[Hiring] Care Manager for Care Management Service @CHSGa

Role Description

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 care plans 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 care plan.
• 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.
• Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
• Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System, in a professional manner.
• Performs other duties as necessary to ensure the success of the System.

Qualifications

• 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.

Requirements

• Effective verbal and written communication is essential for interacting with clients, families, and other professionals.
• Understanding and sharing the feelings of clients, especially those facing challenging situations.
• Knowing about available community resources and how to connect clients with them.
• Working effectively with other professionals and agencies.
• Assessing situations, identifying problems, and developing effective solutions.
• 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.
• Representing clients' needs and ensuring they have access to necessary services.
• Understanding ethical guidelines and legal frameworks relevant to social work.

Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands

• The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job.
• While performing the duties of this job, the associate is regularly required to sit, talk or hear.
• The associate frequently is required to walk.
• Use hands to finger, handle or feel and reach with hands and arms.
• The associate is occasionally required to stand.
• Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.

Work Environment

• The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job.
• The noise level in the work environment is usually quiet.