SUPERVISOR: Health Home Assistant Director
HOURS: M-F 8:30am-5pm, Flexible as needed
CLASSIFICATION: Full-Time/Hourly/Non-Exempt TRAVEL / LOCATION: Barton Street (primary)

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JOB SUMMARY: *The Children’s Care Manager facilitates a planning process that builds on the youth and families’ strengths, enhances supports and promotes stability, wellbeing and self-sufficiency. The Children’s Care Manager is also the Ongoing Service Coordinator for dually enrolled infants and toddlers in the Children’s Health Home and Early Intervention programs. This position requires considerable independence and latitude for action under the direction of the Health Home Assistant Director.

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QUALIFICATIONS:*

• Bachelor of Arts or Science with 2 years or relevant experience, OR NYS Licensed RN with 2 years of relevant experience, OR Masters with 1 year of relevant experience.
• Experience serving youth and families in child welfare, I/DD, EI, behavioral health, medical, or social services.
• Must be able to travel between JRCHC sites, in the community, and to patient homes.
• Jericho Road may pursue a waiver to education requirements through the NYS DOH for highly qualified and competent internal applicants that would help meet the unique needs of vulnerable populations that would otherwise not be met (example a multi-lingual candidate). This waiver is granted at the discretion of NYS DOH and is not decided by Jericho Road.

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Essential Job Duties*

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COMPREHENSIVE CARE MANAGEMENT*

• Maintain assigned caseload of children and youth ranging in age from 0-21.
• Administer the CANS-NY. To evaluate strengths and needs of child and family every six months and as indicated.
• Complete comprehensive assessment that identifies medical, behavioral health, chemical dependency and social service needs annually.
• In partnership with the family, develop a family-driven youth-guided plan of care, that integrates that continuum of service needs and clearly identifies those directly involved in the child’s care as well as goals and timeframes for improving the child’s health and interventions that will produce this effect.
• Update and review plan of care at minimum every six months and share plan with all consented members of the interdisciplinary team.
• Review and update individualized Family Service Plan for EI participants.
• Provide the required number of core services, contacts and face-to-face visits according to child/youth acuity.
• As goals are met and needs decrease prepare child and family for graduation from program.
• Assist with outreach and engagement efforts as needed.

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HEALTH PROMOTION & CARE COORDINATION*

• Support adherence to treatment recommendations.
• Link child to needed services to support well-being and goals.
• Identify and resolve any situations in which conflicting treatment is being provided, as appropriate.
• Advocate on behalf of the client to ensure all care team members are informed of current treatments and preferences of the child or family, escalating any instances in which care team members are not responding.
• Escalate care management to practice-based resource when medical assessment is needed.
• Schedule and attend regular care reviews with all members of the care team to monitor the child’s condition.
• Share plan of care with all consented members of the interdisciplinary team.
• Coordinate with treating providers to assure that services are provided and that changes in treatment or medical conditions are addressed.
• Monitor, support and if indicated accompany the child and family to scheduled appointments.

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COMPREHENSIVE TRANSITIONAL CARE*

• Follow up with notification of child’s admission and/or discharge to/from an ER, hospital, residential, or rehabilitative setting to assure follow-up appointments are scheduled, ordered medications have been received, and other needed services are in place and provided to avoid gaps in care.
• Link child/family with Jericho Road nurse and/or clinical pharmacist for support while transitioning between care settings as needed.

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CHILD & FAMILY SUPPORT*

• Utilize peer supports, support groups and self-care programs to increase youth and family knowledge about their needs, engagement and self-management capabilities, and to improve adherence to prescribed treatment.
• Utilize appropriate consideration for language, literacy and cultural preferences when communicating with youth and families.
• Refer youth and family to peer supports, support groups, social services, and programs as needed.

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COMMUNITY & SOCIAL SUPPORT SERVICES*

• Identify high-risk children that may be eligible for HCBS waiver, conduct HCBS level of care eligibility determination, obtain authorization from managed care and coordinate services with HCBS provider.
• Identify available community-based resources and link child and family with community supports as needed.
• Assist department leadership in establishing and maintaining relationships with child serving organizations.

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DOCUMENTATION*

• All services provided, and contacts made are documented within Netsmart in a timely manner.
• CANS-NY and HCBS/LOC assessments are recorded in UAS-NY system.
• Utilize Medent to communicate with Jericho Road care team members.

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REQUIRED TRAINING & DEVELOPMENT*

• Complete CANS-NY online training and become certified with 30 days of hire and achieve a 70% or higher on exam annually to maintain certification.
• Participate in 1:1 and group supervision.
• Attend all mandatory trainings and department meetings.
• Participate in continuing education as needed to maintain a level of expertise in the field.

Job Type: Full-time

Pay: $19.00 - $20.00 per hour

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