Hybrid Care Manager Saratoga Springs, NY

1 week ago

Saratoga Springs, New York, United States Vitability Health Full time

ABOUT US

Vitability Health is leading the change in how providers deliver remote care. Our next-generation RPM Program enables medical teams to provide safe, effective care that improves patient outcomes, lowers patients' medical expenses, empowers patients to be fearless, and live longer lives. We are a team of dedicated, mission-driven pros who seek to work with colleagues who inspire us and share our mission and core values.

JOB DESCRIPTION

As a Care Manager, you will provide Chronic Care Management and Behavioral Health Integration services to patients remotely, in their homes, and at assisted living facilities to ensure effective care coordination, patient monitoring, and overall health management.

Responsibilities

  • Collaborates with physicians, providers, and practice staff to identify appropriate patients for care management
  • Manages a caseload of chronic care patients, including patients with mental health issues developing and implementing individualized care plans
  • Assists patients in setting SMART goals for self-management and teaches them how to do self-management tasks and report abnormal findings to their physician team
  • Collaborates with the patient, physician, and other care team members in assessing the patient's progress toward individual healthcare goals
  • Provides health monitoring, behavioral health screening, and follow-up management with patients to ensure compliance with their care plan
  • Educates patients through telephone advice per protocol and handles urgent/emergency calls during working hours responding promptly to any abnormal readings
  • Anticipates the needs of the patient population, ensuring necessary documentation and pre-visit planning is completed or requested before patient visits
  • Works with patients and patients' care team to coordinate change readiness from various settings (hospital or skilled nursing facility discharges and emergency room visits), conduct needs assessments, develop individualized treatment care plans, and coordinate appropriate referrals as needed
  • Maintains accessible, consistent documentation of patient self-management measures, and reporting progress toward goals.
  • Assesses barriers when a patient has not met treatments goals, is not following treatment plan of care, or has not kept important appointments
  • Coordinates disease registry activities
  • Maintains a list of medical supply vendors and community resources available to patients
  • Makes recommendations for policies/procedures to ensure that preventive services are offered in a timely manner to all who qualify
  • May conduct home visits with a physician to assess safety, medication compliance, and home environment

Qualifications

  • At least 3 years of experience as a Care Manager, CNA, or Licensed Practical Nurse is required
  • Must have knowledge of the Patient-Centered Medical Home model/mission as well as knowledge of insurance industry requirements
  • Must have experience with chronic disease and understand preventive care measures
  • Must have experience taking vital signs
  • Valid driver's license and the ability to travel for home visits is required
  • Experience working with patients with mental health issues is preferred
  • Must be able to work Monday-Friday 9am-5pm
  • Nursing home experience a plus
  • Bilingual English/Spanish a plus

PERKS & BENEFITS

  • Comprehensive Benefits
  • On-the-Job Training
  • Paid Holidays
  • Paid Sick Time
  • Paid Time Off
  • Paid Prenatal Leave
  • $1000 Sign-On Bonus
  • Performance Bonuses and More

  • Nurse Practitioner/Physician Assistant: OB/GYN, Saratoga Springs, NY

    22 hours ago

    Saratoga Springs, New York, United States Saratoga Hospital Full time

    Join Saratoga Hospital Medical Group OB/GYN and Midwifery in an outpatient role in Saratoga Springs, New York.10-Hour Shifts, 4 Days Per WeekCompensation: $106,581 - $132,368/yr. (Tiered by years of experience)Our practice is located at Wilton Medical Arts, in a spacious new office. Work in collaboration with our team of 10 OB/GYNs, three Nurse...

  • Nurse Practitioner/Physician Assistant; Surgical Services Weekends; Saratoga Springs, NY

    1 day ago

    Saratoga Springs, New York, United States Saratoga Hospital Full time

    Surgical Physician Assistant or Nurse Practitioner: Saturday - Monday, 12-HR Day Position, Saratoga Springs, New YorkCompensation Range: $110K - $135K (Range is tiered by years of experience.)Saratoga Hospital seeks a Physician Assistant or Nurse Practitioner to join their weekend Surgical Services team. Work 12- hour shifts Saturday, Sunday, Monday, 7 a.m....

