Case Manager

COLUMBUS MEDICAL SERVICES LLC• Remote, GA, US, GA

1d•$0 - $21•Remote

About The Position

The Independent Care Waiver Program (ICWP) Case Manager is responsible for coordinating and overseeing comprehensive care and service delivery for adults with significant disabilities, including individuals with traumatic brain injuries. This role ensures the development, implementation, and ongoing monitoring of individualized Plans of Care that address medical, behavioral, social, and personal needs. The Case Manager serves as a key advocate and liaison among participants, families, healthcare providers, and community partners to ensure high‑quality, compliant, and person‑centered services.

Requirements

Five (5) years of experience in healthcare service delivery or human services case management, specifically serving severely disabled adults and/or adults with traumatic brain injuries.
Licensed as a Registered Nurse (RN) or Bachelor’s degree (BA or BS) in a healthcare or human services–related discipline from an accredited college or university.
Proficiency in computer applications and electronic documentation systems.
Strong working knowledge of Microsoft Office 365 applications.
Excellent written and verbal communication skills, including report writing and professional correspondence.
Knowledge of care planning principles, service coordination, and report preparation.
Ability to interpret policies, procedures, and regulatory requirements.
Strong analytical and problem‑solving skills, including the ability to evaluate information and recommend appropriate courses of action.
Ability to build and maintain effective working relationships with participants, families, employees, and external agencies.
Ability to define problems, collect and analyze data, establish facts, and draw sound conclusions.

Responsibilities

Develop, coordinate, and implement comprehensive Plans of Care and Service Plans in accordance with ICWP waiver requirements and organizational standards.
Collaborate with participants, families, healthcare providers, and community resources to ensure care plans reflect the individual’s goals, needs, and preferences.
Monitor and verify the delivery of authorized services to ensure they are provided as outlined in the Plan of Care.
Evaluate the effectiveness of services and recommend adjustments to promote optimal outcomes and participant well‑being.
Ensure services are delivered efficiently, effectively, and in compliance with applicable regulations, policies, and quality standards.
Maintain accurate, timely, and complete documentation, including assessments, service plans, reports, and correspondence.
Interpret and apply policies, procedures, and program requirements to care coordination activities.
Establish and maintain effective working relationships with internal teams, external providers, and oversight agencies.
Participate in ongoing training, professional development, and quality improvement initiatives.
Collaborates with the clinical team in the review and assessment of cases to support quality outcomes.
Conducts routine site visits within the community to monitor health and safety conditions and identify potential risks.