Social Care Manager

Summary : The Social Care Manager will contribute to the implementation of the Social Care Network as part of the New York Health Equity Reform Program Medicaid 1115 Waiver Amendment. The Social Care Network is a group of community-based organizations, healthcare providers, and other partners who are working together to provide screening, navigation, and delivery of health-related social needs services to Medicaid Members (Medicaid beneficiaries). RECAP is one of the organizations that is participating in the network. Major activities of the Social Care Network include screening Medicaid Members for their social care needs; conducting social care navigation, including eligibility assessment and referral to supportive programs; and providing certain enhanced services to meet individuals’ needs. Enhanced services in the Social Care Network include a range of services related to housing, food and nutrition, transportation, and care management. This position will support RECAP’s role in the Social Care Network by focusing on the screening and navigation activities. In addition, The Social Care Manager will be responsible for screening Medicaid Members to identify their social care needs using a standardized screening tool, then carry out eligibility assessments to confirm Members’ eligibility for the Social Care Network. Depending on eligibility and need, Members may be referred to Social Care Network programs or to other local, state, and federal programs. The Social Care Manager will collaborate with other Hudson Valley Care Coalition staff, housing specialists, transportation specialists, and health insurance navigators or community health advocates. This position will also be engaged with other Social Care Network providers as well as the Social Care Network. The Social Care Manager is responsible for managing all of SCN & 1115 related service provision.

Essential Duties and Responsibilities include the following, other duties may be assigned :

1. Conduct social care screenings of Medicaid Members using the standardized Accountable Health Communities (AHC) Health-Related Social Needs Screening tool in Unite Us platform.

2. Conduct eligibility assessments of Medicaid Members to determine if they qualify for enhanced services through the Social Care Network. Eligibility assessment may include gathering information from the Medicaid Member, from Medicaid Managed Care Organizations, from healthcare providers, or from other community sources.

3. Navigate individuals who are eligible for enhanced Social Care Network services related to housing, food and nutrition, transportation, or care management to appropriate services using the Social Care Network data platform. Refer to non-Social Care Network services (existing local, state, and federal programs and services) as appropriate. 

4. Navigate individuals who are not eligible for enhanced services to non-Social Care Network services (existing local, state, and federal programs and services) as appropriate.

5. Create, update, and maintain Member Care Plans for individuals supported by the Social Care Network.

6. Assist in the implementation of anonymous, unbiased follow-up survey for clients. Social Care Network Participation to improve service delivery.

7. Become familiar with and follow the Social Care Network conflict of interest mitigation guidelines.

8. Conduct outreach and share information about the Social Care Network with clients who come to RECAP offices. To increase Medicaid Member participation in the Social Care Network services.

9. Participate in Social Care Network training through The Hudson Valley Care Coalition / Social Care Network. Training includes use of the Social Care Network data platform (Unite Us), Social Care Network workflows, and other topics as required.

10. Participate in the Community Service Specialist trainings through Unite Us Platform, including use of the electronic database of resources (through the online platform Apricot), the information and referral process/standards, and use of multiple communication mediums (calls, text messages, internet chat, email, in person).

11. Thoroughly log all client interactions in Unite Us, Apricot, and/or other systems as required for the program.

12. Keep accurate and complete work files, including records, documentation, and other materials. Maintain organized records of client interactions, referrals provided, and follow-up activities.

13. Track progress toward completion of project deliverables as defined by funding contracts.

Tracking invoices of services provided to clients.

15. Provide monthly reports of invoices to Account Payables for tracking purposes.

16. Participate in the Hudson Valley Care Coalition activities and planning, including organization-wide and program-specific tasks, and other duties as assigned.

17. Educating and supporting other Case Managers on the Unite Us platform and the Hudson Valley Care Coalition (HVCC).

18. Participate in regular supervisory sessions with the immediate supervisor.

19. Other duties as assigned by the supervisor or demands of the program and/or contact funds.

Position Type and Expected Hours of Work:

This is a Full-time position. Days and hours of work are generally 9AM to 5PM Monday -Friday. Additional hours may be required to meet program deadlines, or client needs. This position requires the candidate to travel to multiple sites as needed.

Working conditions and physical demands required:

The demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. 

• Ability to work with the public and/or under potentially stressful conditions.

• Basic understanding of client engagement and de-escalation techniques

• Remain stationery at a workstation and use a computer at least 40% of the time.

• The Social Care Manager will spend five hours every seven-hour day providing direct services. This includes screening, navigation and etc. While two hours of every day would be spent on outreach, travel, stakeholder meetings, case conference, training other case managers and etc.

Qualifications

Education and/or experience required:

• High School Diploma or Equivalency required with at least two years’ experience working in case management with families.

• Associate’s degree Preferred.

• Must possess a clean NYS Driver’s License and maintain it clean throughout employment.

• Unite Us Screening and Social Care Navigator experience is preferred.

Skills, Licenses, and/or competencies required:

• Knowledge of Social Services available in Orange, Sullivan & Ulster Counties – Preferred.

• Computer literate with knowledge of Microsoft Word, Excel, PowerPoint, Outlook, web-based system and Google Apps-Preferred.

• Public speaking is a plus.

• Excellent interpersonal and communication skills, work as part of a team with other Case managers in all three Counties.

• Good organizational, time-management and communication skills.

• Individuals must possess the ability to work well independently as well as part of a team.

• Bilingual in Spanish is preferred.

• Strong verbal communication skills and comfort with communicating in person and by phone, email, text message, and other mediums.

• Ability to keep written case notes and submit required documentation within a 48-hour period.

• Attention to detail and ability to understand and follow complex program guidelines and requirements.

• Knowledge of or interest in learning the human services network in Hudson Valley Care Coalition-Preferred

• Self-directed and able to work well independently as well as part of a team.

• Creative thinking, sharing ideas that will help ensure project success.

• Demonstration of a helpful, positive, and nonjudgmental approach, showing respect and fairness for each client and for all stakeholders.