Job description

Liberty POST has offered its clients a range of high-quality and individualized services since 1994. Backed by Liberty Resources Inc. and part of a large social services circle, originally POST was a speech-language practice in Syracuse NY, and has grown to provide a range of services throughout all of New York State. We employ over 500 professionals in a variety of settings and offer a collaborative team approach to provide evaluation, direct therapy, and family education through child-directed play. We are focused on the importance of a child’s natural learning environment, a family’s unique strengths and needs and the diverse population we serve.

The Children’s Health Home Care Manager (CHHCM) will assist youth who are eligible for and in need of care coordination by identifying and addressing physical, behavioral and social health needs. The primary function of the CHHCM is to establish an integrated care team of service providers and supports who will collaborate to ensure that the youth is accessing supports and services to reduce the risk of emergency room visits, hospitalizations and other out-of-home placements. Ultimately, this integrated model of care is designed to result in better care, better health outcomes and lower cost of care.

Position Details:
This position is full-time, Monday through Friday, 40 hours per week during regular business hours. The position operates in a hybrid work model with required travel to conduct home and community-based visits.

Job Responsibilities:

• Work with youth and their families to determine their immediate and ongoing eligibility for Health Home Care Management services and assist with completing the enrollment process.
• Conduct ongoing assessments to identify youth and family strengths and needs, and develop comprehensive, family-driven care plans that establish clear goals to improve the quality of the youth’s functioning, health and wellness.
• Coordinate care and routinely collaborate with multidisciplinary team members including family members, schools, behavioral health providers, primary care physicians, managed care organizations, social supports and other specialty providers to ensure best quality of care is received.
• Refer youth and families to health care providers, mental health and substance use providers, medications, housing, social services (I.e. food, benefits, transportation, etc.), and other community resources.
• Support and encourage youth and families to increase knowledge about their mental and physical health conditions, engage in their care, improve adherence to treatments, and develop confidence in coordinating care independently.
• Conduct home and community-based visits to engage with youth, families and other collateral supports.
• Manage an average caseload of 25 youth with varying levels of need.
• Participate in the on-call rotation to handle after-hours emergency/crisis situations.
• Complete all required documentation within timelines in accordance with program standards.
• Attend and participate in case conferences, staff meetings, and professional development opportunities as required. Maintain required program certifications.

MINIMUM REQUIREMENTS:

• Minimum of a bachelor’s degree with 2 years of relevant experience in health or human services; or master’s degree with 1 year of relevant experience; or Registered Nurse with 2 years of relevant experience.
• Previous care coordination/case management experience working with youth and families with Serious Mental Illness, developmental disabilities, substance use disorders, or chronic medical conditions preferred.
• Knowledge of community resources, Medicaid Managed Care and social service systems.
• Ability to understand and comfortably operate health information systems and electronic medical records.
• Strong attention to detail and solid organization and time management skills.
• Must have a valid New York State driver’s license and access to reliable transportation.

Welcome to Wholehearted Health!

Liberty Resources is an Equal Opportunity Employer.

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