Care Manager for Care Management Services

CHSGa•Albany, GA

21d

About The Position

The Care Manager facilitates quality and cost-effective care and outcomes for members by coordinating with home and community-based service providers, healthcare professionals, caregivers, families, and internal teams. The role provides members and families with education and support regarding community resources, maintains regular contact through phone calls and home visits, monitors member wellbeing, and adjusts care plans as needed. The Care Manager documents interventions and member information in accordance with payer and organizational guidelines, identifies and resolves care plan variances and barriers to care, and supports member engagement and health and functional status. The position also contributes to quality monitoring, community outreach, onboarding and training, and other collaborative organizational efforts. The role participates in an assigned after-hours on-call rotation. A bachelor’s degree in social work or a related human services field and two years of work experience are required. Experience in social work, home and community-based services, healthcare, or geriatrics is preferred.

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, including assessing situations and developing effective solutions.
Strong organizational 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.
Ability to 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 address 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, cost-effective care and outcomes.
Educate and support members and their families regarding community resources and services.
Build collaborative relationships with primary care providers, managed care plan providers, HCBS providers, caregivers, and families.
Communicate regularly with members by phone and through 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 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 image and reputation of the System through servant leadership and direct, open communication.
Contribute professionally to committees, workgroups, project management, and other collaborative efforts.
Perform other duties as necessary to support the success of the System.