Community Healthlink

Case Manager - Health Home Management

US-MA-Worcester
PCN#
3749
# Positions
1
Experience (Years)
1
Category
Case Management

Overview

Individuals receiving services in Health Home Management are able to access primary and behavioral health care management in an integrated model. Every client receives care coordination, and care support for practical and social needs. All integration of services is managed through the health home management model.

 

Rather than being a physical place, health homes are a strategy for helping individuals with chronic conditions manage those conditions better.

An eligible individual—for example, a person with diabetes and a mental illness—works with a team of health care professionals to provide the following:

  • Management and coordination of all the services the person receives from multiple providers.
  • Help with transitions from one kind of setting to another.
  • Support to both the individual and their family members.
  • Offer referrals to community and social support services.

Responsibilities

  • Perform comprehensive intake and assessment of clients to determine the needs of the client including medical, psychiatric and wellness needs.
  • Develop appropriate care plans in conjunction with clients for the delivery of essential services.
  • Work collaboratively with multi-disciplinary team across providers and locations to coordinate the delivery of appropriate clinical and other support services.
  • Make appropriate referrals to existing community agencies for additional services as identified in the assessment and care plan.
  • Monitor the effectiveness of the care plan and coordinate with team to make changes to facilitate positive health outcomes and the prudent use of resources.
  • Complete all documentation in a timely manner.
  • Maintain flexibility in providing services in settings other than clinics; e.g. client homes, health clinics and other community settings.
  • Regularly attend staff meetings, clinical team, supervision and all other required program meetings.
  • Process referrals and authorizations in a timely manner.
  • Perform other related job duties as required.

Qualifications

 

  • Grade 6: Case Manager II- Bachelor's degree required; degree in psychology, social work or related human services degree preferred

  • Knowledge of homelessness and related issues, familiarity with community resources and entitlements (i.e., substance abuse and mental health). 

  • Bilingual/Bi-cultural Spanish strongly urged to apply.

  • Current valid US-issued drivers license and ability to provide registered, inspected and insured automobile for work related purposes, including transporting clients in your own vehicle

  • Must be able to pass a CORI background check

     

Community Healthlink is an Affirmative Action/ Equal Opportunity Employer. We do not discriminate in employment and personnel practices on the basis of race, sex, gender identity, age, ancestry, disability, religion, national origin, marital status, sexual preference, political affiliation or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
If applicable, Community Healthlink shall also abide by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified protected veterans and qualified individuals on the basis of disability. These regulations require affirmative action by Community Healthlink to employ and advance in employment qualified protected veterans and individuals with disabilities.

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