Case Manager- hybrid remote and community based

This is temporary for 3 months, could last longer. FT hours, M - F basic business hours starting ASAP.

The Care Manager is responsible for the assessment of resident psychosocial needs and coordination of support services for low-income older adults. The CM also plans for and monitors services and interventions ensuring provision of quality care. This position is community based and remote, hybrid position.

SPECIFIC RESPONSIBILITIES:
• Conducts comprehensive assessments and on-going re-assessments of the residents and including psychosocial, physical and mental health, environmental and spiritual needs.
• Writes comprehensive assessments. Based on assessment information with the client develops and initiates the client-centered Community Living Plan.
• Identifies arranges for and monitors appropriate community services based a good knowledge of Medicare, Medi-Cal, and other entitlement programs.
• Establishes and maintains a care management relationship with clients and their significant others as appropriate, offering respect, dignity and support. Provides crisis intervention, advocacy, problem solving and therapeutic interventions.
• Meets with clients at least monthly, and more often as needed. Reviews and modifies their Community Living Plan on an ongoing basis.
• Documents via progress notes all case management activity regarding identified problems within 24 hours, adding any new problems to the service plan, as needed.
• Maintains required paperwork and follows a clear, concise, and consistent system of charting to allow for continuity of care.
• Educates clients and significant others about resources and when possible, trains them to provide their own case management.
• Establishes and maintains open and effective communication with community providers, including physicians and other health care and social service workers. Provides appropriate information on all significant aspects of individual client care and program operations, while
maintaining necessary confidentiality.
• Monitors the quantity and quality of the services provided by other involved providers in collaboration with the client, caregiver, and involved services, terminates clients when appropriate. Documents the process as required.

• Participates in research studies and data collection, as required.

• Participates in and promotes ongoing efforts towards Continuous Quality Improvement.
• Attends and actively participates in team and program meetings, activities and problem-solving endeavors; contributes to open lines of
communication within the teams.
• Utilizes supervision appropriately; maintaining open lines of communication and providing updates on caseload activity.

EDUCATION:

• B.A or B.S in Social Worker or related field required
• 1 year experience working with disabled adults and/or frail elderly required.