Specialized Care Manager

CONNECTICUT COMMUNITY CARE INC•Franklin, CT

About The Position

The Specialized Care Manager supports individuals referred through the Money Follows the Person (MFP) program, guiding them through an interactive, informed decision-making process about community-based long-term services and supports. The position contributes to assessment, information and referral, care planning and implementation, service access, and coordination with relevant programs. It supports individuals transitioning from institutional settings to the community and provides follow-up from the beginning of the transition through three months to one year post-transition. The role performs its responsibilities in support of Connecticut Community Care’s mission and commitment to quality, collaboration, and community leadership. Duties may change, or new duties may be assigned, and the description is not a comprehensive list of all responsibilities.

Requirements

Bachelor’s degree in administration, social work, public health, recreation, psychology, counseling, gerontology, or a related field.
Prior experience serving as a Specialized Care Manager (SCM) or Care Manager (CM) at CCC.
At least two years of experience in health care or human services, including community, hospital, institutional, or behavioral health settings.
Experience conducting comprehensive, systematic, person-centered assessments in community settings, homes, hospitals, and nursing homes.
Strong advocacy and communication skills.
Knowledge of chronic conditions and management strategies.
Strong understanding of person-centeredness, self-direction/self-determination, and independent living.
Knowledge of financial aspects such as Medicaid, Medicare, Medicare Advantage Plans, and pooled trusts.
Understanding of Connecticut Medicaid waivers and other appropriate programs, with solid knowledge of community resources.
Experience building rapport and relationships with individuals, families, and community resources using motivational interviewing techniques.
Understanding and practice of risk assessment and risk mitigation.
Experience with interviewing, observation, and analysis.
Reliable transportation, a valid driver’s license, and current automobile insurance.

Nice To Haves

Work experience with older adults and/or people with disabilities.
A bachelor’s degree in a field related to care management, such as social work, counseling, nursing, mental health, psychology, gerontology, sociology, rehabilitation, public health, or human services.
Registered nurse (RN) licensed in the State of Connecticut.

Responsibilities

Conduct comprehensive, person-centered assessments in the individual’s preferred setting, involving family or guardians as requested, and follow up with referral sources on outcomes.
Identify needs in alignment with each individual’s goals, strengths, values, and preferences.
Use motivational interviewing to develop and implement quality, cost-effective care plans based on the person’s desired outcomes.
Collaborate across agencies and interdisciplinary teams to achieve program benchmarks.
Educate individuals without bias about available public and private services, including self-directed options.
Explain program components, DSS guidelines, eligibility requirements, costs, and the benefits and limitations of service options.
Assist individuals with accessing services and completing applications, including functional and financial eligibility requirements.
Develop, share, and implement care plans; identify and address barriers to service access through advocacy and coordination.
Partner with DSS MFP Central Office, housing and transition staff, and UCONN to support timely transitions and program development initiatives.
Facilitate smooth transitions from Specialized Care Manager to waiver care planning staff.