Elderly Services Care Manager

About the role

We are seeking a Care Manager to support older adults in Butler County by assessing needs, coordinating services, and ensuring quality care through the Elderly Services Program (ESP). In this role, you’ll work directly with clients and caregivers to develop personalized service plans, connect them with resources, and provide ongoing support to enhance their quality of life.

Responsibilities

• 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 adherence to cost caps
• Secure and monitor services to ensure quality of care and support the health and safety of 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
• Assist with insurance, Medicare, Medicaid, Advantage plans, referrals to benefit specialist, payor of last resort, and pursue 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
• 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 forms as necessary
• Participate in the PQI process as directed by supervisor or manager
• Attend required program and agency trainings and meetings; participate in case conferences; attend professional meetings, workshops, seminars as appropriate

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