Senior Care Manager

Healthcare staff can work anywhere….The BEST work with US!

A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.

Samaritan Daytop Village, serves over 33,000 New Yorkers annually within your neighborhoods and communities so our success depends on those we employ.

The Role

The Senior Care Manager is responsible for providing intensive care management services to our most vulnerable clients. The Senior Care Manager has members which are high risk and Health Home + (HH+) and/or Assisted Outpatient Treatment (AOT) level, adhering to all state and Lead Health Home regulations. The Senior Care Manager provides linkages to other providers, and ensures all providers are active participants in the members care planning. The Senior Care Manager ensures comprehensive and appropriate care needs are met to stabilize members and promotes access to health and wellness while reducing healthcare costs. This work is carried out in support of the mission and goals of Samaritan Daytop Village.

What You Will Do

• Coordinates care and provides HH+ and/or AOT level services to eligible members on their caseload, for a maximum of one year.
• HH+ level services include, but is not limited to two face to face core service encounters with the member, and two additional core services.
• AOT level services include, but limited to four face to face core service encounters with member, and must monitor the AOT consumer’s participation in treatment and report weekly to the local AOT team on each person’s progress
• Maintains updated consents and records for all members, and indicates these providers in the EHR.
• Completes a client-centered comprehensive assessment to identify medical, behavioral and social needs/goals of each member, within 30 days of assignment.
• Completes the client-centered care plan within 60 days of assignment.
• Provide services to clients as needed to meet Care Plan objectives, including facilitating referrals to medical, behavioral health and social assistance entities; assisting with management of entitlements (Medicaid, SNAP benefits, SSI, etc.); assisting with securing stable housing; and arranging transportation and other services to support wellness and health care compliance.
• Completes HARP Eligibility Assessments and Plans of Care (POC) when applicable. Links members to HCBS/CORES providers, when eligible.
• Informs the clinical supervisor of all urgent or crisis matters, immediately.

Who You Will Be

• Master’s Degree in Human Services or one of the qualifying fields such as child and family studies, community mental health, counseling, education, nursing, occupational therapy, physical therapy, psychology, recreation, recreational therapy, rehabilitation, social work, sociology, or speech and hearing and One (1) year related experience;

**A Master’s degree in a related field may substitute for up to one year of experience** 

• OR
• Bachelor's Degree in Human Services or related fields such as child and family studies, community mental health, counseling, education, nursing, occupational therapy, physical therapy, psychology, recreation, recreational therapy, rehabilitation, social work, sociology, or speech and hearing with Two (2) years’ related experience;
• OR
• Bachelor´s level education or higher in any field with Three (3) years’ related experience OR Two (2) years’ experience as a Health Homes Care Manager/Patient Care Navigator;
• OR
• An OASAS Credentialed Alcoholism and Substance Abuse Counselor (CASAC) with Two (2) years case management experience and a Bachelor’s Degree in Human Services or related field as above.

**Related experience consists of providing direct services or linking persons to a broad range of services essential to successfully living in a community setting to persons with history of mental illness, substance use disorders, HIV, and homelessness **

• Willingness to travel regularly in the community and to members’ homes as needed.
• Computer literacy including proficiency in Microsoft Office Suite and EHR.
• Experience working directly with people from diverse racial, ethnic and socioeconomic backgrounds.
• Flexibility is needed as members may call outside of daily work schedule (24-hour call).
• Ability to demonstrate excellent interpersonal skills to interact effectively with staff and patients.
• Excellent oral and written communication skills
• Team player and able to work independently