Care Manager

At The New York Foundling, we trust in the power and potential of people, and we deliberately invest in proven practices. From bold beginnings in 1869, our New York-based nonprofit has supported hundreds of thousands of our neighbors on their own paths to stability, strength, and independence.  We help children and families navigate through and beyond foster care. We help families struggling with conflict and poverty grow strong. We help individuals with developmental disabilities live their best lives, and we help our neighbors access quality health and mental health services—core to building lifelong resilience and wellbeing. Together, our interrelated programs provide a whole-person, whole-family, and whole-life approach that unlocks solutions for a lifetime.

The Health Homes Care Manager is an incredibly important part of our team.  The Care Manager's role is to help children 0-21 years of age who struggle with complex medical, mental health, and/or psychosocial needs.  In this field-based position, Care Managers work closely with the child and their families to assess clinical, care coordination, access issues, and support needs, and to partner with families to develop a patient-centered Individualized Plan of Care. This plan helps to integrate all of the child's clinical and support providers, and to identify and problem-solve for unmet needs. 

• Responsible for the creation and management of the patient's Individualized Plan of Care, driven by the patient needs.
• Through the Plan of Care, the care manager is able to:
• Conduct face to face visits for the patient and their caregiver(s) on a monthly basis per their acuity level within the 5 boroughs
• Conduct check-ins and coordination with families and other service providers by phone, email, and telehealth, as needed
• Support adherence to treatment recommendations through check-ins, appointment reminders, facilitating transportation needs(e.g. Arranging medicaid transportation), following up after ER visits, problem-solving for medication access barriers, etc.
• Monitor and evaluate a patient's needs, including prevention, wellness, medical, mental health, care transitions, and social and community resources where appropriate
• Meet care management documentation requirements in a timely and accurate manner by effectively utilizing designated electronic record and communication management systems
• Promote wellness and prevention by linking patients with resources and services, based on their individual needs and preferences.
• Identifiy available community-based resources and actively manage referrals, access, engagement, follow-up, and coordination of services
• Attend and participate in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position
• Advocate for patients within the agency and with external providers
• Responsible for completing the Child and Adolescent Needs and Strengths (CANS) assessment, crisis plan, information sharing consents, and other documents as required by the NYSDOH and other oversight agencies

The New York Foundling is committed to attracting and retaining a diverse employee population, the Foundling will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

• Bachelor of Arts or Science in Psychology, Sociology, or Social Work with two years of relevant experience OR
• A license as a Registered Nurse with two years of relevant experience OR a Masters in Nursing and one year of relevant experience
• Working knowledge of the provision of health care in a variety of settings
• Ability to work directly in the field (homes, schools, health centers) with families with complex needs, including children with chronic medical conditions, Medically Fragile, Developmental Delay, Severe Emotional Disturbance, placement in foster care, and histories of trauma.
• Ability to travel to assigned operational areas/facilities and patients homes within the 5 boroughs regularly, in combination with remote work and time in the New York Foundling central office in Manhattan
• Ability to have a flexible working schedule to accomodate working families
• Demonstrated strong commitment to safety