Social Work Care Manager-Hybrid

Partners in Care Foundation In•San Fernando, CA
•$25 - $29•Hybrid

About The Position

The Social Work Care Manager partners with clients and their families or representatives to identify goals, preferences, and needs related to health and independent living. The role evaluates clients holistically, including socioeconomic and psychological challenges, and conducts assessments and reassessments of psychosocial, rehabilitation, and environmental needs to determine the appropriate level of care. As part of a care management team, the Care Manager contributes to person-centered planning, coordinates community services, monitors quality of care and adherence to the approved plan of treatment (POT), and supports participants’ self-determination. The position also maintains clinical documentation and confidentiality, complies with HIPAA, participates in quality assurance activities, and refers clients for specialized evaluations as needed. A current automobile insurance certificate must be provided annually, with coverage of $15,000/$30,000 for injury and $5,000 for property damage. Partners in Care Foundation is an equal opportunity employer and may provide reasonable accommodations to enable qualified individuals to perform essential job functions.

Requirements

  • Bachelor’s degree in social work, psychology, gerontology, sociology, or a related field.
  • Two years of experience in case management, working with seriously ill, frail, or disabled children and adults.
  • Clinical assessment skills.
  • Knowledge of the community.
  • Ability to work with a multidisciplinary team and with clients and families in the home setting.
  • Provide a copy of current automobile insurance annually: $15,000/$30,000 for injury and $5,000 for property damage.

Nice To Haves

  • Hospital experience.
  • Skilled nursing facility (SNF) experience.
  • Home- and community-based services (HCBS) experience.

Responsibilities

  • Establish a partnership with clients and their families or representatives to elicit goals, preferences, and needs for health and independent living.
  • Evaluate clients holistically and identify socioeconomic and psychological challenges that impede independent living.
  • Conduct in-depth assessments and reassessments covering psychosocial, rehabilitation, and environmental concerns to determine the required level of care.
  • Work as part of the care management team to provide person-centered planning and services, including participating in interdisciplinary planning and case conference meetings.
  • Record clinical notes within established program guidelines.
  • Arrange community services and monitor quality of care and adherence to the approved POT.
  • Work with participants, families, and caregivers to maximize self-determination and the provision of informal services.
  • Ensure the POT is as self-directed as the participant desires, involving the circle of care as invited or when the participant is unable or unwilling to make decisions.
  • Refer clients to special consultants for detailed evaluations and recommendations to improve functional levels.
  • Support the waiver program by participating in quality assurance programs, including peer review.
  • Maintain patient confidentiality.
  • Adhere to HIPAA regulations.
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