The Care Manager services adults only in their community setting with the goal of reducing and preventing emergency room visits, hospitalizations, and decreasing overall Medicaid costs as a lead member of the team responsible for the client. This role utilizes assessments, care planning, linkage to services and community resources, advocacy, and support to coordinate services for adults, youth, and families using person centered and family driven care strategies. Essential Job functions Responsible for, but not limited to comprehensive assessments, outreach and engagement, service and treatment linkage and coordination for assigned adults. Partner with referral sources to engage clients and build interdisciplinary care team to support adult clients in meeting their needs. Provide minimum core services, including monthly face-to-face visits with members and their interdisciplinary care team, for assigned caseload. Conduct initial and ongoing assessments to assist with accomplishing member goals and needs within program requirements. Create, implement, evaluate, and modify, as required and needed, individual service plans to meet assessed client’s unique needs as a member of a multi-disciplinary team. Refer members to applicable agency services and community programs, such as outpatient counseling, dental provider, and primary care providers. Support members who transition between systems and services (e.g. hospitalizations, inpatient stays, residential settings, housing needs, and etc.). Establish and maintain productive working relationships with community service providers to facilitate effective referrals and service evaluation. Maintain required contact with participants and their interdisciplinary team and facilitate team meetings. Serve as a liaison between the program and other internal and external resources, ensuring information is shared with the Care Team. Maintain and update all necessary records, forms, reports and summaries in members’ files according to agency and funders standards. Travel across different counties within respective region to serve members, as required. While this job description covers many aspects of the role, employees may be required to perform other duties as assigned.
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Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
Number of Employees
1,001-5,000 employees