RN, LSW, LISW, Care Manager

Careforth•Cincinnati, OH

10h

About The Position

The Registered Nurse (RN) Care Manager or Licensed Social Worker (LSW/LISW) Care Manager works collaboratively as part of a care management team to onboard new families onto service and provide ongoing support to caregivers. The role assesses consumer and caregiver needs, evaluates service eligibility, and guides prospective families through service activation. The Care Manager establishes a person-centric plan of care, orients caregivers to Careforth’s digital communication platform, and conducts regularly scheduled home visits. For an assigned caseload, the Care Manager coaches, advocates for, and educates caregivers to support the daily health and well-being of care recipients.

Requirements

Active Registered Nurse (RN) license and/or Licensed Social Worker (LSW/LISW) credential in Ohio.
At least two years of recent clinical experience providing direct care to elders or adults with disabilities.
Ability and flexibility to travel, usually by car, within the assigned geographic area.
Valid driver’s license and car insurance.
Experience in case management, care planning, and assessment in a healthcare setting, including cases involving eldercare, people with disabilities, or other complex medical needs.
Ability to work in a fast-paced environment while meeting department goals and KPIs.
Ability to influence others and work independently with a results-driven approach.
Technological proficiency and ability to teach others; familiarity with common software and web-based applications such as case management systems and Microsoft Office.
Additional state-specific qualifications may be required.

Responsibilities

Manage enrollment for prospective families and educate them about qualifications related to the consumer, caregiver, and home.
Help consumers with applications for Medicaid, waiver programs, and other state benefits.
Conduct initial in-person clinical assessments and coordinate service activation, ensuring required forms and standard procedures are followed.
Assist with caregiver orientation and training on Careforth’s HIPAA-secure technology platform, including how to submit electronic daily communications.
Collaboratively develop each member’s plan of care and review it on an ongoing basis.
Coach caregivers on best practices, encourage caregiver education, and connect families with community resources.
Review caregiver notes daily and address changes in the consumer’s condition or environment appropriately.
Complete documentation for each on-site visit or encounter.
Monitor members’ health status to ensure needs and program requirements are met, including incident management.
Communicate and collaborate regularly with the clinical team, agencies, support services, primary care physicians, and other medical providers to support timely and appropriate service delivery.
Ensure ongoing compliance with regulatory and accreditation standards and company policies and procedures.
Plan and implement discharges and transitions from the program.
Perform other duties as assigned.