Case Manager at The Alliance for Positive Change in New York, NY

PRIMARY FUNCTION: Coordinating care and providing guidance to clients with complex psychiatric and/or comorbid medical conditions. Develops effective interpersonal relationships with clients and works collaboratively with the interdisciplinary care team to improve health outcomes. Utilizes internal and community resources to educate clients and form a care plan with specific health outcomes.

DUTIES & RESPONSIBILITIES:

· Work collaboratively to ensure thorough and timely monitoring and progress of up to 60 clients toward their Care Plan goals.

· Review Care Plan monthly and check the intensity level of identified client to confirm service needs are met.

· Interact with client and/or client caregivers to guarantee continuity of care, patient adherence to care plans, and identification of barriers preventing adherence to care plans.

· Track all medical, behavioral, substance use, and other network referrals made for clients. Follow up on referrals and scheduled appointments, through accompaniment when necessary.

· Provide outreach via phone to clients to ensure appropriate follow up regarding self-care, medication refills, Care Plan adherence, scheduled office visits, test results/lab work, and all other pertinent psycho-social issues.

· Physically outreach clients who have been non-adherent to necessary treatment appointments or have missed appointments for initial visits with new providers. Make reminder phone calls to patients for all appointments.

· Ensures that relevant care team members receive important client alerts, including ER visits, hospitalization admission/discharge information, and other urgent care notifications.

· Track client progress through a combination of written work, agency databases, health home data system, and case conferences with the Care Team. Document and maintain case records in the agency database. Complete all data entry within a 24-hour time frame.

· Become familiarized with service providers in the Health Home network and maintain a comprehensive list of contact information for key personnel within the network.

· Always represents Alliance with the highest level of professionalism and respect.

· Monitor client entitlements, insurance, and other benefits to ensure they remain active and in place. Assists with reinstatement of said benefits.

· Participate in initial and ongoing training as necessary to maintain a level of knowledge related to serious physical ailments as defined by Health Home regulations.

· Attend all scheduled All-staff Agency, Program, and Bucket meetings or any other meeting your supervisor or the funder decides.

· Commitment to continued learning

· Attend, In-Person, a minimum of two annual agency events for clients (i.e. World AIDS Day, PREP Graduation, Poetry Reading, etc.)

· Fundraise or donate (give or get) $150 annually.

· Other duties as required to meet the mission of the agency and Client Services department.

QUALIFICATIONS: Bachelor’s degree in health or human services field required and one-year working with an underserved population through employment, volunteer work, and/or internships; Experience with chronic disease and HIV/AIDS, substance use, mental Illness, or the Lesbian, Gay Bisexual and Transgender (LGBT) population. Bi-lingual in French, Creole, or Spanish preferred. Excellent written and verbal communication skills required. Belief in Alliance’s mission and work is desirable. Strong commitment to diversity, equity, and inclusion required. COVID-19 vaccination required.

Pay: $50,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Tuition reimbursement
• Vision insurance

Work Location: In person