Care Manager for Care Management Services

CHSGa•Tyrone, GA

About The Position

NextStep Care is seeking a Care Manager for its Care Management Services. The role supports members through care coordination, education, advocacy, and ongoing monitoring, working with members, families, care providers, internal teams, and community resources. The position is with a non-profit, mission-driven organization focused on providing high-quality care in the community. The Care Manager maintains regular contact with members by phone and home visits, monitors wellbeing, and adjusts care plans as needed. The role documents interventions and member information according to payer and organizational guidelines, helps resolve care plan variances and barriers to care, and collaborates with internal and external stakeholders to support continuity and quality of care. The position also participates in assigned after-hours on-call rotations, community outreach, and team training and onboarding.

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 how to connect clients with them.
Ability to collaborate with professionals and agencies.
Problem-solving and critical-thinking skills.
Organization and time-management skills for managing cases, appointments, and documentation.
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 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 understanding to instructions and solve 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 is preferred.

Responsibilities

Act as a liaison between members and home and community-based service providers to facilitate quality, cost-effective care and outcomes.
Educate and support members and 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.
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 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 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 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.