Elderly Services Care Manager

Why You’ll Love Us:

Why We’ll Love You:

Qualifications:

• Bachelor’s degree in Social Work, Gerontology, or related field (appropriate experience, such as LPN, may be considered with approval).
• One year of experience in geriatrics, case management, long-term care, home health, or medical social work preferred.
• Valid driver’s license, insurance, and reliable transportation for home visits.
• Acceptable criminal records check required.
• Strong computer skills, including basic applications and care management software.
• If you’re ready to make a meaningful impact in the lives of seniors and their families, we’d love to meet you. Apply today and take the next step in your career with Community First Solutions!
• (Want to know more about us? Check out Community First Solutions for more information!)
• Maintain Client Caseload:
• Assess client referrals for program eligibility according to program policy and procedures; enroll eligible individuals
• Develop individualized service plans in collaboration with client and/or caregiver that includes community resources as well as ESP services
• Provide information, referrals, and/or resources as needed
• Inform clients of rights and responsibilities
• Monitor service plan costs to ensure we adhere to cost caps, per procedure
• Secure and monitor services to ensure quality of care to support the health and safety of the participants
• Maintain the client contact schedule of required interventions (phone or home visits) to assess and verify the service plan; identify any problems in service delivery and assess for any changes in client status, conditions or needs; provide support and assistance as needed and assure ongoing eligibility
• Complete documentation as required per procedure
• Maintain ongoing contact and open communication with caregivers, family members, friends and other sources of informal support as appropriate
• Work with clients, service providers and others involved in the client’s plan of care in mutual problem solving and coordination of care as needed.
• Complete review of income and medical expenses to determine client co-payment amount if applicable. Monitor client’s co-payment status.
• Insurance, Medicare, Medicaid, Advantage plans, referrals to benefit specialist, payor of last resort, pursues other funding sources
• Assist client/caregiver with discharge planning upon disenrollment from ESP and/or from hospital/nursing home as appropriate.
• Follow policy and procedure for processing client appeals and participate in appeal proceedings as required; disenroll clients who no longer meet eligibility requirements in accordance with policy and procedures
• Cooperate with care management team to assure adequate and appropriate care management coverage of all agency clients
• Administrative:
• Maintain accurate and confidential computer record of client activity using care management software
• Adhere to confidentiality policy and HIPAA protocol as related to all client information/interactions
• Follow-up on reported incidents and health and safety issues. Complete incident reports and/or complaint form as necessary
• Participate in the PQI process as directed by supervisor or manager
• Promote a positive community image at all times
• Meetings:
• Attend required program and agency trainings and meetings
• Participate in case conferences
• Attend professional meetings, workshops, seminars as appropriate
• Embraces the company’s Always Behaviors each and every day as we serve our clients, colleagues, and community.
• All other duties as assigned and/or appropriate to the position.
• Education and Licenses or other required certifications: Bachelor’s prepared degree in social work, gerontology or related field. Appropriate experience may suffice; approval required by program administrator. Must have an acceptable criminal records check. Must have valid driver’s license, insurance, reliable transportation and ability to complete home visits.
• Experience: Prefer at least one-year experience in geriatrics, case management, long-term care, home health or medical social work. Experience as a social worker or nurse is very helpful.
• Specialized knowledge, skills, or abilities: Must possess excellent communication and organizational skills. Must be proficient in basic computer applications.