Health Home Care Manager
Company: Berkshire Farm Center
Location: Binghamton
Posted on: January 19, 2023
Job Description:
DescriptionJoin Our MissionThe Health Home Care Manager is
responsible for core services of health home care management
including: comprehensive care management, care coordination and
health promotion, comprehensive transitional care, youth and family
support and referral services and using technology to link
services. Job Responsibilities
- Responsible for comprehensive care management including
creating, documenting, executing and updating individualized,
patient centered plan of care to integrate continuum of medical,
behavioral health services, rehabilitative, long term care and
social service needs and clearly identifies the primary care
physician/nurse practitioner, specialist(s), behavioral health care
provider(s), other providers directly involved in the childs
care.
- Responsible for care coordination and health promotion to
engage and retain home health enrollees in care; coordinates and
arranges for services; supports adherence to treatment
recommendations; monitors and evaluates childrens needs, including
prevention, wellness, medical, specialist and behavioral health
treatment, care transitions, and social and community services
where appropriate through the creation of a plan of care.
- Use Health Information Technology to Input information into
health record system to allow for patients health information and
plan of care to be accessible to multi-disciplinary team of
providers including identification of gaps in care including
preventive services. Follows-up on tests, treatments, services and
referrals.
- Responsible for comprehensive transitional care including
providing timely access to follow-up care post discharge which
includes at a minimum receipt of a summary care record from
discharging entity, medication reconciliation, timely scheduled
appointments at recommended outpatient providers, and verification
with outpatient provider that patient attended the appointment, and
a plan to outreach and re-engage patient in care if appointment was
missed.
- Identify available community-based resources and actively
manage appropriate referrals, access engagement, follow-up and
coordination of services.Job Requirements
- Bachelors degree with 2 years of experience required or
Registered Nurse (RN) with 2 years of experience or Masters degree
with 1 year of experience.
- Must be able to work a flexible schedule with variable hours
including day, evening, weekend, holiday and subject to call
hours.
- Must have a valid drivers license and reliable vehicle. Travel
is required. Ability to coordinate and plan travel for visits and
appointments in efficient manner.
- Ability to work with economically and culturally diverse
population.
- Skills: communication skills including written, verbal and
listening skills. Equal Opportunity Employer/Protected
Veterans/Individuals with DisabilitiesThe contractor will not
discharge or in any other manner discriminate against employees or
applicants because they have inquired about, discussed, or
disclosed their own pay or the pay of another employee or
applicant. However, employees who have access to the compensation
information of other employees or applicants as a part of their
essential job functions cannot disclose the pay of other employees
or applicants to individuals who do not otherwise have access to
compensation information, unless the disclosure is (a) in response
to a formal complaint or charge, (b) in furtherance of an
investigation, proceeding, hearing, or action, including an
investigation conducted by the employer, or (c) consistent with the
contractors legal duty to furnish information. 41 CFR
60-1.35(c)
Keywords: Berkshire Farm Center, Binghamton , Health Home Care Manager, Healthcare , Binghamton, New York
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