What are the responsibilities and job description for the Care Manager position at Suma Home Care?
About the role
The Care Manager oversees client care from start to finish. You’ll be the main contact for clients, families, parents and guardians, and caregivers. You’ll also keep authorisations current, fill every shift, and make sure EVV, billing and payroll data are accurate. This role suits someone organised and proactive who stays calm under pressure and cares about the people we serve and the staff who serve them.
What you’ll do
Client care
Act as the primary contact for clients and families, and handle questions and concerns with empathy and professionalism
Conduct assessments and develop and regularly review individualised care plans
Check in with clients routinely (in person, by phone or virtually) and adjust care as needs change
Coordinate with nurses, therapists and other healthcare professionals
Document and resolve client concerns, complaints and incidents promptly
Caregiver support and supervision
Guide and support a team of caregivers, and give fair, constructive feedback
Review and approve caregiver notes and documentation
Build a positive work environment that keeps good caregivers with us
Scheduling
Create and manage schedules so every client shift is covered
Match each client’s needs with caregiver skills and availability
Handle call-offs, schedule changes and urgent staffing needs quickly
Authorisations and compliance
Verify and track insurance authorisations for skilled and non-skilled services
Manage re-authorisations ahead of time so care and billing aren’t interrupted
Conduct quality assurance checks, client satisfaction surveys and caregiver audits
Share on-call duties and use sound judgment to resolve issues
EVV, billing and payroll
Train caregivers on EVV clock-in/clock-out in Kantime
Verify and approve EVV visits daily, and resolve missed punches and discrepancies
Work with billing to make sure visit data turns into accurate invoices
Review hours in Kantime for payroll and resolve discrepancies
Incident reporting and administration
Serve as the point of contact for incidents (falls, medication errors, employee injuries) and document them in Kantime and the state EIM system
Keep client and employee records and schedules current in Kantime
Generate reports on care, staff hours, PTO and authorisation status
Attend the daily morning huddle and report on incidents and activities
What you’ll bring
Required
2 years in care management, scheduling or client services in a home care or home health setting
Working knowledge of insurance verification and authorisation for skilled and non-skilled services
Experience managing an EVV system and keeping staff compliant
Understanding of healthcare billing and payroll processes
Strong written and verbal communication skills
Excellent organisation, time management and problem-solving skills
Comfort with computers, EMR systems and scheduling software
Preferred
Kantime experience (strongly preferred)
Experience with Pennsylvania Medicaid / Community HealthChoices programs
Personal qualities
Able to work independently and juggle priorities in a fast-paced environment
Patient and empathetic, with a real commitment to serving older adults and people with disabilities
Before you start
All offers depend on successfully completing Suma Home Care’s pre-employment requirements, including the background checks required under Pennsylvania law. All onboarding must be finished before your start date.
Suma Home Care, Inc. is an Equal Opportunity Employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other characteristic protected by law.
Salary : $20 - $23