Care Manager

Envision Unlimited•Tinley Park, IL

26d

About The Position

Care Managers coordinate care and services for clients transitioning from nursing homes and long-term care facilities to the community. They demonstrate leadership and accountability in managing pre- and post-transition activities, navigating system- and individual-level changes, communicating clearly with interdisciplinary teams, clients, supports, and providers, advocating for clients, and resolving conflicts. Care Managers develop and update person-centered service plans, monitor and implement those plans in response to clients’ needs and preferences, and educate clients in areas such as medication management, healthy lifestyles, psychosocial needs, and self-management. They coordinate with clients, interdisciplinary team members, providers, health plans, and other supports to help ensure services are delivered appropriately. The role also supports discharge planning and community transitions, including linking clients to treatment, counseling clients through difficult decisions, helping them search for housing, arranging move-related needs, and coordinating with managed care companies on service and medication authorization. Care Managers facilitate or attend medical and psychiatric appointments as needed, monitor clients after discharge in their homes, and help clients build independent living skills. Ongoing learning and professional development are expected.

Requirements

Master’s degree in social work, psychology, counseling, or a related field.
Three years of experience working with clients who have serious and persistent mental illness, substance use disorders, and/or medically complex needs.

Nice To Haves

Bilingual in Spanish and English preferred.
LCSW or LCPC preferred.

Responsibilities

Develop an initial comprehensive person-centered service plan for each client and update it periodically.
Monitor and implement service plans, responding to clients’ status, needs, and preferences and making changes when needed.
Educate clients on topics identified in their service plans, including medication management, healthy lifestyles, psychosocial needs, and self-management skills.
Collaborate with clients, interdisciplinary team members, other providers, health plans, and other supports to ensure service plans are followed appropriately.
Link clients to needed treatment, such as substance use treatment, trauma treatment, and individual therapy.
Facilitate discharge planning with clients, facility staff, Medicaid Managed Care health plan care coordinators, family members or guardians, and other key stakeholders.
Provide brief, supportive, goal-directed counseling to clients experiencing difficulty or ambivalence about making choices.
Assist clients with finding new living arrangements, including accompanying them on housing searches for potential apartments.
Facilitate moves to the community, including helping purchase household items, arranging transportation, setting up utilities, and applying for SNAP benefits and transportation assistance.
Serve as a liaison to clients’ managed care companies to ensure services and medications are authorized.
Facilitate and attend medical and psychiatric appointments as needed.
Provide post-discharge monitoring in clients’ homes.
Implement strategies to help clients improve or achieve independent living skills.
Engage in ongoing learning and professional development and seek appropriate certifications as needed.