Assessment, Care Manager

The Assessment, Care Manager (CM) works collaboratively as part of a care team to guide prospective families through an assessment process to enable efficient activation of services. This includes assessing consumer and caregiver eligibility for services, developing an initial person centric care plan, and preparing families for ongoing services including orientation to a digital communication platform, Careforth. Assessments are carried out within established timelines for expedient service activation.

• Manages initial contact with prospective families and educates them on qualifications as it relates to the consumer, caregiver and home; assesses consumer and caregiver eligibility for services
• Promotes the organization to prospective families and educates them on the services provided
• Assists prospective families in addressing social determinants of health needs such as access to safe housing, accessing education and resources, benefit eligibility, social supports and healthy behaviors
• Conducts initial assessment (typically onsite) and coordinates service activation, ensuring that all required forms and standard procedures are followed
• Assigns and assists with orientation training for each caregiver in Careforth’s HIPAA secure technology platform.
• Develops strong understanding of payer options and is able to guide prospective families through service activation process for applicable payer source
• Assists in developing and reviewingeach member’s plan of care on an ongoing basis
• Assists caregiver with onboarding of Careforth’s HIPAA secure technology platform. Ensures caregiver has proper understanding of how to successfully submit electronic daily communication
• Completes progress notes corresponding with each on-site visit or encounter; documents medical history data and assists in starting the plan of care.
• Ensures continuous survey readiness and compliance with all regulatory and accreditation agency standards
• Ensures smooth transition to start of service with ongoing case management.
• Performs other duties as assigned

• Bachelor’s degree and at least two years of clinical experience working with elders or adults with disabilities or equivalent combination of education and experience, including internships in related fields may apply.
• Ability and flexibility to travel (usually by automobile) within assigned geographic area; valid driver’s license and automobile insurance is required
• Experience in case management, care planning and assessment for cases including but not limited to eldercare, people with disabilities, and other complex medical needs in a health care setting
• Tech savvy with the ability to teach others; proficient in common software and web-based applications (e.g. Case Management Systems, Office)
• Ability to work in a fast-paced environment meeting departmental goals and KPIs
• Ability to influence and be self-motivated with a results-driven approach
• Additional state-specific qualifications may be required.