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JOB POSITION
Care Manager - FT
Rochester Rehabilitation Center – Elmwood Ave
Posting Date
10/16/25 - Until Filled
Summary/Objective
To provide patient-centered, high quality care management services in a timely manner to clients with complex chronic conditions by navigating systems such as primary medical, specialty and behavioral health care, as well as social services.
Essential Functions
Provides comprehensive care management services including: outreach and engagement; assessment/reassessment; development and implementation of initial and revised individualized care plans; consult with primary care physician, and other care provider(s); identify crisis intervention plan.
Provides care coordination and health promotion including: collaborate with service providers and health plans to obtain medically necessary care, share crisis intervention(s) and emergency info; linkage to services to support care and treatment goals/plans; patient education; self-help recovery and self-management; case reviews; advocate for services and assist with scheduling; collaborate with providers to ensure service delivery; monitor, support, accompany (as indicated) patient to/with scheduled appointments; crisis intervention.
Provides comprehensive transitional care including: follow up on notice of ER/hospital/residential/rehab setting admission and discharge; facilitate discharge planning with ER/hospital/residential/rehab setting staff to a safe location with care needs in place; notify service providers of admission/discharge and follow appointment needs; link with community supports; post discharge follow-up.
Provide member and family support including: care planning with patient/family; patient/family consultation and education around health care needs; patient/family meetings; patient/family referral to peer supports, support groups, social services and other programs as indicated; collaborate with community providers to support service utilization based on patient/family need.
Provide referral to community and social support services including: identifying and linking to community supports as needed; assure and assist with access to medical, behavioral health, substance abuse and other community-based services as needed.
Timely and comprehensive completion of documentation including notes, assessments, tracking tools, etc.
Adhere to Company policies and procedures to include being aware of the importance of Corporate Compliance Policies and the Code of Conduct. Staff is responsible for maintaining required certifications and licenses.
Attends necessary trainings and in-services, participates in department and agency meetings as required.
Performs other related duties as assigned by supervisor/director.
Competency Requirements
Customer Service
Communications
Continuous Improvement
Collaboration/Teamwork
Accountability
Supervisor Responsibility
None
Work Environment
This job operates partially in an office environment and a company vehicle, exposed to weather and temperature changes. This role routinely uses standard office equipment.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit, stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
Ability to withstand variable temperature changes. Frequently lift and/or move objects up to 10 pounds. Occasionally lift/or move objects up to 50 pounds and occasionally push or pull items up to 300 pounds.
Travel
Travel is primarily local during the business day but employee will be expected to work at any of our partner agencies. Some out-of-the-area and overnight travel may be expected.
Required Educational Experience
Associate's degree with one year of experience in driver training or education, physical rehabilitation, or related human services field.
Experience working with people with disabilities or medical conditions preferred.
First Aid and CPR certification.
Valid NYS Driver’s License
Must be a DMV-certified driving instructor or retain certification within the first year of employment.
Additional Eligibility Requirements
Proficient in Microsoft Office
What We Offer
Affordable Medical / Dental / Vision Insurance
Paid Time Off (PTO)
9 Paid Holidays
Matching 403B Retirement Plan
Additional Insurance Offerings - Specified Disease Insurance w/ Cancer Rider, Accident Insurance, Identity Theft Protection
Employer Paid Health Reimbursement Arrangement (HRA)
Employer-paid Life Insurance, Short-term and Long-term Disability Insurance
Tuition Reimbursement