Job Description

Job Description

Job Description

Description:

The health services that became the Anthony L Jordan Health Corporation (Jordan Health) began more than 100 years ago, in 1904. As one of the first 5 Federally Qualified Health Centers (FQHC) established in the nation, its roots are steeped in service to those who face barriers to health and health care, meeting their need for comprehensive medical, dentistry, behavioral health, and community services. Starting in northeast Rochester, NY, Jordan Health has since expanded to become a network of primary care offices and health centers serving residents living in three quadrants of Rochester, NY and in Canandaigua, N.Y.

Jordan Health is now seeking a Health Home Care Manager who, under the guidance of the Director of Social Emotional and Mental Health, is primarily responsible for working in conjunction with a care team to identify and proactively manage the care needs of high risk patients within the Federally Qualified Health Center practice setting.

If you want to apply your specialized experience and education in an environment where you can make a difference and significantly impact patients’ quality of life, please consider our Health Home Care Manager opportunity.

The Health Home Care Manager will ensure to:

· Develop a plan of care that promotes improved health care outcomes and quality of life informed by the patient’s goals, strengths, and barriers.

· Provide comprehensive care management including self-management support, health promotion, connection/referral to appropriate physical, mental health, or substance abuse providers as well as community-based organization social supports to decrease the barriers preventing the patient from attending appointments and following the plan of care.

· Facilitate care coordination with primary or specialty medical care as well as acute and outpatient/inpatient medical, mental health and substance abuse services, and other care managers involved in supporting the individual.

· Provide culturally competent interventions based on patient assessment and identified cultural needs.

· Develop an intervention plan that addresses events such as emergency department visits, inpatient admissions or other crisis events to ensure planned crisis interventions are effective and result in necessary modifications to the plan of care and addresses potential need for additional support services.

· Review patient progress no less than quarterly.

· Participates as a member of the care team.

Education and Experience Required:

· BSW/Human Services or other related field with 5 years care management experience.

· Excellent communication skills and ability to form collaborative partnerships across all serving settings.

· Bilingual preferred.

· Working knowledge of the provision of health care in a variety of settings.

Licenses and Certifications:

· Valid driver’s license

· Infection Control Certificate

· BLS Certificate through the American Heart Association.

Special Skills, Knowledge Required:

· Excellent communications skills

· Ability to form collaborative partnerships across all service settings.

· Working knowledge of the provision of health care in a variety of setting.

· Bilingual preferred.

Benefits: Jordan Health offers a competitive salary and full benefits offering including medical, dental, vision, life insurance, and 403b retirement plan. We offer Professional Development allowance.

Jordan Health offers equal opportunities to all persons without regard to race, color religion, age, sex, disability, national origin, ancestry, citizenship, military or veteran status, marital status, sexual orientation, domestic violence victim status, predisposing genetic characteristics or genetic information, or any other status protected by law.

About Jordan Health:

Jordan Health is an independent FQHC, with Level III Patient-Centered Medical Home (PCMH) designation through the National Committee on Quality Assurance. Jordan Health receives funding from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services. Jordan Health is a network of outpatient primary care offices with providers who follow a panel of patients. While independent, Jordan Health actively collaborates with the major hospital and healthcare systems in our operating area to provide a total safety net of healthcare services.

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