Care Manager for Care Management Services

CHSGa•Duluth, GA

11d

About The Position

The Care Manager facilitates quality and cost-effective care and outcomes for members by connecting them with home and community-based service providers, educating members and families about community resources, and coordinating with providers, caregivers, families, and internal teams. The role includes regular member contact by phone and home visits, monitoring wellbeing and adjusting care plans as needed, documenting interventions and member information in accordance with payer and organizational guidelines, and identifying and resolving care plan variances and barriers to care. The Care Manager also contributes to service quality, community outreach, team training and onboarding, and collaborative System initiatives. The position requires after-hours on-call participation as assigned and a professional, servant-leadership approach to communication and member advocacy. A bachelor's degree in social work or a related human services field and two years of work experience are required. Experience in social work, home and community-based services, healthcare, or geriatrics is preferred.

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 in challenging situations.
Knowledge of community resources and how to connect clients with them.
Ability to collaborate effectively with professionals and agencies.
Problem-solving and critical-thinking skills to assess situations and develop 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 help ensure 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; write routine reports and correspondence; and speak effectively before groups.
Ability to perform basic arithmetic using whole numbers, fractions, and decimals.
Ability to apply common-sense understanding to written, oral, or diagram-based 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 effective, collaborative relationships with primary care providers, managed care plan providers, home and community-based service providers, caregivers, and families.
Communicate regularly with members through phone calls and home visits to monitor wellbeing and adjust care plans as needed.
Record and document interventions and member information completely and accurately in accordance with payer and organization guidelines.
Collaborate and communicate with internal team members, including Central Intake and Assessment Team members, 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 after-hours on-call rotation requirements as assigned.
Maintain and 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 image and reputation of the System through servant leadership and direct, open communication.
Contribute professionally to committees, workgroups, project management, and other System collaborative efforts.
Perform other duties as necessary to ensure the success of the System.