AFC Care Manager — Community-Based Senior Care

UCP of Western Massachusetts; North Adams (MA); On-site; USD 60,000 - 80,000; Full time

Job summary

UCP of Western Massachusetts in North Adams, MA is seeking a Care Manager to provide care coordination, caregiver support, advocacy, and resource navigation through our Adult Family Care (AFC) program. The Care Manager works with members, families, healthcare providers, and community partners to help individuals remain safely supported in their homes and communities.

The role combines assessment, plan development, home visits, documentation, and ongoing care coordination to ensure services meet

Qualifications

• Bachelor's degree and Social Work license (LSWA/LSW/LCSW/LICSW) in good standing; or at least two years of recent experience with elderly or disabled adults.
• Significant clinical experience with elderly or disabled adults may be considered.
• Knowledge of case management, community resources, and person-centered service planning preferred.
• Familiarity with Adult Foster Care or Shared Living models preferred.
• Strong assessment, organization, documentation, problem-solving, and communication skills.
• Ability to work independently and manage a community-based caseload.
• Must have a valid driver's license and access to a private vehicle.
• Must pass background checks (CORI, SORI, DPPC, fingerprints).

Responsibilities

• Coordinate and monitor services and supports for AFC members.
• Conduct assessments of members and qualified caregiver home settings.
• Develop, implement, and review individualized plans of care.
• Conduct regular home visits and complete required documentation and progress notes.
• Obtain social histories and complete psychosocial assessments.
• Provide orientation, training, support, and ongoing guidance to caregivers in collaboration with nursing staff.
• Monitor member health, safety, and well-being and respond to urgent needs as they arise.
• Assist members and caregivers in accessing healthcare, community resources, and other supportive services.
• Develop emergency backup and contingency plans to support member safety.
• Maintain communication with caregivers, families, healthcare providers, and interdisciplinary team members.
• Ensure compliance with AFC program requirements and documentation standards.
• Participate in investigations, discharge planning, and other member support activities as needed.

Skills

Assessment skills

Organization

Documentation

Communication

Problem-solving

Independence

Education

Bachelor's degree & Social Work license

Tools

Microsoft Office

Electronic documentation systems

Virtual meeting platforms

Job description

UCP of Western Massachusetts in North Adams, MA is seeking a Care Manager to provide care coordination, caregiver support, advocacy, and resource navigation through our Adult Family Care (AFC) program. The Care Manager works with members, families, healthcare providers, and community partners to help individuals remain safely supported in their homes and communities.

The role combines assessment, plan development, home visits, documentation, and ongoing care coordination to ensure services meet