Care Manager II
About The Position
The Care Manager II assesses clients with multiple medical and psychosocial needs and plans, coordinates, and monitors services and interventions to ensure quality care. The role supports aging adults and adults with disabilities in maintaining their quality of life, independence, health, and community participation. Working in accordance with program guidelines and applicable ethical, legal, regulatory, and procedural requirements, the Care Manager partners with clients, their support networks, and service providers to help clients remain safely at home when possible. The position requires a relevant master's degree or, alternatively, a bachelor's degree in social work or another appropriate major with at least two years of relevant social work experience and demonstrated ability to work autonomously on assessments and care interventions. One year of experience working with disabled adults and/or older adults is required.
Requirements
- A master's degree in social work (M.S.W.) or another appropriate master's-level degree, such as an MPH or MFT, with additional or specialized relevant work experience in areas such as psychology, counseling, or geriatrics; alternatively, a bachelor's degree in social work or another appropriate major plus at least two years of relevant social work experience and demonstrated ability to autonomously formulate biopsychosocial assessments, identify care needs and interventions, and carry out effective interventions.
- At least one year of experience working with disabled adults and/or older adults.
- Experience with and understanding of medical and psychosocial problems affecting functionally impaired adults and older adults.
- Exceptional communication and presentation skills when working with functionally impaired adults and older adults, their support systems, and teams of health professionals.
- Demonstrated case management skills and experience in the community health care delivery system.
- Detail orientation, good problem-solving skills, and ability to prioritize multiple tasks.
- Computer literacy.
Nice To Haves
- Experience working with individuals with mental and/or behavioral health diagnoses and substance abuse disorders is highly desired.
Responsibilities
- Conduct comprehensive assessments and ongoing reassessments of clients’ psychosocial, physical and mental health, environmental, and spiritual needs, and write comprehensive assessments.
- Develop and initiate a client-centered Community Living Plan with the client, consistent with program guidelines and policies and procedures; review and modify the plan as needed.
- Conduct home, acute hospital, and skilled nursing facility visits, and escort clients to medical and other appointments when clinically indicated.
- Identify, arrange, and monitor appropriate community services, using knowledge of Medicare, Medi-Cal, and other entitlement programs.
- Establish and maintain care management relationships with clients and their informal support networks, providing respect, dignity, and support.
- Provide crisis intervention, advocacy, problem solving, and therapeutic interventions; meet with clients at least monthly or more often as clinically indicated.
- Document case management activity in progress notes within 24–48 hours, add new problems to the Community Living Plan when needed, and maintain required paperwork and consistent charting.
- Evaluate clients’ Purchase of Service needs and follow up to determine whether services are provided in a timely manner.
- Educate clients and informal support networks about resources.
- Maintain effective communication with community providers, including physicians and health care and social service workers, while protecting confidentiality and sharing information about significant aspects of client care and program operations as appropriate.
- Monitor the quantity and quality of services provided by other providers.
- Work with the team to assess clients’ ability to remain safely at home and coordinate placement when appropriate under program guidelines.
- Collaborate with clients, caregivers, and involved services to terminate client participation when appropriate, and document the process.
- Participate in research studies and data collection as required, and contribute to Continuous Quality Improvement efforts.
- Attend and actively participate in team and program meetings, activities, and problem-solving efforts; contribute to communication within the team.
- Use supervision appropriately, maintain open communication, and provide updates on caseload activity.
- Apply National Association of Social Workers ethical and legal standards and comply with Institute on Aging regulatory and procedural requirements.
- Attend continuing education and in-service training relevant to case management, gerontology, family and community systems, and the Community Living Fund client population.
- Perform other reasonably related responsibilities as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
