Care Manager for Care Management Services

Essential Duties And Responsibilities

• Acts as a liaison between members and home and community-based service providers to facilitate quality and cost-effective care and outcomes.
• Provides education and support to members and their families regarding community resources and services.
• Develops effective, collaborative relationships with key stakeholders including primary care providers, managed care plan providers, home and community-based service providers (HCBS), formal/informal caregivers and families.
• Maintains regular communication with members through phone calls and home visits to monitor their wellbeing and adjust care plans as needed.
• Records and documents interventions and member information completely and accurately, in accordance with payer and organization guidelines.
• Collaborates and communicates with internal team members, including Central Intake and Assessment Team members, to ensure continuity of care for assigned members.
• Identifies and resolves care plan variances, including barriers to primary and specialized medical care, to ensure effectiveness of member's care plan.
• Assesses and addresses member engagement and behavior to support optimal health and functional status.
• Participates in after-hours on-call rotation requirements, as assigned.
• Maintains and monitors quality of services through collaboration with the Quality Assurance and Education Team and Care Management Director.
• Supports the training and onboarding of new team members.
• Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
• Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System, in a professional manner.

Skills And Abilities

• Communication: Effective verbal and written communication is essential for interacting with clients, families, and other professionals.
• Empathy and Compassion: Understanding and sharing the feelings of clients, especially those facing challenging situations.
• Resourcefulness: Knowing about available community resources and how to connect clients with them.
• Collaboration: Working effectively with other professionals and agencies.
• Problem-Solving and Critical Thinking: Case managers need to assess situations, identify problems, and develop effective solutions.
• Organization and Time Management: Managing multiple cases, appointments, and documentation requires strong organizational and time management skills.
• Cultural Competence: Understanding and respecting diverse cultures is essential for building trust and providing appropriate support.
• Advocacy: Representing clients' needs and ensuring they have access to necessary services.
• Ethical and Legal Knowledge: Understanding ethical guidelines and legal frameworks relevant to social work.

Minimum Qualifications

• Bachelor’s degree in social work or related human services field is required with 2 years of work experience.
• Experience in social work, home and community-based services, healthcare or geriatrics preferred.