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 drive the level of care we deliver: Here For You (service, empathy, availability), Own It (drive and ownership), Do the Right Thing (high integrity), Be Positive (great attitude and can-do approach).

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

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 2 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 5 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

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.