Housing Taskforce Health and Wellness Advisor

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

Position Overview

Under the direction of the Manager of Housing Taskforce, the Housing Taskforce Health and Wellness Advisor provides critical support to members experiencing homelessness to optimize their health care and delivery of care experience with expected cost savings due to improved quality of care. They also support those formerly homeless members who are transitioning to permanent housing. This is accomplished through holistic, focused engagement and understanding of the member’s physical, behavioral, and social needs; environment; providers; support system; and resources/services available to them. The Housing Taskforce Health and Wellness Advisor is a creative, efficient, and resourceful problem-solver, as part of a dynamic team through telephonic outreach, as well as in field work in member’s homes, facilities, provider offices. The Housing Taskforce Care Manager serves as a member’s advocate and accompanies the member throughout their care journey, assisting with medical and behavioral health stabilization, so that members can maintain or improve their day-to-day functioning.

This is a hands-on position that is a hybrid remote/office/field position, that will require some field-based work, and travel within the MetroPlusHealth service area. Currently, the team’s schedule consists of 1 day of field work, 1 day in the office and 3 days remote work. The Housing Taskforce Health and Wellness Advisor will sometimes be needed to physically meet the members where they are to gain a deeper understanding of their situation and needs.

• Promotes access to and oversees the coordination and delivery of comprehensive, quality healthcare services for members who are homeless or at risk of homelessness.
• Assess and address member’s problems and needs: clinical, psychosocial, financial, environmental.
• Provide services to members of varying age, clinical scenario, culture, financial means, social support, and motivation
• Engage members in a collaborative relationship, empowering them to manage their physical, psychosocial, and environmental health to improve and maintain lifelong well being
• Support members through transitional period from shelter to permanent housing, as well as once they are housed, to settle into their new living situation
• Maximize member’s access to available resources
• Develops and implements an individualized, member-centered Plan of Care through direct telephonic and face-to-face member engagement, and inclusion, where appropriate, of collateral contacts including family members (with appropriate consent of the member), primary care provider, and other community and case managers to identify and address the needs and barriers of members who are homeless to promote the health and wellness of the member.
• Provides health education using coaching and motivational interviewing techniques to promote improved health outcomes for engagement with behavioral health and substance use services and effective management of other co-morbid illnesses, such as hepatitis C, diabetes, hypertension, and asthma/COPD.
• Advocate for members by assisting them to address challenges and make informed choices regarding clinical status and treatment options
• Develop collaborative relationships with clinical providers and facility staff
• Participates in special outreach and quality improvement projects as assigned.
• Documents all care management activities for each member and ensures that such documentation is in compliance with professional standards and regulatory guidelines using the correct templates.
• Attends and prepares for case conferences, including Medicare interdisciplinary case conference and conferences on special topics and/or with other departments.
• Orients assigned new members to MetroPlusHealth and the scope of services the plan provides as needed.
• Conduct other duties as assigned by Manager of Housing Taskforce

• Bachelor’s degree from an accredited college or university in a healthcare-related field is required. Master’s degree is preferred.
• A minimum of two years of clinical experience in health care setting that includes experience in care coordination, health education and case management. Managed care experience is preferred.

Professional Competencies:

• Integrity and Trust
• Customer Focus
• Functional/Technical Skills
• Written/Oral Communications
• Time management and organizational skills
• Strong problem-solving skills
• Ability to prioritize and manage changing priorities under pressure
• Confident, autonomous, solution driven, detail oriented, high standards of excellence, nonjudgmental, diplomatic, resourceful, intuitive, dedicated, resilient and proactive