About the Collaborative for Children and Families (CCF)
The Collaborative for Children and Families, Inc. (CCF) is a 501c3 Non-Profit Membership Coalition comprised of over 20 Community Based Organizations (CBOs) whose primary mission is to serve children and families across the downstate region of NY. CCF is designated as a Lead Health Home Serving Children (HHSC) that includes a provider network of over 40 Care Management Agencies (CMAs). CCF offers comprehensive health and human services to children and families in a more coordinated manner than could be achieved individually and seeks partnerships with other components of the health and human services systems to integrate care for those in greatest need.
Position Summary:
The Care Manager (CM) works under the direct supervision of the Care Manager Supervisor and plays a critical role in achieving the overall goals for coordination, integration, and partnership in the delivery of care to children, youth, and families with complex medical, developmental and behavioral health needs between the ages of Zero (0) to Twenty-One (21). The Care Manager develops and implements a patient-centered, comprehensive Plan of Care (POC) for the member, in partnership with his/her caregivers and providers. The Care Manager is the central point of contact for the family and the child/youth, to ensure that their needs and services are met, their voices are heard, and their needs and preferences are integrated into their plans of care. The care manager must ensure that all minimum required face-to-face contacts occur timely based on the client’s complexity level, which is determined by the Child Adolescent Needs and Strengths-New York (CANS-NY) assessment. Core Services include:
- Comprehensive Care Management
- Care Coordination & Health Promotion, including linkages to needed services to support care plan/treatment goals, coordination and advocacy with service providers and health plans, and interdisciplinary team case reviews.
- Transitional Care, including planning and follow-up for admission to, and discharge from hospital and other inpatient settings.
- Patient & Family Support, including partnership and consultation with each child’s family/caregivers on the child’s care plan.
- Referral to Community & Social Support Services
Essential Duties and Responsibilities:
- Obtain required Care Management enrollment consents from the medical consenter and all documentation to support clinical eligibility criteria from providers.
- Assess the appropriateness criteria of other household members that may be eligible for Care Management services and make referrals as appropriate.
- Complete an initial needs assessment including the Child Adolescent Needs and Strengths-New York (CANS-NY).
- Responsible for the overall management of the client’s Individualized Plan of Care (POC) to ensure the following: Coordination of services, Support adherence to treatment recommendations, and monitor and evaluate the client’s needs, including prevention, wellness, medical, behavioral health treatment, care transition, and social and community services when appropriate.
- Complete all program/case relevant documentation in the Electronic Medical Record (EMR) within the assigned timeframes.
- Based on the complexity outcome of the client, the care manager must meet the specified minimum face-to-face requirements for billing as per the Department of Health’s (DOH) mandates.
- Conduct all other required additional assessments within prescribed time frames including a Comprehensive Assessment, Crisis Plan, and Home and Community Based Services (HCBS) Level of Care (LOC) eligibility. determination for the provision of services when appropriate.
- Function as an advocate for the client.
- Communicate with the client’s Medicaid Managed Care Plan (MMCP) to ensure there are no gaps in care.
- Promote wellness and prevention by linking members with resources and services based on their individual needs and preferences.
- Effectively communicate and share information with the client and their family/caregivers with appropriate consideration for language, literacy, and cultural preferences.
- Facilitate and lead Interdisciplinary Team Meetings to effectively coordinate services.
- Identify any available community-based resources and actively manage appropriate referrals, access, engagement, follow-up, and coordination of services. This may include scheduling appointments, transportation, and providing interpreter services when needed; as well as accompanying clients to appointments and following-up with their caregiver to ensure appointments are kept.
- In the event of hospital admissions, actively engage in the discharge planning process to ensure that the client has recommended post discharge services in place prior to scheduled discharge.
- Attend and participate in ongoing staff development training to enhance skills needed to effectively meet the demands of the Care Manager position.
- Develop close working relationships with other care team members including child welfare case planners when applicable and/or case managers in other service systems and/or settings.
- Perform all other duties as assigned.
Requirements:
- A Bachelor’s degree (Masters preferred) with two years of experience working with children, youth and adolescents.
- Have a working knowledge of the health & behavioral health care industry in New York.
- Maintains a strength-based approach in working with children, youth, and their families.
- Ability to work directly with a diverse population consisting of individuals who are diagnosed with chronic life-threatening Chronic conditions including behavioral health conditions and substance use challenges.
- Computer literacy, specifically Microsoft Word, Outlook, and Excel.
- Excellent telephonic and interpersonal skills.
- Ability to work directly with a multidisciplinary care team of professionals and paraprofessionals.
- Applicants must demonstrate trustworthiness as a prerequisite for independent work within this role. This position requires in -person visits. Candidates will need to be able to travel to do these visits via car or public transportation. Caseload to be located in or near identified counties- but is not limited to counties listed.
- Strong verbal and written communication skills.
Working Conditions
- Must be willing to maintain large case load sizes from 15+ cases monthly.
- Work is conducted in the home and communities of the clients.
- Travel within Queens and nearby counties is required based on caseload.
Benefits
- This is a part-time position without benefits but has the potential to be a Full Time position!
It is the policy of the CCF that the company wholly complies with the equal treatment of all employees and applicants for employment, without unlawful discrimination as to race, creed, color, national origin, sex, age, disability, marital status, sexual orientation, citizenship status or veteran status in all employment decisions, including, but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff, termination and all other terms and conditions of employment.
Job Type: Part-time
Pay: $27.00 - $30.00 per hour
Expected hours: No more than 30 per week
Patient demographics:
Schedule:
- Evenings as needed
- Monday to Friday
- Weekends as needed
Application Question(s):
- Are you willing to travel within Westchester depending on your caseload?
Education:
Experience:
- Care Management: 1 year (Required)
Work Location: On the road