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Case Manager

Council on Aging
Santa Rosa, CA Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 3/24/2025

TITLE: Case Manager    
CLASSIFICATION: Non-Exempt, Hourly, FT (37.5 hours a week, M-F) 
DEPARTMENT: Nutrition Services
REPORTS TO: Director of Nutrition and Health Services

SALARY RANGE: $28-$30 per hour 


SCOPE OF WORK:
The Case Manager provides person-centered assistance to older adults, age 60 or older, who need assistance managing daily living tasks to maintain independence and a high level of functioning in the least restrictive setting possible. The program utilizes a collaborative and holistic approach to assessment, planning, linkage, care coordination, advocacy, resources, and services to meet the individual’s needs. The Case Manager facilitates a combination of senior care coordination, government-funded care management services, and information and referral and connects with all Council on Aging programs and community-based partners to ensure client success in accessing necessary resources and services. The position is based at the Council on Aging office.

DUTIES AND RESPONSIBILITIES:
•    Actively seek referrals from COA as well as in the community. This requires interaction with outside organizations and the ability to effectively articulate the benefit of Case Management services.
•    Demonstrate knowledge of all COA programs and services as well as other community resources to support older adults. This includes completing PEARLS training and observing all other COA programs. 
•    Assess prospects to determine appropriateness for Case Management services. This includes fielding inquiry calls and walk-ins.  
•    Assist clients in the enrollment process for MediCal and other benefits.
•    Perform Intake & Assessment, including ADLs, for case management clients.
•    Develop a Care Plan in partnership with the client and/or their representative, which includes specific, quantifiable goals that address each identified need, and strategies for each goal. Care Plan goals may include such items as a connection to services, assistance with health planning, benefits assistance, emergency planning, psycho-social support, and access to transportation or housing resources.
•    Perform ongoing in-person meetings, telephone check-ins, and reassessments required for each program, monitoring and updating the Care Plan as needed.
•    Identify action steps and documentation to fulfill contracts including Enhanced Care Management services through MediCal.
•    Educate, empower, and support clients in making phone calls for services or by helping them complete forms or applications. 
•    Support clients in achieving wellness and autonomy by helping them make informed decisions. 
•    Effectively collaborate with internal program staff and external organizations and community partners to achieve client success. 
•    Track client progress, recognize successes, and identify barriers to ensure client satisfaction.
•    Record case information, complete accurately all necessary forms and databases, and produce KPIs and reports.
•    Assess and address motivational and psychosocial issues if any.
•    Adhere to professional standards as outlined by protocols, rules, and regulations.
•    Attend COA team meetings and community partner events, such as the Multidisciplinary Task Force, as assigned.
•    Attend relevant training to stay current on industry standards.
•    Meet with supervisor for weekly check-ins.
•    Other duties as assigned.

Salary : $28 - $30

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