Cornerstone Family Healthcare is actively recruiting for a Care Manager to join our growing team in Poughkeepsie. 

RATE OF PAY/SALARY: $25.00 per hour

WORK LOCATION(S): Poughkeepsie, NY

STATUS: Full-Time

Schedule: Monday-Friday 9AM-5PM

CORNERSTONE’S MISSION: 

Cornerstone Family Healthcare is a non-profit Federally Qualified Health Center with a mission to provide high quality, comprehensive, primary and preventative health care services in an environment of caring, dignity and respect to all people regardless of their ability to pay.  For more than fifty years, Cornerstone has been responsive to meeting the needs of the communities in which we serve with a continued emphasis on the underserved and those without access to health care regardless of race, economic status, age, sex, sexual orientation or disability. 

CORNERSTONE BENEFITS: 

Competitive salaries   I   Health Benefits   I   Retirement plan   I   Paid Time Off   I   Sick Time I  Flexible Spending  I   Dependent Care  I   Paid Holidays 

Job Duties:

• Engage new HH clients into service and maintain engagement in care coordination.
• Conduct intake and comprehensive health assessments/reassessments, identifying mental health, chemical dependency and social service needs.
• Develop comprehensive, measurable, goal-oriented care plans in collaboration with interdisciplinary team of external providers. The care plans must clearly identify and integrate the entire continuum of care, addressing all needs identified by the comprehensive assessment.
• Advocate and assist clients in obtaining and maintaining entitlements and housing.
• Assist and support clients in treatment adherence recommendations, including prevention, wellness, recovery, and care transitions.
• Refer and follow-up on referrals for clients to ensure medical stabilization. 
• Closely coordinate all hospital discharges with hospital or acute care settings to ensure thorough implementation of the discharge plan, and follow-up on recommendations from the ER, hospital or acute care facility.
• Assist clients and their families in resolving barriers to obtaining medical services.
• Escort clients to appointments when necessary to increase medical adherence.
• Conduct home and field visits.
• Maintain on-going contact with interdisciplinary team of medical providers, acting as team leader for the client’s care coordination activities.
• Provide crisis intervention when required.
• Meet and maintain program productivity standards.
• Maintain Electronic Health Record and all required electronic data.
• Track and maintain a system of patient medical appointments, labs and other critical time-sensitive activities required to maintain the client’s health.
• Complete all program standards documentation as required.
• Participate in supervision and program review each week.
• Attend and participate in monthly department, All Staff and other required meetings. 
• Be familiar with Cornerstone policies and procedures and the Employee Handbook. 
• Maintain confidentiality of all aspects of Cornerstone including, but not limited to, patient confidentiality, financials, and employee relations. 
• Perform other related duties as assigned

•  LPN with 1 year of experience providing case management or medical coordination among multiple providers; OR Bachelor's Degree in Social Work or related degree with some experience/knowledge in one of the following areas: case management, chemical dependency, mental health, and/or human services; 
• Computer experience must include Microsoft Word and Excel. Experience with Electronic Health Records (EHR) data entry is a plus. Access to a car and valid driver’s license are also required.      
• Bilingual (English/Spanish) is a plus.
• Travel/Time Requirement:  Must have a valid, unrestricted driver’s license and independent means of transportation for frequent travel to locations throughout the assigned county as well as to the offices of Cornerstone.