Health Home Care Manager, New York, NY - February 8, 2017
Develops patient focused care plans. Work with the medical staff to implement, and coordinate the care plan for patients with chronic diseases, such as diabetes, asthma, hypertension, mental illness and substance abuse. Conducts field visits and documents the outcomes of care plans in the case record. Conducts initial assessments, and periodic reassessments of patients’ needs including medical, mental, substance use, financial and housing support needs.