, discharge planning, facilitating transfers within the healthcare system, residential settings and aging out of childhood services to adult services

Foster self-determination and community inclusion through linkage and referral to community-based resources related to the members interests, goals and abilities

Use health information technology in the delivery of care management services, included but not limited to the use of the electronic health records and programs to facilitate telehealth services for members. Maintain a thorough and accurate electronic health record for all assigned members

Support members self -advocacy utilizing a person centered and strength-based approach and as necessary provide advocacy with and on behalf of members to ensure service needs are met to the fullest extent

Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy

Complete all required trainings within required timeframes

Travel throughout the designated service area to meet with members as needed in alignment with regulatory standards and to ensure identified needs are met. Travel is required to meet with providers, members of the interdisciplinary team, and accompany members where indicated to necessary appointments

Identify and follow all incident reporting guidelines and procedures, ensuring the immediate safety of the member

Adhere to all policies and standard operating procedures for the delivery of comprehensive care management and ancillary functions of the Care Manager

Actively complies with all standards of conduct as determined by – e.g., internal Corporate Compliance Regulations, OPWDD, DOH and the Justice Center

Maintain confidentiality in accordance with HIPAA and privacy practices

Perform other duties, as assigned

Qualification

Care ManagementPerson-Centered PlanningAdvocacyHealth Information TechnologyBilingual - SpanishPublic SpeakingAutonomyInterpersonal SkillsWritten CommunicationTeamwork

Required

A Bachelor of Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master's degree with one year of relevant experience

Must be able to meet members in their homes or other community locations of their choosing

Travel to off-site location required. The incumbent must be comfortable driving or using various forms of public transportation to each destination

Must reside in New York State, or a contiguous state and the residence must be within 100 miles to the assigned office Hub

Proof of a valid driver's license for standard personal vehicles will be required at the time of hire

Proof of valid auto insurance for standard personal vehicles will be required at the time of hire

Absolute sense of integrity and personal commitment to serving people with I/DD and their families

Excellent interpersonal, public speaking, and written communication skills

Ability to work autonomously

Demonstrate professionalism, respect, and ability to work in a team environment

Absolute sense of integrity and personal commitment to serving people with I/DD and their families

Prolonged periods sitting at a desk and working on a computer

Ability to climb stairs – Please note that not all member meetings will be held in locations that are ADA compliant

Ability to travel in a vehicle or use public transportation for more than one hour

Preferred

Degrees in the field of Health and Human Services, Psychology, Sociology, or related fields are preferred

Work with people with intellectual and/or developmental disabilities, case management, or in the Mental Health or Substance Abuse field, or related experience preferred