Home Care Case Manager

HouseWorks Home Care•Somerville, 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, HouseWorks has grown to be one of the largest single-site private home care companies in the country. They are committed to improving the health and well-being of their employees and the people they serve. HouseWorks is embarking on a new growth chapter focused on client service excellence, caregiver engagement, technological innovation, and expansion into new markets. The company provides 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 center for care, driven by consumer demand for convenience and lower-cost solutions.

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

Coordinate and oversee comprehensive care plans for clients receiving Nursing, PCHM, or HHA services.
Collaborate with the Care Center Team to assess client needs and develop personalized care plans.
Ensure Caregivers are delivering quality care.
Establish regular updates with Primary Nurses and determine when in-person visits are necessary.
Attend discharge planning and family meetings to facilitate home discharge.
Be involved in intake to ensure appropriate care levels through discussions with staff and family.
Work with the Care Center to ensure HHAs meet skill requirements.
Address training needs with the Care Center and Education and Training.
Help orient PC/HM and HCAs.
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.