Care Manager

Job Description

Family Services of Westchester, Inc. (FSW) provides mental health and social services that strengthen and support families, children and individuals at every stage of their lives. Serving 30,000 people a year, including 20,000 children, with nearly 50 innovative programs, including counseling, education and support, FSW is a pillar of health in the Westchester community.

Family Services of Westchester is currently seeking a full-time Care Manager to support families and youth in Westchester County. This position will be based in Pelham, NY with travel requirements across Westchester County to meet patient needs.

Job Summary:

The Children’s Health Home Care Manager provide a wide array of services to individuals age 0 to 21 and their families. The services provided by the Children’s Health Home Care Manager aim to improve the individual member’s health outcomes by partnering with other providers to ensure continuity of care and that individualized services are in place. The Children’s Health Home Care Manager assists members and families in becoming independent, and informed consumers of health and mental health services. Primary responsibilities include assessing the needs of members and their families, developing care plans and engaging members in medical, behavioral health and social services.

Duties and Responsibilities:

  • Outreach potential health home members and their families to determine eligibility for enrollment
  • Complete Children’s Health Home intake with families and individuals determined eligible and interested in receiving services through the Children’s Health Home program
  • Conduct assessments to identify Health Home members’ individualized needs related to psychosocial wellbeing, physical health and the social determinants of health; utilize standardized assessment tools; monitor needs on an ongoing basis
  • Based on the assessment findings, collaborate with member/family to develop a plan of care
  • Engage member/family in the goal setting process and utilize Motivational Interviewing and other techniques to assist in goal achievement
  • Coordinate and arrange for the provision of medical, behavioral health and other relevant services
  • Accompany member/family to appointments as needed; model and coach on medical/behavioral visit navigation with the aim of empowering Health Home member/family to become independent, effective health care consumers
  • Conduct home visits as needed
  • Support member/family in adherence to treatment recommendations from medical and behavioral health providers
  • Provide psychoeducation using one-on-one teaching, written and printed materials as well as computer and video instruction approved by the primary care team to assist with member/family understanding of physical and behavioral health conditions and treatments
  • Actively manage appropriate referrals, access, engagement, follow-up, and coordination of services with community-based providers as well as the school system
  • Link member/family to services/resources based on individual needs and preferences
  • Promote evidence-based wellness and prevention by providing health education on chronic medical conditions such as diabetes, asthma, hypertension, and HIV/AIDS to improve adherence to prescribed treatment
  • Discuss advance directives with member/family
  • Retain Health Home member/family in care over time
  • Maintain a caseload size that does not fall below the minimum and does not exceed the maximum as specified by New York State guidelines (based on number and acuity)
  • Perform duties in accordance with established FSW and lead Health Home policies and procedures, objectives, quality improvement activities, and safety standards
  • Travel as required to community-based meetings, medical/behavioral health provider sites and meetings with members/families
  • Maintain electronic medical records in compliance with FSW and lead Health Home standards and applicable city, state, and federal laws
  • Complete all documentation as required for the Children’s Health Home program on time
  • Represent FSW at community health fairs and community outreach activities
  • Participates in staff development programs, educational activities, seminars, and training opportunities

Qualifications:

EDUCATION

  • Master’s Degree preferred; candidates with a Bachelor’s Degree and solid work experience will be considered as well
  • Degree in Social Work or social sciences preferred; other degrees with relevant experience will be considered

SKILLS

  • Fluent in English and Spanish
  • Strong interpersonal skills including excellent active listening and clear oral communication skills
  • Engaging, warm and caring personality
  • Strong customer service, patient-centered orientation
  • Empathetic and driven to assist patients
  • Passionate about providing high quality care to low-income, under-served individuals and those lacking access to health care
  • Able to function effectively as a member of an interdisciplinary team and committed to collaborative team-based care
  • Able to navigate healthcare and community settings as well as patients’ natural settings (i.e. place of residence)
  • Culturally competent/sensitive (racial, ethnic, linguistic, LGBTQ+, physical ability, etc.) and committed to inclusive, multi-cultural programming
  • Comfortable providing direct patient care to patients age 21 and younger with chronic medical and behavioral health needs, as well as their family members
  • Knowledge of developmental milestones and ability to engage children with developmental delays
  • Proficient computer use, including Microsoft Office applications
  • Strong writing and reading skills
  • Able to understand and follow detailed instructions
  • Highly organized and self-directed, able to multi-task
  • Flexible and exhibits the ability to adapt as situations evolve
  • Comfortable working in a fast-paced, high accountability environment
  • Effective in problem solving and exhibits excellent judgment and the ability to prioritize

EXPERIENCE

  • At least three years’ experience in healthcare and/or social services settings
  • Health education experience is preferred
  • Experience working with children and families
  • Experience with electronic medical records is preferred
  • Knowledge of/experience in case management and care coordination is preferred

REQUIREMENTS

  • Must have valid NYS driving license and daily access to car
  • COVID-19 VACCINATION IS REQUIRED.

There are a variety of benefits to joining Family Services of Westchester, an organization with over 65 years of history impacting vulnerable communities. In addition to the opportunity to connect with and help thousands of residents in Westchester county, FSW offers its employees an inspiring, diverse and team-based work environment with comprehensive benefits including medical, dental, vision, life insurance, flexible spending accounts, 403(b) and generous paid time off.

At FSW, we enjoy working in a collaborative, mission-driven environment and value the benefits of a diversified workplace that prioritizes our clients and the communities we serve. If you want to make a difference in the lives of thousands of people across the communities of Westchester, and if the Care Manager position speaks to your capabilities, experience and commitment to social service, please apply through Indeed.com. Qualified candidates will be contacted by phone and/or email.

Family Services of Westchester is an equal opportunity employer.

To apply, please email resume to:  ycruz@odfmc.org

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