The Case Manager acts as a liaison between clients, service providers, contracting agencies, and community caregivers to ensure client needs are identified and clients are linked to resources. This role involves receiving and following up with referrals, contacting clients to schedule assessments, and identifying individuals who may qualify for and need health and social support services. The Case Manager screens and assesses clients' circumstances and resources to determine eligibility and suitability for programs, collecting information on physical, mental, and psychological functioning, as well as informal support systems, to develop a plan of care. This may include focusing on physical health, mental functioning, activities of daily living, social supports, physical environment, and financial resources. The position provides case management services, potentially including home visits, assessment, care plan development, identification of adjunct service needs, and connection to and monitoring of services. Case plans are developed with participants, families, and support systems. The role involves identifying providers, service units, and costs, and arranging services. Facilitating collaborative and cost-efficient interactions among providers to integrate medical, psychological, and social services is key. The Case Manager monitors client situations, modifies care plans, and reassesses patients to evaluate progress. Ongoing and emergency case management is provided, and communication among the client, payer, primary care provider, and other professionals is directed. Maintaining documentation, participating in service delivery evaluation, and conveying information about community resources are also responsibilities. The role requires advising management of problems and potentially participating in outreach activities. The incumbent must demonstrate knowledge and skills for age-appropriate care, understanding growth and development across the lifespan and assessing patient status relative to age-specific needs.
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Job Type
Full-time
Career Level
Mid Level