Case Manager - Home Care

HouseWorks Home Care•Waltham, MA

6d•$70,000 - $80,000•Hybrid

About The Position

HouseWorks is a mission-driven organization dedicated to improving the lives of seniors as they age. With over 20 years of experience, they are committed to providing seniors and their families with a comprehensive, vetted, and coordinated in-home service network that is high-touch, tech-enabled, compassionate, and extremely well managed. The home healthcare industry is experiencing significant growth as the baby boomer generation ages and the home becomes the center for care, driven by consumer demand for convenience and lower-cost solutions. The Case Manager, Private Pay will coordinate and oversee comprehensive care plans for clients receiving Nursing, PCHM, or HHA services. This role involves collaborating with the Care Center Team to assess client needs, develop personalized care plans, and ensure caregivers deliver quality care. The Case Manager will establish regular updates with Primary Nurses, determine the necessity of in-person visits, and may attend discharge planning and family meetings to facilitate home discharge. Involvement in the intake process is crucial to ensure appropriate care levels through discussions with staff and family. Additionally, the Case Manager will work with the Care Center to ensure HHAs meet skill requirements, address training needs with the Care Center and Education and Training departments, and assist in orienting PC/HM and HCAs.

Requirements

Minimum of 5 years of experience in home care, case management, or a related field.
Strong clinical assessment and care planning skills.
Excellent communication and interpersonal skills.
Ability to work independently and manage multiple priorities.
Proficiency in electronic health records (EHR) and care management software.
Valid driver’s license and reliable transportation for home visits.

Nice To Haves

Previous experience in a supervisory or managerial role preferred.

Responsibilities

Conduct initial and ongoing comprehensive assessments with the Primary Nurse.
Develop and implement individualized care plans.
Adjust care plans based on health status changes.
Coordinate care among healthcare providers for seamless service delivery.
Supervise and support home care staff.
Ensure compliance with regulatory and organizational standards.
Serve as the secondary contact for clients and families.
Document regular health updates and progress.
Address concerns and questions from clients and families promptly.
Monitor care quality through regular follow-ups and reviews.
Conduct home visits to evaluate caregiver performance and client satisfaction.
Implement quality improvement initiatives based on feedback.
Maintain accurate records of assessments, care plans, and progress notes.
Prepare and submit required reports.
Ensure documentation complies with legal and organizational standards.
Participate in training and ongoing education for home care staff on best practices.
Stay updated on home care developments and integrate new knowledge into practice.