Senior Care Manager

POSITION SUMMARY:          

The Senior Care Manager reports to Director of Home Care and is responsible for screening and eligibility determination of individuals seeking community long term care services funded through the Executive Office of Elder Affairs, in accordance with the Interdisciplinary Care Management Standards. In addition, the Senior Care Manager will assist in screening, oversight and management of complex cases, including clients in new or specialized programs. 

JOB DUTIES:

1. Provide case management services to clients that have been identified as complex clients per CBES criteria, policies and procedures or clients being enrolled in new or specialized programs. Identify elders in at-risk situations, including abuse, neglect and financial exploitation. Reports to and collaborates with appropriate crisis intervention agency, including Protective Services and Elders at Risk programs, to alleviate abuse, neglect and other crises.  
2. Assess elders for home care services to determine eligibility in home, hospital, nursing home, or other appropriate location. Conduct initial and periodic assessments within required time frames of elders’ physical, social, emotional and environmental status to determine needs. Complete all home visits and paperwork within guidelines of EOEA regulation and Agency policy.  
3. Develop comprehensive service plan with elders, utilizing: informal supports (family, friends, clergy, etc.) community resources (medical, legal, housing, etc.) and home care purchased services.
4. Implement service plan through contact and coordination with support persons, resources, and home care agencies. 
5. Advocate for elders when necessary. Encourage elder’s participation in service plan implementation. Provide information and referral services when needed. Refer elders to other appropriate programs, including Medicaid Waiver, Respite, and Managed Care in Housing or other available and appropriate resources.  
6. Maintain up-to-date client records, including progress notes and all other required forms.   Complete and submit to manager on a timely basis all home care forms, referral forms, and data entry documents as required by EOEA regulation and Agency policy. 
7. Provide translation between CBES staff and non-English speaking clients as needed.
8. Provide access to essential services to elders in the community by translation of functional needs to CBES Intake Staff and other Community service vendors. 
9. Complete, review and submit all statistical information, reports and other administrative paperwork as required by Supervisor and/or current Agency policy. 
10. Assist elders with housing issues, public assistance, insurance and financial benefits, long-term care admissions, legal issues, including identifying needs, locating resources and completing all applications and paperwork as necessary. 
11. Participate in CBES Quality Assurance process in accordance with EOEA regulations and Agency policy.
12. Participate in trainings, gerontology courses and clinical skill development as requested.
13. Participate in Quality Assurance process of home care service delivery in accordance with EOEA regulation and Agency Policy, including peer case review and home visits. Provides feedback on vendor service provision for annual audits.
14. Assist in the implementation of new programs and policies when required.
15. Provide backup coverage as needed for home visits of other Case Managers as needed.  
16. Participate in Agency On-Call List and provide information and referral services when needed. Refer elders to other appropriate programs.
17. Keep informed of all current Agency and EOEA regulations, policies and procedures.  
18. Attend all required meetings and training. 
19. Perform other duties and projects as assigned.

QUALIFICATIONS:

1. Licensed Certified Social Worker (LCSW) a plus or a Bachelor’s degree in social work, human services, nursing, psychology, sociology or a related field with a minimum of three years’ experience in human services field, preferably working with elders. 
2. Two years working in an Aging Services Access Point organization with demonstrated ability to manage complex cases strongly preferred.  
3. Knowledge of Home Care Programs, Medicaid, Medicate and community resources.
4. Excellent verbal and written communication skills. Good presentation skills required. 
5. Ability to communicate a positive attitude with good interpersonal skills.
6.  Work collaboratively as a team member within a diverse interdisciplinary team.
7. Ability to function well under pressure in a fast-pace human service environment.
8. Ability to be flexible, open and responsive to on-going industry changes. 
9. Ability to work with clients and coworkers in urban, multi-ethnic and racially diverse environment. Ability to coach staff in supporting and enhancing the diversity of CBES staff and clients.
10. Computer knowledge with basic proficiency in Word, Excel, and PowerPoint. 
11. Must be organized and detail oriented, possess strong time management and priority settings skills with the ability to handle multiple responsibilities and to work independently with minimal supervision. Possess leadership and mentoring skills.
12. Effective advocacy skills, including basic knowledge of community resources and programs and the ability to empower elders in improving their quality of life. 

PHYSICAL REQUIREMENTS OF THE JOB:

• Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.
• Ability to climb stairs.
• Ability to travel to the community to perform visits at consumers’ home.
• Work requires regularly standing, stooping, and bending.