Care Manager

Alternative HR LLC • Lancaster, PA

4d

About The Position

The Care Manager evaluates clients referred to the agency for non-medical, non-skilled private duty services and assists with insurance coverage, planning, and coordination of non-medical services. The role manages agency marketing, establishes and maintains positive relationships with customers and referral sources, and responds to customer requests and concerns.

The Care Manager works with clients, caregivers, healthcare professionals, facilities, and insurance personnel to assess needs and coordinate service plans. The position's hours are Monday through Friday, 8:30 AM to 4:30 PM.

Requirements

• At least a two-year associate degree.
• Self-directed, with the ability to work with little supervision.
• Excellent observation skills.
• Flexible and cooperative in fulfilling role obligations.
• Good oral and communication skills.
• Good organizational skills.

Nice To Haves

• Four-year degree, preferably in social work, nursing, or a health-related field.
• Two years of experience in a health care setting.

Responsibilities

• Evaluate clients referred for non-medical, non-skilled private duty services.
• Assist with identifying and verifying insurance coverage for non-medical or respite care.
• Obtain and document prior authorization for private duty services from insurance providers as needed.
• Collaborate with facility social workers, discharge planners, and case managers to facilitate safe, early discharge for non-medical assistance.
• Consult with physicians, nurses, social workers, discharge planners, and other disciplines to establish a coordinated non-medical service delivery plan.
• Interview clients and caregivers and discuss current needs and psychosocial factors relevant to the plan of care.
• Complete referral information, including intake data, essential background information, mobility aspects, and proposed elements of the service delivery plan.
• Maintain liaison relationships with hospitals, nursing homes, assisted living facilities, and insurance personnel, providing education on services, coverage issues, and related areas.
• Participate in establishing the service delivery plan, client care conferences, and in-services.
• Attend meetings and participate on committees as required.
• Manage agency marketing, maintain positive relationships with customers and referral sources, and respond to customer requests and concerns.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree