Case Manager

16 hours ago

Boston, United States Entyre Inc Full time

Would you like to become part of a modern health care organization? Then come and join us today. Join our team and make a meaningful difference in the lives of individuals and families. Entyre Care is a progressive, high growth start up organization geared to success in the Adult Foster Care (AFC) Community. Utilizing cutting edge computer technology for the advancement of healthcare in a homecare setting. Seeking driven, motivated candidates that are excited to join a fast paced team. 


Needing coverage in Northboro, Worcester, Framingham

About Us:

At Entyre we are convinced that those in need of care who are looked after by their relative or friend at home, have the right to a self-determined and dignified life in their own four walls. Entyre Care is determined to achieve this goal by basing our efforts on two central pillars: professional support for family caregivers in all areas of outpatient care. With many years of AFC expertise we value fair remuneration to the caregiver for their services. We are also driving forward the development of innovative technology solutions with scientific partners Entyre Care is a professional support company responsible for planning, coordinating, and monitoring AFC members.

Case Manager - Adult Foster Care

What You Will Do

  • Conduct comprehensive initial home assessments, ensuring all necessary caregiver credentials are in place and required home modifications are complete.
  • Day to day monitoring of the LTSS through Mass Health relating to patient enrollment, credentialing, claims operations, prior authorization appeals, program integrity and reporting related to the AFC programs and the ability to triage issues to the appropriate LTSS internal staff.
  • Work with Mass Health members/family to resolve issues that relate to the AFC provider network and respond to requests for information regarding payment and policy questions.
  • Gather essential information, perform psycho-social evaluations, and facilitate referrals to appropriate healthcare and community services.
  • Coordinate patient placement in compliance with established procedures.
  • Collaborate with caregivers and the care team to define and implement individualized care plans.
  • Perform regular home visits to supervise personal care services and review care plan progress.
  • Maintain detailed and accurate case records, documenting significant changes and observations.
  • Provide ongoing training and support to caregivers.
  • Collaborate effectively with nurses, primary care physicians, and other medical providers to ensure timely and appropriate delivery of consumer services.
  • Actively participate in discharge and transition planning.
  • Conduct annual reviews to ensure the continued suitability of the qualified setting.
  • Maintain continuous survey readiness and ensure compliance with all regulatory and accreditation standards.
  • Perform other duties as assigned.


What You Will Bring (Required)

  • Bachelor's degree in social work, human services, or a related field.
  • At least one year of experience working with elders or adults with disabilities.
  • Valid driver's license and automobile insurance, as travel within Massachusetts is required.
  • Demonstrated experience in case management, care planning, and assessment in a healthcare setting.
  • Proficiency in common software and web-based applications including Microsoft Excel, Word, PowerPoint,and Teams. Ability to input data into a universal portal.

Additional Qualifications (Preferred):

  • Master's degree in social work or a related field.
  • Experience working in Adult Foster Care or a similar setting.
  • Certifications in gerontology or case management.
  • Social worker license from the Massachusetts Board of Registration in Social Work

Join our amazing team and make a meaningful difference in the lives of AFC individuals and families

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