Case Manager

Overview

• Deliver person-centered care management services, ensuring compliance with state regulations and organizational standards.
• Conduct quarterly in-person member visits within a reasonable geographic radius.
• Coordinate services and benefits navigation to support members' health and well-being.
• Develop and maintain individualized Life Plans for members, collaborating with families and service teams.
• Monitor adherence to care and treatment recommendations, ensuring timely access to healthcare services.
• Utilize Health Information Technology systems to document services and maintain compliance.
• Support transitions between care levels, providing timely follow-up after critical events.
• Engage families with support groups and resources to enhance member satisfaction.

Key Responsibilities & Duties

• Complete comprehensive assessments covering medical, mental health, and social service needs.
• Develop and manage caseloads, conducting required face-to-face visits with members.
• Coordinate interdisciplinary teams to implement clinical recommendations and care plans.
• Provide transitional care support, ensuring smooth transitions between care levels.
• Identify and manage referrals to community and social support services.
• Maintain accurate documentation in Electronic Health Records, adhering to HIPAA regulations.
• Assist members with benefit programs and personal planning needs.
• Report any concerns related to abuse, neglect, or maltreatment promptly.

Job Requirements

• Associate of Applied Science (AAS) degree or higher in a relevant field.
• Minimum of 1 year of relevant case management experience; preferred 2 years.
• Proficiency in Microsoft Suite and Health Information Technology systems.
• Strong interpersonal, conflict-management, and communication skills.
• Ability to prioritize tasks, analyze situations, and act effectively under pressure.
• Knowledge of benefit programs such as SNAP, Medicaid, and SSI.
• Experience with interdisciplinary team collaboration and care plan development.
• Commitment to maintaining confidentiality and adhering to privacy regulations.