Health Home Care Manager (Downstate, NY / Field-based)

About the role

FreedomCare is a healthcare company dedicated to revolutionizing the home care industry since 2016. We support patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes, with a mission spanning coast to coast across the U.S. Our values — Here For You, Own It, Do the Right Thing, Be Positive — drive the level of care we deliver.

The Health Home Care Manager is a field-based position requiring frequent travel to patients' homes in Brooklyn and Queens, New York. This role works to outreach and engage potentially eligible patients, obtain appropriate consents to enroll them in the Health Home Care Management Program, and then collaboratively complete comprehensive assessments and patient-centered care plans. The manager coordinates care based on the care plan, working with the patient's care team.

Responsibilities

• Screen for Health Home functional scale eligibility, conduct initial Health Homes assessments and reassessments of patient needs (medical, mental health, substance use, financial, housing, and additional support needs)
• Collaborate with medical providers and patients to develop, implement, and coordinate Health Homes compliant care plans for patients with chronic diseases (diabetes, asthma, congestive heart failure, hypertension, mental health conditions, substance use, and more) and document care plan outcomes
• Provide direct service to a caseload of chronically ill patients and help them achieve care plan goals by facilitating referrals, addressing access issues, connecting them to local resources, and developing relationships with healthcare providers
• Coordinate patient services and care with pharmacies, insurance companies, hospital discharge planning, family caregivers, and other providers
• Provide crisis intervention when needed
• Conduct home visits and maintain patient contact and documentation of all services in accordance with Health Homes standards
• Maintain patient confidentiality at all times

Requirements

• Associate's degree (required)
• 2 years of Care Management experience
• Ability to travel to a minimum of two boroughs — Brooklyn and Queens
• Ability to travel in the field to accompany patients to appointments and meet patients in person when needed
• Strong working knowledge of local community resources
• Demonstrated ability to work with data reporting, documentation, and outcomes
• Strong communication and assessment skills; ability to relate to patients, families, and community care providers, and handle rapidly changing crisis situations
• Ability to manage high-volume caseloads
• Ability to express empathy and compassion for the underserved
• Experience navigating several data management systems, such as Salesforce

Qualifications

• Bachelor's Degree (preferred)
• Bilingual Spanish (strongly preferred)
• Ability to travel to all five boroughs in the NYC area
• Access to a vehicle (strongly preferred)

Benefits

• Competitive compensation
• Medical benefits
• Retirement plans
• Wellness programs
• Fun company events
• Ongoing learning opportunities to grow your career
• Inclusive environment celebrating diversity; Equal Opportunity Employer

Pay

Base pay range: $24.00–$26.00 per hour at commencement of first year of employment. Compensation decisions depend on factors including skill set, years of relevant experience, education, location, and licensure/certifications.