The Health Home Plus Adult Care Manager will assist with navigating complex systems of care, build supportive relationships and developing individualized person centered care plans to help individuals meet their overall health and wellness goals. The Health Home Plus Care Manager would serve those adults, 18 and over with a Serious Mental Illness (SMI) who have experienced multiple hospitalizations, criminal justice involvement, homelessness, and/or have active Assisted Outpatient Treatment (AOT) orders. Work is done primarily in the community and the position entails travel throughout Suffolk County. The Health Home Plus Adult Care Manager would have a mixed caseload comprised of both Health Home Plus and Health Home clients.  The Health Home Plus Adult Care Manager would deliver 4 services per month to their high acuity members; 2 in person and 2 telehealth.

 

Key responsibilities may include, but are not limited to:

• Coordinating and monitoring behavioral, physical health, and social services based on consumer-driven needs assessment and service plan;
• Building and monitoring linkages with natural supports and formal community resources including hospitals, outpatient clinics, rehabilitation, self-help, and social service providers.
• Providing supportive, recovery and wellness-directed coaching and counseling in-person and via telephone communication.
• Provide support to ACM team and clients when case coverage is needed
• Maintenance of accurate records and following Department of Health, Office of Mental Health, Health Home and agency policies and guidelines
• Participation in team meetings, supervision, Adult Care Management staff meetings and agency meetings

 

 

 

• A Bachelor’s degree in a human service/health discipline and two years’ experience working directly with the SMI population. Candidates with Master’s degree and one years’ experience s are strongly encouraged to apply.
• Two years’ experience in providing direct services to people with Serious Mental Illness (SMI); developmental disabilities or substance use
• Excellent inter-personal communication including the ability to establish empathic, empowering relationships with people who have experienced psychiatric, substance use challenges, trauma as well as chronic physical health conditions;
• Strong communication skills and collaboration with professionals involved in the person’s care;
• Understanding of the key elements of recovery and wellness, including the role of social supports including family and self-help; PROS, etc.;
• Sound organizational skills including computer skills (agency uses electronic health records, multiple IT platforms).
• Knowledge of the public health/mental health system, public entitlement and social service programs;
• Candidate must be a reliable self-starter with the ability to work both independently and as part of an interdisciplinary team.
• Bi-lingual (English/Spanish) candidates are strongly encouraged to apply.

 

 

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