AIM is seeking a Health Home Care Manager to join our mission-driven organization. Our growing team is offering a full benefits package that includes:

Leadership Development

Medical, Dental, Vision Insurance

Life insurance

403(b) with matching

Generous Paid Time Off and a culture of work/life balance

Position Snapshot: The Health Home Care Manager will perform professional, consultative, investigative, advisory and education activities for patients and families, site staff, and collaborative community agencies. The Manager conducts patient-level data analyses and performs non­clinical interventions to assist patients in developing service plans.

Essential Functions:

• Complete comprehensive assessment of medical, behavioral health, and social service, needs for all assigned health home enrollees.

• Provide education and information regarding community resources.

• Collaborate with a variety of community providers and resources to obtain needed services and supports to create a sustainable support system.

• Request and coordinate team and patient meetings as needed or requested by patient/family and/or team.

• Escalate care management when medical assessment is needed.

• Document plan of care, patient utilization, activities, and other required information.

• Frequent non­medical management coaching, education, follow­ up visits, and phone calls to patients to monitor progress and identify new barriers or concerns.

Education & Experience:

• BSW or a BA with relevant experience from an accredited social work and/or bachelor’s program.

• Optimally 5 years experience in a clinical setting (some ambulatory care experience preferred).

• Excellent communication and team skills including the ability to form strong collaborative.

• interdisciplinary partnerships across care settings.

• Sound computer knowledge and skills including an aptitude for using health information technology to guide activities.

• Ability to work independently and meet deadlines. Creativity and strong organizational skills.

• Valid NYS driver's license including access to reliable transportation that enables fulfillment of position's travel requirements.

A full job description will be distributed to all candidates that are recruited for interviews.

WE ARE AN EQUAL-OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.