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Health Home Care Coordination Program Manager - Specialty Mental Health/Assisted Outpatient Treatment (req 100994)

Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206)

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Description

Be a part of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible to our diverse community.

WYH has a robust benefits package including generous time off, affordable health, dental and vision insurance, 401k with safe harbor employer match, tuition reimbursement, term life insurance, commuter benefits and more!

GENERAL RESPONSIBILITIES:

The Health Home Care Coordination Program Manager provides oversight for the daily operations of the Health Home serving SPECIALITY MENTAL HEALTH/HEALTH HOME PLUS (HH+)/ASSISTED OUTPATIENT TREATMENT (AOT). Central to this role, is routine supervision in the conduct of specialty mental health assessments, enhanced service plans, and intensive care coordination activities. Designed to reduce hospitalizations while addressing the medical, behavioral health, community services and social determinants of health; for participants with the highest needs possessing Severe Persistent Mental Illness coupled with co-occurring substance use disorders and chronic medical conditions.

SPECIFIC RESPONSIBILITIES:

+ Provides program oversight and supervision for Health Home Care Coordinators serving , HH+/AOT including staff development and required training.

+ Provides oversight assignments for internal/external referrals;

+ Facilitates care manager admission process for the health home serving HH+/AOT, ensuring timely and appropriate case assignments.

+ Performs utilization review and specialty chart audits necessary to ensure accurate/complete care coordination documentation.

+ Monitors care coordination workflows for HH+/AOT embedment(s) across WYH network of care.

+ Possesses a working knowledge and application of the electronic platforms adopted by the Lead Health Home(s) and other DOH reporting systems and is a super user/trainer for all software utilized for documentation purposes.

+ Monitors care coordination caseloads to ensure stratification and acuity.

+ Facilitates continuity of care meetings with Managed Care Organizations (MCO), Local Government Unit (LGU) regarding high risk, high service utilization for HH+/AOT.

+ Submits monthly reporting and documentation as required by the lead health home, OMH, DOH and WYH, including but, not limited to care manager notes, specialty assessments, enhanced plans of care/AOT stipulations, census reports, HML reports and billing reports in a timely manner.

+ Facilitates weekly WYH Care Coordination Case Conference.

+ Serves as the HH+/AOT liaison to the Lead Health Home, LGU and Office of Mental Health; provides capacity reporting and stratification results.

+ Monitors, reviews and ensures completion of care coordination activities and Action Boards

+ Manages patient lists supplied by the Lead agency, LGU, community based and WYH referrals.

+ Oversees outreach, diligent search and care coordination activities necessary to engage/re- engage patients in the program.

+ Reviews and submits care coordination documentation as to ensure fulfillment of billing in accordance with Medicaid/DOH requirements.

+ Serves as a resource for WMY departments and outside community based organizations to increase referral base and program census.

+ Participates in the Interdisciplinary Team Meeting, Diversion Meeting and department meetings as assigned.

+ Monitors, reviews and disseminates ADULT/HARPS assignments to ensure care coordinator fulfill of productivity standards.

+ Ensures all patients receive monthly CORE care management services.

+ Demonstrates excellence in both internal and external customer service.

+ Displays an awareness and sensitivity to the diversity of the population to be served.

+ Understands and is able to articulate HIPAA compliance, corporate compliance and patient confidentiality and DOH 5055.

+ Ensures compliance with local, state, and federal regulation (i.e., Joint Commission, NCQA, NYSDOH, Lead Health Home).

+ Adheres to the National Patient Safety Goals as defined by NCQA and Whitney M. Young Jr. Health Services.

+ Completes other duties, as assigned.

Requirements

MINIMUM QUALIFICATIONS:

A Bachelor’s Degree in a qualifying field and two (2) years of experience working with Serious Persistent Mental

Illness (SPMI), Intellectual/Developmental Disabilities (I/DD), Alcoholism/Substance Abuse (SUD); OR

possession of a Credentialed Alcoholism and Substance Abuse Counselor (CASAC) and two (2) years of experience.

OR a Bachelor’s Degree or higher in ANY related field with either three (3) years of experience, or two (2) years of

experience serving as a Health Home Care Manager serving the SMI population.

PREFERRED QUALIFICATIONS:

Master’s prepared licensed level health care professional in a qualifying field and (1) year of experience supervising

clinicians or care coordinators who are providing direct services to individuals with SPMI or SUD.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status.

Salary range: $59,000 - $68,000 annually