Health Home Care Manager

Overview Catholic Charities is seeking a full-time Health Home Care Manager for our Care Coordination Services Department through CHHUNY, Children's Health Home of Upstate New York. The ideal candidate will coordinate both the recruitment of children identified with chronic physical and behavioral health conditions and the delivery of person-centered culturally sensitive New York State Health Home Care Management services for youth and families within Western New York. Care Managers work as part of a multidisciplinary team of providers to ensure youth and families have access to needed services to increase wellness self-management and reduce avoidable emergency room visits and/or hospitalizations. Catholic Charities is non-profit human services agency that strives to empower individuals, children, and families across the eight counties of Western New York. For more than 100 years, Catholic Charities of Buffalo has provided HOPE to individuals and families of all faiths, backgrounds, and circumstances. As the most comprehensive provider of human services in Western New York, Catholic Charities delivers wide-ranging programs to address systemic poverty, sudden financial crisis, hunger, behavioral health, workforce readiness, family stability, legal immigration and resettlement, and help for older adults. As a trauma-informed agency, we strive to support the total wellbeing of clients and employees. Catholic Charities prioritizes wellness and diversity through various committees such as: CARE (Compassion, Acceptance, Respect for Everyone) Committee to create an inclusive environment where every individual feels seen, heard, and valued; Trauma-Informed Care (TIC) Committee to lead agency efforts in creating and maintaining a trauma-informed workplace; Wellbeing Committee to empower staff to reach their full potential through personal wellness and community support; and the Safety Committee to maintain a physically and psychologically safe and welcoming environment for all. Job Responsibilities - Employs a culturally sensitive, person-centered planning approach to service delivery - Maintains regular and substantial home/community-based contact with families - Conducts timely comprehensive assessments of youth and family strengths and needs as required. - Advocates for and develops family self-sufficiency plans (with clearly defined goals and objectives) targeting assessment results, and utilizing natural and community services (e.g. benefits, medical, behavioral, residential, health and wellness activities, etc.) - Develops and updates service strategy care plans and conducts timely routine Interdisciplinary Team Meetings with all relevant service providers to facilitate coordination of services via an integrated care approach. - Works with Care Manager Supervisor to identify and develop an inventory of resources to meet the needs of families. - Completes and maintains client records and required documentation in accordance with Catholic Charities, NYSDOH and Medicaid standards, including timeliness & comprehensive content, to enable third party reimbursement. - With the Care Management team, develops, implements, and complies with CCB's Performance Quality Improvement (PQI) processes, activities and initiatives. - Tracks service provision, output, outcome, and youth & family satisfaction in adherence of CCB's Care Management program and Encompass Health Home contract. - With Care Management team, develops and implements strategies to raise family and community awareness about CCB's Care Management program and Encompass Health Home. Leverage CCB's services (e.g. programs serving youth and families; PR/Communications- social media and webpage promotion) to foster intra-agency collaboration, as well as to strengthen external collaborations. - Represents Catholic Charities of Buffalo, the Care Management program and Encompass Health Home in the community and with other service providers - Knows and exemplifies Catholic Charities' an…