Care Manager

Suma Home Care•Glenolden, PA

25d

About The Position

The Care Manager oversees client care from start to finish and serves as the main contact for clients, families, parents and guardians, and caregivers. The role keeps authorisations current, ensures every shift is covered, and maintains accurate EVV, billing, and payroll data. It is suited to an organised, proactive person who remains calm under pressure and cares about clients and caregivers. The Care Manager coordinates client assessments and individualised care plans, supports and supervises caregivers, manages schedules and staffing changes, tracks insurance authorisations, and performs quality assurance activities. The role also handles EVV visits and discrepancies in Kantime, works with billing and payroll, documents incidents in Kantime and the state EIM system, maintains records, generates reports, and participates in a daily morning huddle. The position is located on S Chester Pike in Glenolden, Pennsylvania. Employment offers are conditional on completion of Suma Home Care’s pre-employment requirements, including background checks required under Pennsylvania law. All onboarding must be completed before the start date. Suma Home Care, Inc. is an Equal Opportunity Employer.

Requirements

At least 2 years of experience in care management, scheduling, or client services in a home care or home health setting.
Working knowledge of insurance verification and authorisation for skilled and non-skilled services.
Experience managing an EVV system and keeping staff compliant.
Understanding of healthcare billing and payroll processes.
Strong written and verbal communication skills.
Excellent organisation, time management, and problem-solving skills.
Comfort with computers, EMR systems, and scheduling software.
Ability to work independently and juggle priorities in a fast-paced environment.
Patient and empathetic, with a genuine commitment to serving older adults and people with disabilities.

Nice To Haves

Kantime experience (strongly preferred).
Experience with Pennsylvania Medicaid or Community HealthChoices programs.

Responsibilities

Serve as the primary contact for clients and families, responding to questions and concerns with empathy and professionalism.
Conduct assessments and develop, review, and update individualised care plans.
Check in with clients in person, by phone, or virtually and adjust care as needs change.
Coordinate with nurses, therapists, and other healthcare professionals.
Document and promptly resolve client concerns, complaints, and incidents.
Guide and support caregivers and provide fair, constructive feedback.
Review and approve caregiver notes and documentation.
Create and manage schedules to ensure every client shift is covered.
Match client needs with caregiver skills and availability.
Respond promptly to call-offs, schedule changes, and urgent staffing needs.
Verify and track insurance authorisations for skilled and non-skilled services, and manage re-authorisations in advance.
Conduct quality assurance checks, client satisfaction surveys, and caregiver audits.
Share on-call duties and use sound judgment to resolve issues.
Train caregivers to clock in and out using Kantime EVV.
Verify and approve EVV visits daily and resolve missed punches and discrepancies.
Coordinate with billing to ensure visit data produces accurate invoices.
Review hours in Kantime for payroll and resolve discrepancies.
Act as the point of contact for incidents, including falls, medication errors, and employee injuries, and document them in Kantime and the state EIM system.
Keep client and employee records and schedules current in Kantime.
Generate reports on care, staff hours, PTO, and authorisation status.
Attend the daily morning huddle and report on incidents and activities.