**Care Manager - Health Homes** **Job Details** **Job Location** 1099 Jay Street - Rochester, NY **Position Type** Full Time **Education Level** Associates Degree **Salary Range** $20.00 - $20.00 Hourly **Travel Percentage** Up To 40% **Job Shift** Weekend Days **Job Category** Care Coordination **Description** **PRIMARY FUNCTIONS** : Provide intake and ongoing care management services to individuals living in Monroe, Finger Lakes or Southern Tier Regional Counties who have been diagnosed with one or more chronic illnesses. **SPECIFIC DUTIES:** 1. When needed, serve as contact for referrals and conduct necessary screening and/or follow up for client to proceed with intake in applicable program(s). 2. Provide client-guided care management services to caseload assigned, maintaining accurate and verifiable documentation of all services rendered. 3. Using a person-centered approach, complete comprehensive and detailed assessments, reviews, crisis plans, and care plans as required by standards set by DOH and lead Health Home contractors. 4. Demonstrate, promote and practice cultural competency towards clients through respect and understanding. 5. Recognize and embrace diversity through supporting and encouraging the strengths of each individual served. 6. Provide a meaningful core service for each client assigned monthly and as needed, to ensure all care plan goals are addressed to the satisfaction of the clients served. 7. Utilizing a team approach, maintain accessibility for clients during the workday. 8. Assist clients in the acquisition and maintenance of public benefits e.g., Medicaid, SNAP, Social Security, etc. 9. Provide linkage/referrals and coordination of resources/support for medical care, mental health, social, recreational, and housing/basic needs, etc. 10. Remain current in the field, support and implement best practice service models within the program. 11. Make independent decisions and recommendations regarding immediate risk factors presented and provide crisis intervention and follow-up as needed. 12. Demonstrate flexibility to be available to clients in their homes/communities including working outside of normal business hours as needed. 13. Provide on-call availability via cell phone to Health Home program as needed. 14. Serve as client advocate. 15. Facilitate the development of a Care Team to carry out individualized and strength-based Plan of Care through regular case conferences and case reviews. 16. Participate in staff meetings and other Care Coordination department activities. 17. Ensure compliance with all applicable local, State, Federal and Health Home Network regulations and agency policies. 18. Participate in mandatory ongoing training and professional development offered. 19. Represent Catholic Charities Community Services on appropriate boards and committees as assigned by CC Director. 20. Other duties as assigned. **Qualifications** **QUALIFICATIONS** : Associates degree in Human Services or related field and two years of paid experience working with persons with disabilities and/or chronic illnesses. A combination of education and experience may be substituted at the discretion of the Executive Director. Bilingual (English/Spanish) is required for some positions. If position requires bilingual skills to be used, additional compensation will be offered.