Care Manager opportunity with a rapidly growing tech-enabled care management company headquartered in Boston, MA.
The Assessment, Care Manager works collaboratively as part of a care management team to guide prospective families through the initial assessment process, assess consumer and caregiver eligibility for services, develop an initial person centric plan of care and meet established timelines for timeliness of assessment and service activation.
The CM coaches, advocates and educates caregivers to assist with the daily well-being needs of consumers. This position supports the ongoing care management needs of cases as needed.
Must be able to travel to homes in the surrounding areas for training/assessing caregivers.
• 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
• Coordinates consumer service activation and ensures that all required forms and standard procedures are followed for the activation process. Conducts orientation training for each caregiver before the caregiver enters the program as well as on-going training as required
• Develops strong understanding of payer options and is able to guide prospective families through service activation process for applicable payer source
• May provide ongoing coaching to caregiver in conjunction with RN Care Manager as needed to drive effective utilization of established best practices and protocols (CarePaths)
• Develops and reviews each member’s plan of care on an ongoing basis
• Assists caregiver with onboarding of company’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, or more often as the member’s condition warrants
• Ensures continuous survey readiness and compliance with all regulatory and accreditation agency standards
• Performs other duties as assigned
Bachelor’s degree and at least two years of recent clinical experience working with elders or adults with disabilities or an equivalent combination of education and experience in related fields.
• Ability 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• Proficiency in common software and web-based applications (e.g. Case Management Systems, Office)
Bilingual highly preferred NOT required
Competitive comp, benefits and sign on bonus available for the ideal candidate.