This position will focus on ensuring that members receiving care management services have plans that effectively meet their medical and behavioral health needs.

This will be done by:

• Evaluating services and supports, with a goal of ensuring that social determinants of health are addressed.
• Interfacing with community supports, like hospitals, behavioral health IPAs, and NYS START programs, to intervene where appropriate to support emerging and predicted population needs.
• Training the care management team on a variety of health-related topics and offering immediate support to the care management team in navigating the various and sometimes disparate health systems

Supervisory Responsibilities:
None.

Essential Duties and Responsibilities:

• Review case specific information and provide time limited clinical consultation to care managers, with a goal of coordinating service delivery.
• Liaise with community providers and state agencies to identify high risk cases and work towards development of preventive interventions.
• Assist care managers with the interpretation of assessments and screening tools, recommend additional screening or assessment when appropriate.
• Interface with the Staff Development and Quality Assurance departments to identify and, at times, deliver training content to improve the capacity of the care management staff. Educate the care management team on diagnoses, health conditions and medications.
• Review data from Regional Health Information Organizations (RHIO) and provide time limited discharge planning assistance to care managers, to ensure that the plan is in the best interest of the individual.
• In partnership with care managers, assess safety concerns in an individual’s environment to promote accessibility and mobility, as well as to provide instruction in patient safety.
• Maintains confidentiality.
• Performs other duties, as assigned.
• Must possess a valid Driver’s License from New York, or a contiguous state (i.e., Connecticut, New Jersey, Pennsylvania, and Vermont) OR Must have the ability to take ample public transportation to attend meetings in person in the community and in the office as needed.

• Clinical Comprehension.
• Results Driven.
• Decision Making.
• Problem Solving/Analysis.
• Communication Proficiency.
• Organization Skills.
• Teamwork Orientation.
• Time Management.
• Customer/Client Focus.

Education and Experience:

• Register Nurse or LPN, with two years’ experience in behavioral health, medical, and/or mental health services.
• Working knowledge of working and understanding of the needs of individuals with I/DD.
• Experience providing direct service and intervention to individuals in the community, preferably with some experience in crisis services, substance abuse treatment, or continuity of community health supports.
• Absolute sense of integrity and personal commitment to serving people with I/DD and their families.
• Excellent interpersonal, public speaking, and written communication skills.
• Ability to work autonomously.
• Demonstrated leadership abilities.
• High level of professionalism, respect, and ability to work in a team environment.

Physical Requirements:
Prolonged periods sitting at a desk and working on a computer.