Clinical Case Manager

HouseWorks Home Care•Waltham, MA

5d•$70,000 - $75,000•Hybrid

About The Position

HouseWorks is a mission-driven organization dedicated to improving the lives of seniors as they age. They provide seniors and their families with a comprehensive, vetted, and coordinated in-home service network that is high-touch, tech-enabled, compassionate, and well-managed. The home healthcare industry is experiencing significant growth as the baby boomer generation ages and the home becomes the primary location for care due to consumer demand for convenience and lower-cost solutions. The Clinical 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 position requires establishing regular updates with Primary Nurses and determining the necessity of in-person visits. The Clinical Case Manager may also participate in discharge planning and family meetings to facilitate home discharge, assist with intake to ensure appropriate care levels, and work with the Care Center to ensure HHAs meet skill requirements, address training needs, and help orient PC/HM and HCAs.

Requirements

Bachelor of Science in Nursing (BSN) required.
Current Registered Nurse (RN) license in the state of MA.
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

Master's degree in nursing or healthcare administration preferred.
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.