Company: Sun River Health
Posted on: June 8, 2021
Sun River Health provides the highest quality of comprehensive
primary, preventative and behavioral health services to all who
seek it, regardless of insurance status and ability to pay,
especially for the underserved and vulnerable. Sun River Heath is a
Federally Qualified, Non-Profit Health Center serving communities
in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia
and Westchester County. Sun River Health is currently seeking a
full-time Care Manager based in Suffolk County.
A Care Manager provides care management for specified patients
in need of care management at Sun River Health. These patients may
be referred by providers/clinical team; or enrolled in NYS Health
Home Program or be included in care management as part of a grant,
insurance program or disease specific program. Links patients to
preventive and primary health care services including care for:
acute, chronic and communicable diseases; dental services; prenatal
care and family planning; WIC and other nutrition services;
pediatric care and immunizations; and behavioral health or
substance abuse programs as needed. This includes assistance with
community resources, social services, and referrals. This position
will be responsible for proper and timely documentation with ECW
and any designated care management software, as well as
communication with internal and external referral sources. Performs
other duties as assigned on an as needed basis.
Essential Duties and Responsibilities of a Care Manager:
Responsible for completing outreach and subsequent intake
activities using required forms and documents as required. This may
include program specific additional consents and assessment tools.
Document as directed in ECW and designated program software.
Consult with multidisciplinary team on client's care
plan/needs/goals. This may include participation in case
conferencing. May also include family members and social
Responsible for referring patients to needed services as
directed by provider to support care plan/treatment goals;
including medical/behavioral health. Responsible for release of all
necessary clinical information to specialist referral; tracks
referral appointments and obtain consultant reports with
appropriate consent for release of information and documents
process in eCW per HRHCare procedure and designated software for
Consult with health care team to link patient to community/
social services programs and entitlements: including application
assistance; transportation assistance; translation services;
housing services; self-help recovery and self-management programs
as needed. Document.
Conduct client outreach and engagement activities at least
monthly to evaluate for on-going emerging needs and to promote
continuity of care and improved health outcomes. Document.
Follow up with Hospitals/ ER upon notification of admission or
discharge and coordinate with health care team to facilitate
communication of the event and transition of care services, to
include, but not limited to medication reconciliation with the
health care team as per policy.
Assist patient in developing plans and community supports to
overcome obstacles that would prevent them from receiving needed
- Provide basic instruction/health education to clarify provider
instructions, procedures and referral needs.
Minimum Education Requirement:
High School diploma/ GED
- Credntialed Alcohol and Substance Abuse Counselor in Training
optional for Substance Abuse Program only. Previous experience
working with underserved communities.
Preferred Education Requirement:
- Associate's degree with CASAC-T
Minimum Work Related Experience: 2 - 4 years
Preferred Work Related Experience: 5 - 8 years
Keywords: Sun River Health, New Haven , Care Manager, Other , Amityville, Connecticut
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