FreedomCare·Rochester, New York
The Health Home Care Manager will outreach to eligible patients, complete comprehensive assessments, and collaboratively develop patient-centered care plans with the patient's team. Responsibilities include coordinating care, facilitating referrals, addressing access issues, and providing direct service to a caseload of chronically ill patients.
About our Company
FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.
Join our team and make a positive impact on the lives of others! We are looking for a Health Home Care Manager for our Care Management team in upstate NY.
This position requires frequent travel to patients’ homes in Rochester, NY and surrounding areas within Monroe County.
The Health Home Care Manager will work to outreach and engage potentially eligible patients and obtain appropriate consents to enroll the patient in the Health Home Care Management Program. Once the patient is enrolled, the Health Home Care Manager will work collaboratively with the patient's care team to complete a comprehensive assessment and patient centered care plan, and to coordinate care based on the care plan.
Screen for Health Home functional scale eligibility, conduct initial Health Homes assessments and reassessments of patient needs, including medical, mental health, substance use, financial, housing, and additional support needs
Collaborate with the medical providers and patients to develop, implement, and coordinate Health Homes compliant care plans for patients with chronic diseases, such as diabetes, asthma, congestive heart failure, hypertension, mental health conditions, substance use, and more and document care plan outcomes
Provide direct service to a caseload of chronically ill patients and help them achieve their care plan goals by facilitating referrals, addressing access issues, connecting them to local resources, and developing relationships with healthcare providers
Coordinate patient services and care with pharmacies, insurance companies, hospital discharge planning, family caregivers, and other providers
Provide crisis intervention when needed
Conduct home visits and maintain patient contact and documentation of all services in accordance with Health Homes standards
Maintain patient confidentiality at all times
Why work at FreedomCare?
We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.
This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!
At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, citizenship or immigration status, or other applicable legally protected characteristics.
#INDHV
At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. The base pay range for this role is between $24.00 and $26.00 an hour at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.
Compensation Range $24—$26 USD
Candidates must have at least one year of experience in health homes, HARP, or case management, along with strong knowledge of local community resources and excellent communication and assessment skills. A Bachelor's degree is preferred, and experience navigating data management systems like Salesforce is beneficial.
Market context
Operations roles in New York healthcare often stay in demand because organizations need reliable support for scheduling, records, and day-to-day workflow. Competition can be stronger for candidates who already know EHR systems and basic quality measures, and this posting also notes a high school diploma or GED, with an associate degree in HIM and practical experience considered. Review the AI-summarized requirements and benefits here to save time, then tailor your application to show practical systems experience and attention to detail.
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