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Care Manager

The Care Manager provides a client-centered approach to assessment, service acquisition, reassessment, and monitoring of services to assist elders to live independently in the community. This includes working cooperatively, coordinating service plans and maintaining ongoing communication with the elder, family members, informal supports, and formal supports as necessary.

Interdisciplinary care management is provided by registered nurses and care managers working in consultation with physicians, nurses and therapists from home health agencies, hospice providers, nutritionists, housing managers, mental health professionals, and other home and health care professionals.

Interdisciplinary care management requires a thorough knowledge of available community services, an understanding of both formal and informal support systems, and an ability to interface and collaborate with those systems to ensure the elder's needs are met. The position entails extensive coordination, follow-up and feedback to consumers and service providers, as well as record keeping in compliance with regulations.

Essential Job Functions

Coordinates with and identifies consumers eligible for GAFC, ECOP and Choices programs with the Home Care Manager and NSES RN.

Develops an assessment with a proposed service plan.

Prepares the appropriate summary for the specific category, including the Home Care Nurse narrative for approval.

Evaluates and monitors consumer safety and quality of services provided.

Provides ongoing care management services in consultation with the NSES RN, and coordinates care plan development and changes with other community agencies, including CSSM-CM functions for consumers leaving Nursing Facilities.

Provides translation services to other agency personnel as requested.

Monitors service costs to ensure that they meet service thresholds and are within budget caps.

Completes documentation in accordance with agency standards.

Requirements

Education and Experience:

Bachelor's degree in social work, human services, nursing, psychology, sociology or a related field is preferred or a bachelor's degree in another discipline with experience in the field of human service via previous employment, internship, volunteer activity or additional studies.

MA social work license expected but may be obtained after employment in a specified time period.

For more job opportunities go to https://nselder.org/get-involved/employment-opportunities/