Care Manager-Health & Wellness Care Coordination

POSITION SUMMARY The Care Manager provides outreach to all Care Management assigned patients and establishes a comprehensive care plan. The Care Manager supports the monitoring of patient outcomes and ensures the completion of various health screenings.  The Care Manager arranges and follows up on all external and internal referrals for Wheeler services. Wheeler Health & Wellness provides an integrated, comprehensive continuum of patient-centered primary care, behavioral health and community resources to enhance health equity and achieve the triple aim of health reform:  improve health, reduce costs & increase quality.   Hourly Rate $22.00 EDUCATION AND EXPERIENCE/QUALIFICATIONS Bachelor’s in social work, psychology, or other human services related field plus at least 1 year of related experience or a High School Diploma/GED and 5 years related experience.  Case management experience in a health care setting is preferred. Knowledge of Connecticut community resources and organizations. Spanish speaking is preferred.   Exhibits strong interpersonal, critical thinking and problem-solving skills. Good written and communication skills. Excels in efficiency and time management skills. Maintains a calm demeanor and practices active listening skills. Ability to provide empathy and compassion to population served. Demonstrates proficiency in Microsoft Office applications and other software programs. LOCATION Bristol, CT   SCHEDULE Full time   EMPLOYEE BENEFITS At Wheeler, we're committed to not only supporting your career growth but also ensuring your well-being and security. Here's how we invest in you:   Nurture Your Health: Comprehensive medical and prescription insurance through Centivo Comprehensive dental and vision insurance through Cigna Access to wellness programs to support your physical and mental health Secure Your Future: Enjoy peace of mind with company-paid life and AD&D insurance 403(b) Plan, with contributions from the company Fuel Your Career Growth: Pursue your educational goals with our Education Reimbursement Program Access training and development opportunities, including supervision towards licensure Qualify for the National Health Service Corps (NHSC) loan repayment programs Receive a productivity incentive to recognize your hard work and dedication Get reimbursed for licensure/certification expenses Maintain Work-Life Harmony: Recharge with generous paid time off, including: 15 vacation days per year to explore and recharge 8 sick days per year for your well-being 2 personal days per year for your personal needs 2 floating holidays per year to celebrate what matters to you 9 paid company holidays to spend with loved ones Access free and confidential counseling through our Employee Assistance Program (EAP)   ESSENTIAL DUTIES AND RESPONSIBILITIES Provides outreach to all Care Management assigned patients and establishes comprehensive person centered care plans. Follows up on any missed appointments, referrals, medication refills and social determinants of health concerns. Collaborates and actively communicates with individuals from the patient’s interdisciplinary care teams and addresses any barriers or concerns that would impact patient health outcomes.  Lead driver in addressing and coordinating Health and Wellness Center services based on the needs identified in the individualized patient centered care plan. Supports the monitoring of patient adherence to Care Plan and follows up with patient, provider and integrated care team for wrap around services to enhance patient treatment by identifying barriers and resources and navigating access to care. Conducts health care screenings when necessary to facilitate the coordination of services and resources. Provides timely documentation of care coordination efforts, as indicated. Supports clinical best practices and patient centered care plans to help patient reach wellness and social goals, including ensuring the completion of and assistance with social determinants of health and other relevant screenings. Maintains a working knowledge of the resources available in the community and provides appropriate referrals. Provides telephonic and telehealth support to patients to assist in navigation of health system, external supports and learning self-management goals. Utilizes external systems to obtain relevant patient information and reports to support tracking of client activities in the community. Maintains competencies to meet expectations in all position-specific key performance indicators. Pursues and utilizes available trainings and staff development opportunities, to enhance knowledge and growth with the agency. Continues to develop knowledge and understanding about the history, traditions, values, family systems, and artistic expression of groups served as well as uses appropriate methodological approaches, skills, and techniques that reflect an understanding of culture.

Salary : $22