Senior Care Manager in Cardiff

Department: Prevention and Intervention

Reports To: Senior Director of Health Homes

Location: 56 Bay Street, Staten Island, NY 10301

Position Status: Full-Time

FLSA Status: Non-Exempt

Pay & Benefits: The pay range for this role is generally $46,300 - $51,300 commensurate with relevant experience and qualifications and in alignment with internal equity. Additionally, we offer an excellent benefits package that includes generous paid time off (4 weeks of vacation plus paid holidays, personal, and sick time), medical, dental, vision, supplemental benefits including employer provided basic life insurance and employee assistance programs, tuition reimbursement and fitness reimbursement after 1 year of employment, a retirement plan that includes employer matching, and more!

Community Health Action of Staten Island (CHASI) drives dramatic improvements in the health of New Yorkers by feeding people who are hungry, healing families broken apart by violence, and bridging the gaps between people and the compassionate health care they deserve. CHASI provides outreach, education, prevention, and direct support services for populations most affected by health disparities – people with low or no income, low-income people with chronic illnesses, people with criminal justice involvement, people who use drugs, domestic violence survivors, people of color, and the LGBTQ community.

POSITION SUMMARY

The Health Home program ensures persons living with chronic illness get the care and services they need. This may mean fewer trips to the emergency room or less time spent in the hospital, getting regular care and treatment from providers, or obtaining food and a safe place to live. The Health Home Senior Care Manager acts as care management lead and provides assistance to the Senior Director of Health Homes with daily program operations while ensuring the quality of care for clients and adherence to program standards. The Health Home Senior Care Manager is responsible for tracking engagement, reviewing program documentation such as HARP eligibility Assessments or Plans of Care, and the provision of adequate support for Health home clients. The Health Home Senior Care Manager is an integral part of the team in promoting program services, establishing referral sources and maintaining relationships with service providers to coordinate care for the community. The Health Home Senior Care Manager will consistently exhibit core values of teamwork, advocacy and exceptional customer service.

DUTIES & RESPONSIBILITIES

• Manage a caseload of high-acuity clients, ensuring the delivery of comprehensive, person-centered care in alignment with Health home program standards.
• Monitor client-level engagement and overall program performance to ensure quality service delivery and timely interventions.
• Ensure continuity of care by providing case management services during staff vacancies or absences.
• Review and approve client documentation, including assessments and care plans, to ensure accuracy, timeliness, and compliance with regulatory and programmatic requirements.
• Track and maintain up-to-date documentation for HARP/CORE eligibility assessments and Plans of Care (POCs), ensuring alignment with state and program guidelines.
• Facilitate the progression of eligible clients through the HARP/CORE process to secure timely access to Home and Community-Based Services (HCBS).
• Oversee client enrollment, eligibility verification, and assignment processes to ensure efficient and appropriate service allocation.
• Deliver crisis intervention and employ de-escalation techniques to manage urgent client needs and ensure safety.
• Analyze program data and complete performance reports to monitor compliance with contractual, regulatory, and internal benchmarks.
• Lead quality assurance and continuous quality improvement initiatives aimed at enhancing program operations and client outcomes.
• Conduct ongoing reviews of service delivery models and client satisfaction to identify and implement process enhancements.
• Participate in relevant trainings to maintain up-to-date clinical knowledge and ensure adherence to evolving best practices and standards.
• Facilitate regular staff meetings, individual supervisions, clinical case reviews, and in-service trainings to support team development and effective case management.
• Ensure consistent communication with team members regarding updates to policies, procedures, and departmental objectives.
• Conduct community-based field visits to support client engagement, compliance with Health Home standards, and coordination of care as needed.
• Perform all functions in alignment with CHASI’s Mission, Vision, and Core Values.
• Other duties as assigned.

QUALIFICATIONS

• Can actively listen to feedback and direction and take action accordingly.
• Composes client documentation, reports, presentations, emails, and other communications that are clear, accurate, and well-organized.
• Understands and conveys information and instructions so that the message accomplishes its intended purpose clearly with colleagues, clients, and external parties.
• At least three years of direct service experience in Health Home program or other programs related to chronic disease management or other intensive case management.
• Bachelor’s degree required; significant experience that is additional to what is required above may be considered in lieu of a degree. Master’s degree may be considered in lieu of some years of experience listed above.

CHASI is an equal opportunity employer and is committed to hiring and supporting a diverse staff. All qualified applicants will be afforded equal employment opportunities without discrimination because of race, religion, color, creed, national origin, sex, sexual orientation, gender identity, age, genetic information, disability or marital status.