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Coordinated Care Services, Inc.

Health Home Plus Care Manager

Coordinated Care Services, Inc., Rochester, New York, United States

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Organization:

Person Centered Housing Options Posting Start:

2026-01-10 Job Title:

Health Home Plus Care Manager Posting End:

2026-02-28 A Brief Job Description:

Job Title: Health Home Plus Care Manager Status: Non-Exempt Title of Direct Supervisor: Health Home Program Manager Starting Pay: $23/hr. Job Summary: The Health Home Plus Care Manager is responsible for providing comprehensive Care Management services to specific populations including those in gebase from Physical, Mental Health and Social setbacks. The Care Manager fosters health cate, transitional care, patient support and referral to com corner and social support services. The Care Manager is responsible for creating కావ బి execution a Care plan that links individuals to services in order to support the improvement of their health and wellness. Qualifications: Master's degree in a qualifying health or human service field one year experience OR Bachelor's degree ina qualifying health or human service field 2 years’ experienceOR Bachelor's degree in any field with 3 years’ experience as a Care Manager ginawa with individualswith HIV/AIDS; Serious Mental Illness; Substance Use Disorders; Individuals transitioning from Institutional care OR A Credentialed Alcoholism and Substance Abuse Counselor (CASAC) and 2 years Care Management experience A minimum of 2 years’ health home care management experience preferred. Bilingual and able to read, write and speak Spanish proficiently preferred, but not required Possess social justice andտես human rights perspective and frameworks that align with agencies principle and mission Knowledge of community resources and social work practices with homeless or underserved populations Ability to work independently with strong focus, task oriented, non-judgmental and able to set clear boundaries Possess a strong sense of respect for confidentiality involving both participants and peers Possess an ability to work in a variety of settings with culturally diverse individuals and families, and remain sensitive to their individuality Knowledge of and/or informed practice of motivational interviewing, trauma informed care, etc. Possession of a valid NYS driver’s license and a driver’s record considered acceptable by agency and insurance carrier and availability of a car for daily use including transporting clients Effective oral and written communication, ability to establish priorities, work independently, manage multiple tasks Excellent engagement, written and verbal communication skills and documentation skills Essential Functions: Engage referrals within 24 hoursof receipt Maintain 12+ client cas इसके lopleकDened or as determined by DOH Ensure completion of the Eligibility Assessment from Health Home Work collaboratively with external providers and team members to continuity of care. Align with the vision of the agency while creating and maintaining an environment that encourages teamwork, collaboration, and positive work environment. Completes careouna for assigned clients and reviews and update goals and assessments accordingly. Participates in interdisciplinary meetings and treatment team meetings. Utilizes health information technology to document services and record progress in a timely and thorough manner. Assist clients in establishing and maintaining benefits and entitlements that foster health promotion. Ensures responsible delivery of client care per established Care Management policies and procedures. Participates in weekly health home team case conference meeting as well as bi-weekly one-on-one supervision with Supervisor. Maintains updated knowledge of other existing community resources and utilizes appropriately. Ensure every assigned client is contacted and billed for each month in accordance with DOH guidelines. Other duties as assigned by restitute. Employer’s Disclaimer: All requirements are subject to possible modification to reasonably accommodate individuals with disabilities This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by their supervisor This document does not create an employment contract, implied or otherwise, other than an “at will” relationship

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