SCO Family of Services
High Fidelity Wraparound (HFW) Care Manager
SCO Family of Services, Brooklyn, New York, United States, 11201
High Fidelity Wraparound Care Manager
Job Category: Professional Requisition Number: HIGHF003584 Full-Time Salary: $50,000 USD per year Location: Brooklyn, NY 11216, USA Travel Required: Yes, 75% of the Time Job Details
Description
Work in conjunction with the Family Partner and Youth Partner to ensure youth and families drive the development and implementation of their own care plan of care. Support families to lead the process in developing and implementing their own plan of care. Over time families aim to move towards increased reliance on "natural supports" in their communities. The HFW model does not prescribe frequency of service contact or maximum length of stay so that service provision can be tailored to the individual needs of each youth and family; however, at a minimum, the HFW team will offer the frequency of contact required of Health Home serving high acuity and HFW enrolled youth (four contacts a month, two being face to face). Obtain required Care Management enrollment consents from the medical consenter to process enrollment into the Care Management Program. Complete initial and ongoing needs assessments such as the Child Adolescent Needs and StrengthsNew York (CANS-NY). Responsible for the development and overall management of the youth's Wraparound Plan. Through the development of the plan the Care Manager is able to: 1. Coordinate the youth's provision of services, including providing Care Management Services as identified in the five core services based on the youth's acuity level. 2. Support adherence to treatment recommendations and assist/facilitate with referrals, while ensuring follow-through of these referrals. 3. Monitor and evaluate a youth's needs, including but not limited to: 1. Prevention 2. Wellness 3. Medical 4. Mental Health 5. Care Transitions, and 6. Social and Community Services where appropriate. Meet the standard billing requirement for each youth Ensures documentation is completed in a timely and accurate manner by effectively utilizing the daily activity log, and electronic health record. Function as an advocate for youth and families within the agency and external service providers. Promote wellness and prevention by linking youth with resources and services based on their individual needs and preferences. Educate the youth/caregiver on Chronic Conditions, Immunizations, Screenings and other preventative interventions. Assists the youth and family to obtain and maintain public benefits necessary to gain health care services, including but not limited to: 1. Medicaid 2. Cash Assistance Eligibility 3. Social Security Supplemental Nutrition Assistance Program 5. Housing 6. Legal Services 7. Employment and, 8. Training Supports. Effectively communicates and shares information with the individual and their families and other caregiver with appropriate consideration for language, literacy, and cultural preferences. Conducts care planning meeting/conferences and services and an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care. Identified available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services. In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient 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. Ensure the child has periodic evaluations and follow-up treatment for: 1. Dental 2. Vision and 3. Hearing Care as per the Medicaid EPSDT guidelines. Development of a close working relationship with the child's case planner and/or case manager (if applicable). Receive intense training, regular supervision and coaching in the implementation of the HFW model. Attend and fully participate in the HFW training offered by Columbia Practice Innovations (CPI). After the first year of training as a team the Care manager will complete any additional tasks to become HFW-certified and maintain certification. Ensure documentation requirements are being met. Perform all other duties as assigned. Qualifications
Required
Bachelors or better. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Job Category: Professional Requisition Number: HIGHF003584 Full-Time Salary: $50,000 USD per year Location: Brooklyn, NY 11216, USA Travel Required: Yes, 75% of the Time Job Details
Description
Work in conjunction with the Family Partner and Youth Partner to ensure youth and families drive the development and implementation of their own care plan of care. Support families to lead the process in developing and implementing their own plan of care. Over time families aim to move towards increased reliance on "natural supports" in their communities. The HFW model does not prescribe frequency of service contact or maximum length of stay so that service provision can be tailored to the individual needs of each youth and family; however, at a minimum, the HFW team will offer the frequency of contact required of Health Home serving high acuity and HFW enrolled youth (four contacts a month, two being face to face). Obtain required Care Management enrollment consents from the medical consenter to process enrollment into the Care Management Program. Complete initial and ongoing needs assessments such as the Child Adolescent Needs and StrengthsNew York (CANS-NY). Responsible for the development and overall management of the youth's Wraparound Plan. Through the development of the plan the Care Manager is able to: 1. Coordinate the youth's provision of services, including providing Care Management Services as identified in the five core services based on the youth's acuity level. 2. Support adherence to treatment recommendations and assist/facilitate with referrals, while ensuring follow-through of these referrals. 3. Monitor and evaluate a youth's needs, including but not limited to: 1. Prevention 2. Wellness 3. Medical 4. Mental Health 5. Care Transitions, and 6. Social and Community Services where appropriate. Meet the standard billing requirement for each youth Ensures documentation is completed in a timely and accurate manner by effectively utilizing the daily activity log, and electronic health record. Function as an advocate for youth and families within the agency and external service providers. Promote wellness and prevention by linking youth with resources and services based on their individual needs and preferences. Educate the youth/caregiver on Chronic Conditions, Immunizations, Screenings and other preventative interventions. Assists the youth and family to obtain and maintain public benefits necessary to gain health care services, including but not limited to: 1. Medicaid 2. Cash Assistance Eligibility 3. Social Security Supplemental Nutrition Assistance Program 5. Housing 6. Legal Services 7. Employment and, 8. Training Supports. Effectively communicates and shares information with the individual and their families and other caregiver with appropriate consideration for language, literacy, and cultural preferences. Conducts care planning meeting/conferences and services and an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care. Identified available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services. In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient 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. Ensure the child has periodic evaluations and follow-up treatment for: 1. Dental 2. Vision and 3. Hearing Care as per the Medicaid EPSDT guidelines. Development of a close working relationship with the child's case planner and/or case manager (if applicable). Receive intense training, regular supervision and coaching in the implementation of the HFW model. Attend and fully participate in the HFW training offered by Columbia Practice Innovations (CPI). After the first year of training as a team the Care manager will complete any additional tasks to become HFW-certified and maintain certification. Ensure documentation requirements are being met. Perform all other duties as assigned. Qualifications
Required
Bachelors or better. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.