About Us

The Care Manager works collaboratively with the care management team to assess consumers, establish and implement a person-centric plan of care, conduct regularly scheduled homes visits, and oversee consumer care. The care management team credentials caregivers and their homes and provides ongoing support and training.

What You Will Do:

• Completes initial home assessments, collects required caregiver credentialing documents and ensures that all required home modifications are completed
• Obtains a social history and conducts a psychosocial evaluation
• Assists with obtaining information about and making referrals to, other health-care and community services
• Coordinates consumer placement following acceptance to the program and ensures that all required forms and standard procedures are followed for the placement process. Identifies significant changes in consumer status and works with the care management team to conduct required assessments
• Provide ongoing coaching to drive effective utilization of established best practices and protocols where appropriate
• Works collaboratively to help develop and implement the consumer plan of care (POC). Monitors, reviews and updates Plan of Care per Company and regulatory standards; conducts on-site visits with each member at the qualified setting in accordance with regulatory standards
• Oversees consumer care through regular communication and home visits, including review of and supervision of personal care services
• Completes a care-management progress note corresponding with each on-site visit or encounter and upon significant change
• Delivers consumer-specific training to caregivers on an ongoing basis and documents training and caregiver competency
• Completes daily review of case record documentation for accuracy, completeness, compliance, and timeliness and conducts follow-up as needed
• Collaborates and communicates regularly with clinical team, agency and support services, primary care physician, and other medical providers to ensure timely and appropriate delivery of consumer services
• Participates in the discharge and transition planning and implementation
• Reviews at least annually the suitability for the qualified setting
• Ensures continuous survey readiness and compliance with all regulatory and accreditation agency standards
• Performs other duties as assigned

What You Will Bring:

• Bachelor’s degree and at least two years of clinical experience working with elders or adults with disabilities or equivalent combination of education and experience, including internships in related fields may apply.

• Ability to travel (usually by automobile) within assigned geographic area; valid driver’s license and automobile insurance is required
• Experience in case management, care planning and assessment for cases including but not limited to eldercare, people with disabilities, and other complex medical needs in a health care setting
• Proficiency in common software and web-based applications (e.g. Case Management Systems, Office) 
• Additional state-specific qualifications may be required.