Care Manager for Care Management Services

CHSGa•Duluth, GA

About The Position

The Care Manager acts as a liaison between members and home and community-based service providers to facilitate quality, cost-effective care and outcomes. The role provides education and support to members and families about community resources and services, and builds collaborative relationships with primary care providers, managed care plan providers, home and community-based service providers, caregivers, and families. The Care Manager maintains regular contact with members by phone and home visits to monitor wellbeing and adjust care plans as needed. The position documents interventions and member information accurately in accordance with payer and organizational guidelines, collaborates with internal teams to ensure continuity of care, and identifies and resolves care plan variances and barriers to medical care. It also supports member engagement and optimal health and functional status, participates in assigned after-hours on-call rotations and community outreach, collaborates on quality monitoring, and helps train and onboard new team members. The role requires a bachelor’s degree in social work or a related human services field and two years of work experience. Experience in social work, home and community-based services, healthcare, or geriatrics is preferred. The position also requires communication, empathy, resourcefulness, collaboration, problem-solving, organization, cultural competence, advocacy, and knowledge of applicable ethical and legal frameworks. Proficiency with Microsoft Outlook, Excel, and Word is required.

Requirements

Bachelor’s degree in social work or a related human services field.
Two years of work experience.
Effective verbal and written communication skills.
Empathy and compassion when supporting clients.
Knowledge of available community resources and ability to connect clients with them.
Ability to collaborate effectively with professionals and agencies.
Problem-solving and critical-thinking skills.
Organization and time-management skills.
Cultural competence and respect for diverse cultures.
Ability to advocate for clients’ needs and access to services.
Understanding of ethical guidelines and legal frameworks relevant to social work.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence and speak effectively before groups of customers or organizational associates.
Ability to perform basic arithmetic using whole numbers, common fractions, and decimals.
Ability to apply common-sense understanding to written, oral, or diagrammed instructions and address problems involving several concrete variables in standardized situations.
Proficiency with Microsoft Outlook, Microsoft Excel, and Microsoft Word.

Nice To Haves

Experience in social work, home and community-based services, healthcare, or geriatrics.

Responsibilities

Act as a liaison between members and home and community-based service providers to facilitate quality and cost-effective care and outcomes.
Educate and support members and their families regarding community resources and services.
Develop collaborative relationships with primary care providers, managed care plan providers, home and community-based service providers, caregivers, and families.
Maintain regular communication with members through phone calls and home visits to monitor wellbeing and adjust care plans as needed.
Record and document interventions and member information accurately in accordance with payer and organizational guidelines.
Collaborate and communicate with internal team members, including the Central Intake and Assessment Team, to ensure continuity of care.
Identify and resolve care plan variances, including barriers to primary and specialized medical care.
Assess and address member engagement and behavior to support optimal health and functional status.
Participate in assigned after-hours on-call rotations.
Monitor service quality in collaboration with the Quality Assurance and Education Team and Care Management Director.
Participate in community outreach as outlined in the Quarterly Outreach plan.
Support training and onboarding of new team members.
Promote the System’s image and reputation through servant leadership and direct, open communication.
Contribute professionally to committees, workgroups, project management, and other collaborative efforts.
Perform other duties as necessary to ensure the success of the System.