RN, LSW, LISW, Care Manager - Marietta

Careforth•Marietta, OH

14h•Hybrid

About The Position

No nights, no weekends, and no on call. Love to Travel? This Role is for You! If you enjoy being on the go and exploring new places, you’ll thrive here. Expect to spend approximately 50% of your time traveling throughout Marietta, Perry, Morgan, Noble, Monroe, Washington, Athens, Hocking, and possibly Meigs County, and surrounding areas. The Registered Nurse (RN) Care Manager or Licensed Social Worker (LSW/LISW) Care Manager works collaboratively as part of a care management team to onboard new families onto service and provide ongoing support to caregivers. This role is responsible for assessing consumer and caregiver needs, evaluating eligibility for service, and guiding prospective families through an efficient activation of services. The Nurse or Social Worker establishes a person-centric plan of care, completes an orientation to Careforth’s digital communication platform, and conducts regularly scheduled home visits. For an assigned caseload, this position coaches, advocates, and educates caregivers to assist with the daily health and well-being of their care recipients.

Requirements

Must hold an active Registered Nurse (RN) License and/or be a Licensed Social Worker (LSW/LISW) in the state of Ohio
Minimum two (2) years of recent clinical experience in direct care of elders or adults with disabilities
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required ( Marietta, Perry, Morgan, Noble, Monroe, Washington, Athens, Hocking, and possibly Meigs County, and surrounding areas)
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
Ability to work in a fast-paced environment meeting department goals and KPIs
Ability to influence and be self-motivated with a results-driven approach
Tech savvy with the ability to teach others; proficient in common software and web-based applications (e.g. Case Management Systems, MS Office)
Additional state-specific qualifications may be required

Responsibilities

Manages the enrollment process of prospective families and educates them on qualifications as it relates to the consumer, caregiver, and home; assesses consumer and caregiver eligibility for services
Helps guide consumers with applications for Medicaid, waiver programs, and other state benefits
Conducts initial in-person clinical assessments and coordinates service activation, ensuring that all required forms and standard procedures are followed
Assists with orientation training for each caregiver to facilitate a proper onboarding to Careforth’s HIPAA secure technology platform; ensures caregiver understands how to successfully submit electronic daily communications
Works collaboratively to develop each member’s plan of care and review on an ongoing basis
Provide ongoing coaching to drive effective utilization of established best practices, encourage caregiver education, and connect families to community resources
Reviews the caregiver notes daily and appropriately addresses changes in the consumer’s condition or environment
Completes documentation corresponding with each on-site visit or encounter
Monitors the health status of all members to ensure that all needs and programmatic requirements are properly delivered (i.e. incident management)
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
Ensures continuous compliance with all regulatory and accreditation agency standards as well as company policies and procedures
Plans and implements discharges and transitions from the program
Perform other duties as assigned