Care Manager

Under limited supervision, the Care Manager, is responsible for managing the clinical and medical care for clients to include vulnerable adults and elderly populations and  supports the overall operation of The Option Group. 

Essential Functions

1. Conduct home visits, phone calls, virtual calls, and regular in-person visits with clients to gather information, assess condition, living situation and make recommendations.
2. Maintain HIPAA compliance in all client and family communications, reports, and management of electronic and physical documents.
3. Provide cognitive screenings and make determinations of
4. Conduct evaluations and clinical assessments, to discern the situation and make recommendations.
5. Connect clients, families and/or representatives to appropriate services and resources.
6. Coordinate and facilitate meetings with individuals, families, professionals and service
7. Create comprehensive reports and develop appropriate care plans for clients and families, in accordance with company procedures.
8. Coordinate client’s medical care and ensure home environment is safe and supportive of the needs of the client.
9. When necessary, transport clients to appointments and attend to obtain findings and recommendations, discuss information, collaborate with physician, and communicate outcomes to appropriate individual (family, guardian, physicians ).
10. Respond to emergencies in an appropriate manner and notify family, APS, police, physicians and other agencies.
11. Act as a liaison for client/family with attorneys, physicians, and other service providers.
12. Advocate for client to get services, entitlements, or the best care scenario for the
13. Directs Care Manager Associate with support activity or research
14. May serve as supervisor to other care givers or service
15. Transition individuals from hospital, nursing facility or other institution into the most appropriate community
16. Work collaboratively with the Local Health Department, Maryland Department of Health, Department of Aging, and any other external partners deemed appropriate by advocating and enrolling individuals in qualifying
17. Document all case activity in case documentation system and submit corresponding billing within 1-2 days of
18. Schedule appointments for clients as needed.
19. Be the professional representative of TOG at networking and marketing events to help grow business. This includes individual visits to referral sources.
20. Research appropriate care settings and support services needed for client and advocate for client to ensure proper services are provided.
21. Purchase items for clients and submit receipts for reimbursement each month according to company policy.
22. May occasionally cover appointments for another care
23. Complies with company policies, procedures, and
24. Performs other duties as assigned.

Competencies

1. Good working knowledge of dementia, its behaviors, challenges and clinical
2. Treats clients, families, representatives and providers with respect and
3. Self-motivated, proactive, collaborative and utilizes team
4. Knowledge of state and federal guidelines and resources to include Medicare, Medicaid, insurances, local/regional facilities, services, practices and community resources.
5. Excellent problem-solving skills, to include critical and creative
6. Strong ability to discern client conditions and to intervene quickly and appropriately to avert or respond to a crisis.
7. Strong attention to detail and organizational skills, with the ability to prioritize and complete multiple work assignments on time.
8. Strong communication skills and the ability to communicate clearly, concisely and professionally both verbally and in all written formats.
9. Strong ability to prioritize and balance a multitude of work and client
10. Ability to interact professionally and comfortably with clients, professionals, and staff at all levels.
11. Commits to exceeding expectations and delivers the highest level of customer
12. Maintains trainings, licensures, certifications, etc., required to remain current in profession.
13. Proficient in Microsoft Office products (Word, Excel, Power Point).

Work Environment

This job operates in a professional or home office environment and a client’s home. This role routinely uses standard office equipment such as computer, phones, printer, copier, filing cabinets and fax machines.

Physical Demands

This is largely a sedentary role and may require sitting for prolonged periods of times to drive or when using a PC. Bending, reaching or stooping may be necessary for use of filing cabinets, other office equipment, or while assisting clients with tasks.  Extended periods of standing and walking may be required. This job also may rarely include lifting of up to 50 lbs. to help with client needs.

Expected Hours of Work

Days and standard hours of work are Monday through Friday, daytime hours. Extended hours may be expected during high volume, and some flexibility is needed to accommodate client scheduling needs or emergencies.

Travel

Frequent local travel.

Required Education and Experience

1. RN or Social Work degree with clinical background experience and/or care management experience.
2. Familiar with State Waivers and Benefits.
3. Pursue pathway to certification through Aging Life Care Association within the next year.
4. Valid, current state Driver’s License.

Apply

Please email your resume to mgillum@theoptiongroup.net