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Title

Care Manager 

EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
 
Category Care Management  
Description

POSITION DESCRIPTION

 

JOB TITLE: CARE MANAGER

 

DEPARTMENT: CARE MANAGEMENT

 

LOCATION: TBD

 

REPORTS TO: CARE MANAGEMENT SUPERVISOR

 

PROGRAM DESCRIPTION

 

Care Management is a service model whereby all of an individual's caregivers communicate and interface so that the patient's needs are addressed in a comprehensive manner. This is done primarily through a "care manager" who oversees and provides access to all of the services an individual needs to assure that they receive everything necessary to prevent hospitalizations, stay healthy, and maintain stability.

 

The Care Manager is ultimately responsible for the overall provision and coordination of services to assigned caseload. The Care Manager guides program enrollees and their caretakers (legal guardians) through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.

 

MAJOR DUTIES & RESPONSIBILITIES:

 

  • Obtains required Care Management enrollment consents from the individual or legal guardian
  • Completes initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual’s most appropriate level of care management.
  • Responsible for the overall management of the patient’s Individualized Plan of Care. Through the creation of an Individual Plan of Care the Care Manager is able to:
  1. Coordinate the enrollee’s provision of services including as per their acuity level.
  2. Support adherence to treatment recommendations
  3. Monitor and evaluate a patient’s needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate.
  • Meets client contact requirements (keeping in mind that caseloads may be “blended”):
  1. Care Managers serving children will be required to have some face-face visits on a consistent schedule as per the mandates of their acuity level (high, medium, or low).
  • Meets Care Management documentation requirements in a timely and accurate manner by effectively utilizing designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs) as needed
  • Functions as an advocate for clients within the agency and external service providers
  • Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences
  • Educate the child/caregiver on care of chronic conditions, immunization, screening and other preventive interventions.
  • Helps clients to obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility, Social Security, SNAP, housing, legal services, employment and training supports, and others.
  • Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences.
  • Conducts care planning meetings/conferences and serves as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care
  • Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services
  • In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge
  • Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position
  • Ensure that child has periodic evaluations and follow up treatment for dental, vision and hearing care, following Medicaid EPSDT guidelines
  • All other duties, as needed, by Care Management Agency

 

QUALIFICATIONS & COMPETENCIES:

 

Education and/or credential requirements are determined by children’s acuity level and requires one or more of the following:

  • BSW or related field (psychology, sociology, etc.)
  • Registered Nurse or Licensed Practical Nurse with two years’ experience
  • A Master’s Degree in related field (License preferred)
  • Bilingual is a plus

 

The candidate must possess the following Experience:

  • Relevant expertise and experience in serving children and families in child welfare, developmental disabilities, mental health, healthcare and/or other systems as well as those receiving preventive services.
  • Care Managers serving high acuity enrollees will be required to have demonstrated knowledge and understanding of the needs of such children and their families as evidenced by additional years of experience, education, or training.
  • Care Managers assigned to children who have medical fragility must have extensive experience in coordinating their care
  • Experience providing service coordination and information, linkages, and referrals for community-based services.

 

In addition the candidate must demonstrate the following Competencies:

  • Excellent writing, communication, and organizational skills
  • A passion for serving children and families with special needs
  • Ability to travel to community-based agency offices, participant’s communities, and homes within assigned catchment area
  • Ability to receive feedback to professionally grow and/or improve
  • Proven self-management abilities, including meeting deadlines, ensuring compliance with agency policy and procedures, and overseeing complete and timely maintenance of agency records, in accordance with contractual requirements.

 

 
Position Requirements  
Full-Time/Part-Time Full-Time  
Salary  
Benefits  
Work Location  
Division Care Management 1780  
About the Organization It is our vocation to serve those in need, to aid those who desire help, and to guide those who seek better lives. Through supportive interventions, we provide help, create hope and preserve dignity.

We provide help by offering an array of services for underserved families and individuals with special needs. All that we do is delivered with care, compassion, and respect, to address fundamental challenges, improve well-being and increase self-sufficiency.

We create hope by strengthening and empowering families and individuals in need. By providing shelter, care, treatment, rehabilitation, counseling, training, and connection to high quality allied services, we produce holistic solutions that enhance each person’s physical, mental and social well-being, as well as their positive connections to family and community.

We preserve dignity with a faith-based commitment to recognizing the value of each person we serve, regardless of race, religion, creed, or life circumstances.  

This position is currently accepting applications.

Apply Now



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