Care Manager for Care Management Services

CHSGa•Albany, GA

22d

About The Position

The Care Manager facilitates quality, cost-effective care and outcomes for members by connecting them with home and community-based service providers and community resources. The role provides education and support to members and families, builds collaborative relationships with care providers and caregivers, and monitors members’ wellbeing through phone calls and home visits. Care Managers document interventions and member information according to payer and organizational guidelines, coordinate with internal teams to support continuity of care, and address care-plan variances and barriers to medical care. The position also supports member engagement, service quality, community outreach, and the training and onboarding of new team members. The Care Manager participates in an assigned after-hours on-call rotation and contributes to committees, workgroups, and other System initiatives.

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 ability to connect clients with them.
Ability to collaborate with professionals and agencies.
Problem-solving and critical-thinking skills.
Strong organization and time-management skills.
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 before groups.
Ability to perform basic arithmetic using whole numbers, common fractions, and decimals.
Ability to apply common-sense reasoning to instructions and resolve 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.
Provide education and support to 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 and completely in accordance with payer and organizational guidelines.
Collaborate 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 rotation requirements.
Monitor service quality in collaboration 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 System efforts.
Perform other duties as necessary to support the success of the System.