Care Manager for Care Management Services

CHSGa · Remote, United States

Join us at NextStep Care – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities
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.
Develop 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 careplans 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 careplan.
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. Participating in Community Outreach as outlined in Quarterly Outreach plan.
Support the training and onboarding of new team members.
Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System, in a professional manner.
Resourcefulness:

Knowing about available community resources and how to connect clients with them.
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.
Understanding and respecting diverse cultures is essential for building trust and providing appropriate support.
Ethical and Legal Knowledge:

Understanding ethical guidelines and legal frameworks relevant to social work.
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.
LANGUAGE SKILLS
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to speak effectively before groups of customers or associates of the organization.
Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.
The ability to deal with problems involving several concrete variables in standardized situations.
COMPUTER APPLICATION SKILLS
This job requires proficiency with the following computer applications:
Microsoft Outlook Microsoft Excel Microsoft Word
CERTIFICATES, LICENSES, REGISTRATIONS
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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