Health Home Program Manager - ADULT/HARPS (Req 101037)

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 at Whitney Young Health (WYH) provides oversight for the daily operations of the Health Home serving ADULTS/HARPS. Central to this role, is routine supervision in the conduct of specialty assessments, service plans, and care coordination activities; designed to address the medical, behavioral health, community services needs and social determinants of health for participants who possess chronic mental health, substance use conditions and medical co-morbidities.

SPECIFIC RESPONSIBILITIES:

• Provides program oversight and supervision for Health Home Care Coordinators serving the ADULT/HARPS population, including staff development and required training
• Provides oversight for internal/external referrals
• Facilitates care manager admission process for the health home serving ADULTS/HARPS, ensuring timely and appropriate case assignments.
• Ensures timely completion of Specialty HARPS Assessments for all participants
• Performs utilization review and chart audits necessary to ensure accurate/complete documentation. 
• Monitors care coordination workflows for ADULTS/HARPS embedment(s) across WYH network of care.
• Possesses a working knowledge and application of the electronic platforms adopted by the Lead Health Home(s), other DOH reporting systems and WYH- 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) regarding high risk, high service utilization for ADULT/HARPS. 
• Submits monthly reporting and documentation as required by the lead health home, DOH and WYH, including but not limited to care manager notes, specialty assessments, plans of care, HML/acuity and HCBS in a timely manner.
• Facilitates Case Conference for ADULTS/HARPS care team 
• Serves as the ADULT/HARPS liaison to the Lead Health Home; and conducts capacity reporting and case load stratification 
• Monitors, reviews and ensures completion of care coordination activities and action boards    
• Manages patient lists supplied by the Lead Health Home(s) including community- based 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 WYH departments and outside community based organizations to increase referral base and program census.
• Participates in Team Meetings, Diversion and Coordination of Care meetings 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 served
• Understands and is able to articulate HIPAA compliance, corporate compliance, 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), or 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 SMPI 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: $63,000 - $68,000 annually