Manager of Care Management, Health Homes (NY / Hybrid)

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. Our mission spans coast to coast, supporting patients across the U.S. We pride ourselves on our values: Here For You, Own It, Do the Right Thing, and Be Positive.

About the role

The Manager of Care Management will assist with building a Health Home Care Management Program from the ground up. Responsibilities include maintaining relationships with Health Home Leads, screening and enrolling patients, onboarding and supervising a team, reviewing billing, and ensuring compliance with NY State and lead Health Home regulations.

Responsibilities

• Collaborate with the VP of Operations and Team Lead to continue building the care management program
• Develop workflows and processes to operationalize all policies & procedures
• Build a team of care management staff, including interviewing, hiring, training, planning and assigning work, and providing performance feedback
• Review assessments and uphold care management policies and procedures, ensuring all care management staff appropriately document encounters, assessments, care plans, and other Health Home requirements
• Work with the VP of Operations and Health Home leads to establish and achieve quality improvement, quality assurance, and compliance goals and targets
• Ensure compliance with all Health Home standards and regulations, including chart audits, training and re-training staff, and addressing issues with Health Home leads
• Provide guidance to care management staff on crisis intervention, including ensuring proper incident reporting
• Provide case coverage and de-escalation as needed, especially during staffing gaps
• Guide staff during patient crisis situations, monitor and track incidents, and ensure proper incident reporting
• Conduct qualitative audits of all documented patient and collateral interactions, including phone calls, SMSs, emails, in-person visits, and virtual visits
• Perform ongoing chart audits in the Care Management platform to ensure compliance with Health Home NYS and lead Health Home regulations
• Review and sign off on patient assessments within the Uniform Assessment System for New York (UAS-NY)
• Travel in the field to accompany patients to appointments and meet patients in person, if needed
• Travel in the field during escalated situations

Requirements

• Master's Degree or a Professional Occupational and Healthcare License such as a Registered Nurse License, LMSW, or MSW
• Prior management experience in a behavioral or healthcare setting
• Care management experience with at least 3 years of strong supervisory experience in the Health Homes field
• Strong working knowledge of local community resources
• Demonstrated ability to work with data reporting, documentation, compliance, and outcomes
• Strong communication and assessment skills; ability to relate to patients, their families, and community care providers
• Ability to handle rapidly changing crisis situations
• Able to express empathy and compassion for the underserved
• Experience navigating data management systems, such as Netsmart, Foothold, and Salesforce

Nice-to-Haves

• Bilingual (Spanish preferred)
• 5+ years of experience as a Care Manager for the Health Homes program in NYS

Benefits

• Competitive compensation
• Medical benefits
• Retirement plans
• Wellness programs
• Fun company events
• Ongoing learning opportunities to grow your career

Pay

Base pay range for this role is between $100,000 and $130,000 per year at the commencement of employment. Compensation decisions depend on skill set, years of relevant experience, education, location, and licensure/certifications.