Position Summary: : The Care Manager works collaboratively with the care management team to assess consumers, establish and implement a person-centric plan of care, conduct regularly scheduled homes visits, and oversee consumer care. The care management team credentials caregivers and their homes and provides ongoing support and training
What You Will Do: : Completes initial home assessments, collects required caregiver credentialing documents and ensures that all required home modifications are completed Obtains a social history and conducts a psychosocial evaluation Assists with obtaining information about and making referrals to, other health-care and community services Coordinates consumer placement following acceptance to the program and ensures that all required forms and standard procedures are followed for the placement process. Identifies significant changes in consumer status and works with the care management team to conduct required assessments Provide ongoing coaching to drive effective utilization of established best practices and protocols where appropriate Works collaboratively to help develop and implement the consumer plan of care (POC). Monitors, reviews and updates Plan of Care per Company and regulatory standards; conducts on-site visits with each member at the qualified setting in accordance with regulatory standards Oversees consumer care through regular communication and home visits, including review of and supervision of personal care services Completes a care-management progress note corresponding with each on-site visit or encounter and upon significant change Delivers consumer-specific training to caregivers on an ongoing basis and documents training and caregiver competency Completes daily review of case record documentation for accuracy, completeness, compliance, and timeliness and conducts follow-up as needed Collaborates and communicates regularly with clinical team, agency and support services, primary care physician, and other medical providers to ensure timely and appropriate delivery of consumer services Participates in the discharge and transition planning and implementation Reviews at least annually the suitability for the qualified setting Ensures continuous survey readiness and compliance with all regulatory and accreditation agency standards Performs other duties as assigned What You Will Bring: : Bachelor's degree and at least two years of clinical experience working with elders or adults with disabilities or e quivalent combination of education and experience, including internships in related fields may apply.
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) Additional state-specific qualifications may be required About Us: : Careforth empowers thousands of family caregivers across the United States to confidently care for their loved ones at home. Everyday our team of trained nurses and care coaches engage in real conversations with caregivers, personally and via our proprietary digital collaboration app, to provide emotional support, personal guidance, and connections to community resources. Headquartered in Boston, Careforth's caregiver programs and services improve health outcomes, provide cost savings for those receiving care, and increase engagement and satisfaction for health plans and providers. Through it all Careforth supports family caregivers. At every turn.
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Careforth is an Equal Opportunity Employer*
DISCLAIMER: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
*Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law.
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