Therole of Health Home Care Manager, primary function is guiding chronicallyill patients through the health care system by assisting with access issues,developing relationships with service providers, and tracking interventions andoutcomes. Thee HHCM acts as the team leader, provides direct services to patientsincluding the completion of needs assessments, development of patient focusedcare plans, periodic reassessments and overall comprehensive servicecoordination.
The Care Manager alsofunctions as an advocate for clients within the agency and with externalservice providers. As a team leader, the
Care Manager is ultimately responsible for the overall provision andcoordination of services to assigned patients' caseload.
The role of Health Home Care Manager is to also assistthe Care Team (Provider, medical assistant, nurse, behavioral health provider, socialworker etc) by coordinating all aspect of care inclusive of appointments,referrals, adherence, specialty care, etc. The HHCM will act as a primary conduitfor the transmission of information between providers and patients.
The HHCC willcoordinate services for all patients who have serious, chronic health problems,persistent MH condition, and those that are actively using substances. The HHCMwill provide advocacy, information, and referral services to patients andfamilies to address their medical and psychosocial needs.
LPN/MSW/MPH/BA/BS Degree is required. Two (2) years experience in care coordination is preferred.
Community Healthcare Network