Care Manager for Care Management Services

CHSGa•Metter, GA

10d

About The Position

The Care Manager facilitates quality, cost-effective care and outcomes for members by coordinating with home and community-based service providers, families, caregivers, and healthcare professionals. The role provides education and support about community resources, monitors members’ wellbeing through regular phone calls and home visits, and adjusts care plans as needed. The Care Manager documents interventions and member information according to payer and organizational guidelines, works with internal teams to maintain continuity of care, and identifies and addresses care plan variances and barriers to medical care. The position also supports member engagement, monitors service quality in collaboration with the Quality Assurance and Education Team and Care Management Director, and participates in community outreach. Additional duties include supporting new team member training and onboarding, contributing to committees and collaborative projects, and representing the organization through servant leadership and open communication. The role participates in an after-hours on-call rotation as assigned.

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 facing challenging situations.
Knowledge of community resources and ability to connect clients with them.
Ability to collaborate effectively with professionals and agencies.
Problem-solving and critical-thinking skills, including assessing situations and developing solutions.
Strong organization and time-management skills for managing cases, appointments, and documentation.
Cultural competence and respect for diverse cultures.
Advocacy skills to represent clients’ needs and support access to services.
Understanding of ethical guidelines and legal frameworks relevant to social work.
Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals; write routine reports and correspondence; and speak effectively to groups.
Ability to perform basic arithmetic using whole numbers, common fractions, and decimals.
Ability to apply common-sense reasoning 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.
Build collaborative relationships with primary care providers, managed care plan providers, home and community-based service providers, caregivers, and families.
Communicate regularly with members by phone and through home visits to monitor wellbeing and adjust care plans.
Record and document interventions and member information accurately and completely according to payer and organizational guidelines.
Coordinate with internal team members, including Central Intake and Assessment Team members, to ensure continuity of care.
Identify and resolve care plan variances and barriers to primary and specialized medical care.
Assess and address member engagement and behavior to support optimal health and functional status.
Participate in after-hours on-call rotation requirements as assigned.
Monitor service quality with the Quality Assurance and Education Team and Care Management Director.
Participate in community outreach according to 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 support the success of the System.