Health Home Plus Care Manager- Downtown Brooklyn
: Job Details :

Description Job candidates should be aware that scammers may pose as employers and create fake job postings in order to extract personal information from individuals for financial gain. Housing Works will never ask job candidates for personal information, such as social security numbers or bank account details, over the phone. If you suspect that a job posting may be fake or wish to confirm that a job posting from Housing Works is genuine, please contact us at ...@housingworks.org Housing Works was founded in 1990; With a long-term commitment to AIDS advocacy. Housing Works established New York State's first harm reduction-based, OASAS-licensed outpatient drug treatment program. Other services include Health Home care management, behavioral health, and syringe exchange programs. A pioneer in the social entrepreneurship movement, Housing Works operates 10 high-end thrift shops in Manhattan and Brooklyn and a much-loved Bookstore Cafe in Soho. For more information, visit www.housingworks.org Housing Works fights for funding and legislation to ensure that all people living with HIV/AIDS have access to quality housing, healthcare, HIV prevention, and treatment, among other lifesaving services. Benefits: We have three comprehensive healthcare plans to choose from based on your priorities and budget. Housing Works covers most of the plan; you pay a portion, based on your salary. Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year. We offer employees an educational benefit. This money is available for tuition loan reimbursement, tuition costs, and text books. Housing Works provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements. Housing Works complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Housing Works also does not request prior salary information during the hiring process. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. This position is included in a bargaining unit of Housing Works' New York City employees represented by a labor union known as the Retail Wholesale and Department Store Union ( RWDSU ). Accordingly, the RWDSU has the exclusive right to bargain over the terms and conditions of employment related to this position and this position may become covered by the terms of a collective bargaining agreement (a CBA ) between Housing Works and the RWDSU Compensation: $24-$26 an hour commensurate with experience Overview: Health Home Plus (HH+) is a model within the Housing Works Health Home Care Coordination program that provides a higher level of care, for specialized populations (SMI and HIV+) of Health Home members. The higher level of care is supported by specific caseload ratios, level of service provision, staff qualifications, and staff training. HH+ Case Manager works with members and the member's network of providers to help minimize barriers to care and help members achieve improved health outcomes. Using interventions such as care coordination, motivational interviewing and health promotion. HH+ Case Managers help members, over the course of time, develop the skills needed to manage their health and psychosocial needs with greater independence. HH+ Case Managers will have the opportunity to work as part of outcome driven integrated team and participate in agency wide quality improvement activities aimed at improving the delivery of care to individuals living with chronic illness, behavioral health issues, and homelessness. Responsibilities:

• The HH+ Case Manager is responsible for assessing a member's needs and coordinating with the member, members family, and network providers to develop and execute an Individualized Plan of Care
• Maintain documentation and update assessments and plan of care at specific time intervals or as needed in Housing Works and Health Home electronic medical records system
• Work and communicate effectively with interdisciplinary team of providers, including primary care provider, psychiatrist, therapist, substance abuse treatment programs and other providers
• Schedule and attend integrated case conferences every 90 days
• Work with the member to identify barriers to goal attainment and help resolve those barriers, i.e., keeping scheduled appointments with appropriate service providers, medication regimen for adherence while promoting optimal health
• Conduct field work, to members' home and other provider settings, as needed to fulfill plan of care
• Coordinate transitional care from an inpatient service to other settings as per the agreed upon plan
• Work collaboratively with team members to provide outreach and engagement to hard to reach members
• Provide assistance through advocacy and education to member and family for entitlements and other community services
• Participate in staff meetings, trainings and supervision
• Consistently exhibit Housing Works core values of teamwork, advocacy and good customer service
• Performs other duties as requested

Minimum Requirements Qualifications/Requirements:

• Bachelor's Degree plus 2 years related experience preferred. Master's degree in related field may be substituted for 1 year experience. Credentialed Alcoholism and Substance Abuse Counselor (CASAC) and two (2) years of experience. Bachelor's degree or higher in any field with either: three (3) years of experience, or two (2) years of experience as a Health Home Case Manager serving SMI or SED or HIV+ populations.
• Adept with word processing, Excel, and Microsoft Office products; Previous experience with Electronic Health Records a plus
• Ability to communicate well both written and oral
• Good organizational and multi-tasking skills
• Positive attitude and adaptable with both staff and clients
• Highly organized with the ability to work independently and prioritize multiple responsibilities in a fast-paced environment
• Comfortable working with a diverse group of staff and clients

The following additional competencies are viewed as important to success in this position:

• Proficiency and comfort with online meeting software such as Zoom and Microsoft Teams
• Understanding of chronic medical conditions, homelessness, substance use and mental illness
• Knowledge of City, State, and Federal entitlement and benefit systems.

Essential Physical Demands/ Working Conditions:

• Ability to travel within the boroughs via public transportation as needed and ability to work from remote office locations.
• Requires access to email, phone, Zoom and Teams.
• Requires ability to comply with agency confidentiality guidelines in remote workspace
• Position is hybrid