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CCSP Care Manager BSW/MSW - Fulton, and Cobb County

Visiting Nurse Health System Inc
Alpharetta, GA Full Time
POSTED ON 1/28/2025
AVAILABLE BEFORE 4/26/2025

Job Description

Job Description

  • Candidates will also be required to travel to surrounding counties to see clients.

Visiting Nurse Health System is the largest non-profit Home Health & Hospice Agency in the State of Georgia!

Celebrating 75 years of active service, our mission is to improve the lives of those we serve.

If you’re one of those people who won’t settle for ordinary and want to be extraordinary by touching the lives of others, Visiting Nurse | Hospice Atlanta may be the ideal career choice for you.

As the leading provider of home health and hospice care in Atlanta, we offer a great variety of highly rewarding job opportunities for unique individuals just like you. We understand that you want to truly make a difference in the lives of patients and their families.

As a member of our team, you can utilize your skills, share your compassion and rare talents to provide a full continuum of care in the comfort of a patient’s home. In addition, you can apply your gifts by providing aging services and hospice care to adults and children.

Benefits :

  • Medical Insurance
  • Vision Insurance
  • Dental Insurance
  • Long-Term & Short-Term Disability
  • 403B Retirement Benefits
  • 6 Paid Holidays
  • Mileage Reimbursement
  • And more!
  • About the Position :

    The CCSP Care Manager resides in VNHS' Community Care Department, handling and meeting the needs of our Medicaid clients. This candidate provides case management activities necessary to meet the needs of clients assigned to the consolidated care team. This position is responsible for the development of individualized care management plans; implementation of the care plan through brokering and coordinating services; and the monitoring and evaluation of all clinical outcomes to ensure that services are provided in a professional, comprehensive and cost-effective manner.

    MINIMUM JOB REQUIREMENTS

    Education : Master’s or bachelor's degree in social work, Sociology, Psychology, or a related field; or a graduate of an accredited baccalaureate school of nursing required.

    Licensure / Certifications : SW licensure is preferred but not required. Must have current CPR certification.

    Previous Experience : 2 years' experience in case management in a health care field. Preference given to national certification in case management.

    Knowledge / Training : Must be able to function independently and effectively in a community-based environment. Requires proven interpersonal skills with ability to communicate effectively. Demonstrates proven decision-making skills, organizational, self-disciplined, and time management skills.

    Computer Skills : Must be familiar with general use and functions of the computer, such as, usernames and password concepts; internet; e-mail; navigation of computer desktop or laptop, including starting programs, using files, and windows, effectively use navigation buttons and tool bars; ability to self-manage online HR services and online training programs.

    Transportation : Must have reliable transportation.

    JOB SPECIFIC EXPECTATIONS

    Coordination of Services :

  • Arranges both CCSP and non-CCSP community-based services in collaboration with the RN care coordinator, the client and family members.
  • Coordinates Medicaid application team to assure that the CCSP is accessible to functionally impaired Medicaid eligible persons.
  • Arranges emergency services as applicable.
  • Coordinates with the lead agency or DHR as needed to assure that all components of CCSP are responsive to the needs of the client.
  • Serves as the transition point and link between the assessment process and the effective delivery of direct services.
  • Assessment and Care Plan :

  • Develops appropriate care plans in consultation with the client, client’s family, and service providers.
  • Implements the care plan and brokers the CCSP services.
  • Complies with standards of promptness set forth by DHR policy regarding specific activities : Completes assessments within 5 days of referral. Follows up on direct services ordered within 10 days. Reviews care plan within the first 60 days of LOC date.
  • Reviews care plan every 4 months at a minimum or more often as needed. Provides updated data monthly at a minimum for the purpose of reporting requirements. Completes a reassessment annually or refers to team RN for reassessment to avoid lapse of MD orders.
  • Documentation :

  • Documents all care management activity and service-related information.
  • Ensures that documentation is consistent with the format required by department
  • Cognitive standards (i.e., progress notes reflect care plans.)
  • Maintains confidential case records on all CCSP clients.
  • Demonstrates the ability to follow through in a thorough and timely manner on tasks assigned by management team and requests made by patients / families, referral sources, and community.
  • Documents appropriate follow up on client needs whether related to CCSP services or other community resource needs.
  • Financial :

  • Limits amount and frequency of service to assure that costs do not exceed the limitations established by the Division of Aging Services and the Department of Community Health.
  • Authorizes payment for service providers within the DHR standards of promptness following the service date.
  • Regulatory :

  • Requests redetermination of the client’s level of care prior to its expirations.
  • Demonstrates knowledge and understanding of CCSP manual, Medicare and Medicaid regulations, physicians’ orders, and the standards of care.
  • Demonstrates knowledge of and adheres to the policies and procedures of Visiting Nurse Health System.
  • General Duties :

  • Maintains current knowledge of community resources to ensure that the care plan is realistic and to coordinate and / or arrange services to clients.
  • Monitors service delivery to individual clients. Follows-up on each direct service to determine if it is being provided as appropriate and is effectively meeting the clients needs.
  • Maintains current knowledge about the service standards for each CCSP service.
  • Actively participates in interdisciplinary conferences to coordinate care, problem-solve, and exchange views and information. Documents case conference activities and follow up.
  • Infection Control :

  • Demonstrates knowledge of infection control standards and required practices as per VNHS policy and procedures and consistently practices these techniques.
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