Position Summary: Under general direction, but with significant independence, the Health Home Care Manager provides comprehensive care management services to patients of the Culver Medical Group who are referred by providers within the practice to the Greater Rochester Health Home Network (GRHHN) or the Health Home of Upstate New York (HHUNY). The Health Home Care Manager will perform professional, consultative, investigative, advisory, and education activities for patients and families, site staff, and collaborative community agencies. Consistent with New York State regulations and policies for the provision of Health Home services the Health Home Care Manager conducts patient level data analyses to track patient adherence with treatment protocols and performs non-clinical interventions to assist patients in developing service plans to overcome barriers to access and care. The Care Manager communicates and collaborates regularly with patients, physicians, community agencies and office staff to adapt and refine and address support mobilization as needed. The Health Home Care Manager demonstrates ICARE* values in each of these major responsibilities
- Education: Bachelor's degree with major course work in an appropriate health, social or technical field and one year related experience; or an Associate's degree and three to five years related experience; or an equivalent combination of education and experience; will consider 2.5 years minimum RN/LPN experience in lieu of the combined education and experience.
- Required Competencies and Skills: Significant knowledge and experience of care coordination and care management services for high-utilizing patients who have complex, costly chronic diseases and are at high risk for not accessing necessary and appropriate health services to manage their diseases. Subscribes to the practice's philosophy of creating a culturally competent environment by treating patients, families and co-workers in a sensitive manner. Proficient in coordination of medical insurance applications for patients. Proficient in using Microsoft Office suite including Word, Excel and Access to develop reports and analyses. Ability to work independently with excellent communication and demonstrated project management skills. Comfortable working with patients and families. Maintains expected productivity standards as prescribed by the practice's policy.
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