Care Manager -Chappaqua HUB- jobs in United States
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Lifeplan SE · 1 month ago

Care Manager -Chappaqua HUB-

Lifeplan is an organization focused on providing care management services for individuals with intellectual and developmental disabilities. The Care Manager is responsible for overseeing and coordinating access to services, developing and monitoring Life Plans, and advocating for members to ensure they receive the necessary support to lead 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 PlanningInterdisciplinary TeamworkHealthHuman ServicesAdvocacy SkillsAutonomyCommunication SkillsProblem-Solving SkillsIntegrity

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
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
This is not a remote position
Employee has access to a password secured WiFi connection and/or ACA/NY Mobile Hotspot
Employee is able to secure any printed materials containing individual or employee personal and/or health information, so as no one else in the household will be able to access it
Employee is able to conduct phone and video calls in a private area where the conversation cannot be overheard, and their screen is not visible to others
Employee is able to conduct their work in a location where personal and health information on a monitor is not visible to others
Most of the working hours will be Monday-Friday; expected to be flexible with work hours
Certain deadlines and unexpected developments may require work hours during evening and weekends, as well as hours that exceed the standard number of hours
This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinet, etc
The noise level in the work environment is usually moderate
Travel to off-site locations is required; therefore, the incumbent must be comfortable driving or using various forms of public transportation to reach destinations

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

Benefits

401(k)
401(k) matching
Dental insurance
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance

Company

Lifeplan SE

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Funding

Current Stage
Early Stage
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