Care Manager
CurrentUtilize CMPP and EMR systems for comprehensive patient care documentation, specifically for Medicaid patients,ensuring accurate and accessible records. • Provide resources to address critical patient needs, including homelessness, substance abuse, and other risk factorsimpacting health and well-being. • Collaborate with key organizations such as Medicaid, NYC Health and Hospitals, and NYCHA Housing to facilitateaccess to essential services and support for patients. • Deliver care management for 55 - 65 patients and their families, advocating for clients to obtain a full range ofservices and ensuring seamless coordination among providers. • Manage appointment scheduling, send event notifications, and link patients with additional service providers. • Update care plans regularly to reflect changes in patient circumstances and requirements, maintaining effective and personalized care strategies. • Guide patients in navigating healthcare and social service systems, including arranging transportation, schedulingappointments, and accompanying them when necessary. • Identify and manage community-based resources, actively facilitating referrals, engagement, follow-ups, and coordination of services to enhance patient care outcomes.