  • Stormwater and GIS Specialist

    1 week ago

    Saratoga Springs, New York, United States City of Saratoga Springs, NY Full time

    THIS IS A CIVIL SERVICE POSITION. THERE IS A CURRENT VACANCY.For further consideration, please submit the City of Saratoga Springs application. The full announcement can be found on www.saratoga- We can not interview without a completed application submitted. Applications are available in the Civil Service Office in City Hall, or online www.saratoga- under...

  • Principal Planner

    2 weeks ago

    Saratoga Springs, New York, United States City of Saratoga Springs, NY Full time $85,048 - $88,825 per year

    THIS IS A CIVIL SERVICE POSITION. THERE IS A CURRENT VACANY. For further consideration, please submit the City of Saratoga Springs application. The full announcement can be found on www.saratoga-Applications are available in the Civil Service Office in City Hall, or online at www.saratoga- under Civil Service, or email - to request one be sent to...

  • Utilities Engineer

    2 weeks ago

    Saratoga Springs, New York, United States City of Saratoga Springs, NY Full time $103,559 - $107,184 per year

    THIS IS A CIVIL SERVICE POSITION. THERE IS A CURRENT VACANCY. For further consideration, please submit the City of Saratoga Springs application. The full announcement can be found on www.saratoga- We can not interview without a completed application submitted.Applications are available in the Civil Service Office in City Hall, or online www.saratoga- under...

  • Substitute School Nurse

    1 day ago

    Saratoga Springs, New York, United States Saratoga Springs City School District Full time

    Substitute School Nurse School YearThe Saratoga Springs City School District has an ongoing need for per diem substitute School Nurse positions for the school year.Date of Posting:September 2025Location:All District SchoolsMinimum Qualifications:RPN or LPN LicenseGive care to students and perform related nursing servicesAdministers first aide emergency...

  • Social Studies Teacher

    2 weeks ago

    Saratoga Springs, New York, United States Saratoga Springs City School District Full time $60,000 - $120,000 per year

    Social Studies Teacher - LOA - Saratoga Springs High SchoolThe Saratoga Springs City School District has an anticipated vacancy and is now accepting applications.Date of Posting:October 29, 2025Effective Date:January 5, 2026Certifications/Qualifications:NY State Certified in Social Studies 7-12This is currently a Leave of Absence position / 1/5/...

  • Store Manager

    5 days ago

    Saratoga Springs, New York, United States Saratoga Outdoors Full time

    Saratoga Outdoors (formerly known as Mountainman Outdoor Supply Company) is the leading independent outdoor specialty retailer in Upstate New York. Established in 1993 in New York's Adirondack State Park and now conveniently located in beautiful downtown Saratoga Springs, NY. We pride ourselves on outstanding customer service and carry the finest products...

  • Head Custodian

    2 days ago

    Saratoga Springs, New York, United States City of Saratoga Springs NY Full time

    THIS IS A CIVIL SERVICE POSITION. THERE IS A CURRENT VACANCY.For further consideration, please submit the City of Saratoga Springs application. The full announcement can be found on www.saratoga- We can not interview without a completed application submitted.Applications are available in the Civil Service Office in City Hall, or online www.saratoga- under...

  • Substitute Teacher Aide

    2 weeks ago

    Saratoga Springs, New York, United States Saratoga Springs City School District Full time $72,000 per year

    Substitute Teacher Aide School YearThe Saratoga Springs City School District has an ongoing need for per diem substitute Teacher Aides.Effective Date:September 2025Location:All District SchoolsMinimum Qualifications:High School Diploma / GEDPreferred experience working in a school environment working with students with disabilities with varying needs...