Care Manager

4 weeks ago

Springfield Massachusetts, United States Careforth Full time
Position Summary::
The Care Manager works collaboratively with the care management team to assess consumers, establish and implement a person-centric plan of care, conduct regularly scheduled homes visits, and oversee consumer care. The care management team credentials caregivers and their homes and provides ongoing support and training.

What You Will Do::
Completes initial home assessments, collects required caregiver credentialing documents and ensures that all required home modifications are completed

Obtains a social history and conducts a psychosocial evaluation

Assists with obtaining information about and making referrals to, other health-care and community services

Coordinates consumer placement following acceptance to the program and ensures that all required forms and standard procedures are followed for the placement process. Identifies significant changes in consumer status and works with the care management team to conduct required assessments

Provide ongoing coaching to drive effective utilization of established best practices and protocols where appropriate

Works collaboratively to help develop and implement the consumer plan of care (POC). Monitors, reviews and updates Plan of Care per Company and regulatory standards; conducts on-site visits with each member at the qualified setting in accordance with regulatory standards

Oversees consumer care through regular communication and home visits, including review of and supervision of personal care services

Completes a care-management progress note corresponding with each on-site visit or encounter and upon significant change

Delivers consumer-specific training to caregivers on an ongoing basis and documents training and caregiver competency

Completes daily review of case record documentation for accuracy, completeness, compliance, and timeliness and conducts follow-up as needed

Collaborates and communicates regularly with clinical team, agency and support services, primary care physician, and other medical providers to ensure timely and appropriate delivery of consumer services

Participates in the discharge and transition planning and implementation

Reviews at least annually the suitability for the qualified setting

Ensures continuous survey readiness and compliance with all regulatory and accreditation agency standards

Performs other duties as assigned

What You Will Bring::
Bachelor’s degree and at least two years of clinical experience working with elders or adults with disabilities or equivalent combination of education and experience, including internships in related fields may apply.

Ability to travel (usually by automobile) within assigned geographic area; valid driver’s license and automobile insurance is required

Experience in case management, care planning and assessment for cases including but not limited to eldercare, people with disabilities, and other complex medical needs in a health care setting

Proficiency in common software and web-based applications (e.g. Case Management Systems, Office) 

Additional state-specific qualifications may be required.

About Us::
A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need.  The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond.

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