MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. POSITION OVERVIEW The HARP Care Manager develops, facilitates, and communicates a plan of care in partnership with the member, his/her assigned Health Home, primary caregiver, the primary and attending physicians, and various Behavioral Health and/or Substance Use Disorder providers. In partnership with these parties, the HARP Care Manager assesses, plans, facilitates, and advocates for options and services to meet a HARP member’s complex health needs through communication and available resources. In addition, the HARP Care Manager is responsible for scheduling aftercare follow-up for members discharging from an acute behavioral health inpatient setting. This position ensures that members have a scheduled appointment in place, completes follow-up and reminder call to member and follows up with providers to ensure member’s compliance with aftercare. This position requires that most case management activities will be performed in field via community and facilities outreach. Work Shifts 9:00AM-5:00PM Duties educating CMA workers about PROS and IOP options for members who opt out of receiving CORE/HCBS. Assist providers with achieving pay for performance goals and examine the feasibility of Value Based Payment with high volume providers for HARP line of business. Educate providers on medication and treatment compliance while also promoting the use of Long Acting Injectables. Enlist existing provider network in promoting first episode psychosis treatment. Educate providers to alternate treatment services being promoted by Health + Hospitals in lieu of Inpatient Detox Attends and prepares for bi-Weekly Interdisciplinary Care Team (ICT) meetings which will feature newly enrolled, frequently admitted, high utilizing at risk HARP members. Oversee the coordination and delivery of comprehensive, quality healthcare and services for all members requiring care management in a cost-effective manner. Evaluate housing needs appropriately and assist with housing application process. Collaborating timely with MetroPlusHealth internal housing team for supportive assistance. Assist members with the coordination of services from various settings as appropriate. Including facilitating discharge from acute setting and alternate settings. Provides Care Coordination throughout the continuum of care. Optimizes both the quality of care and the quality of life for the MetroPlusHealth members. Identifies members appropriate for specialty programs. Documents in a comprehensive manner to ensure that all goals, interventions, and care coordination activities for each member in DCMS (EMR) system, and other applicable software programs, are complaint with professional standards and regulatory guidelines. Contributes to MetroPlusHealth corporate goals through ongoing execution of member care plans and member goal achievement. Performs other appropriate HARP Behavioral Health duties and participates in other special projects as assigned, including, but not limited to, audit review and preparation, quality improvement, community health education, facility/provider relations and marketing activities. Minimum Qualifications Master’s Degree required Overall, 3-5 years of Behavioral Health (Serious Mental Illness
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