Care Manager: Care Coordination & Discharge Planning

Talentify; West Sacramento (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

Independent Living Systems pursues a dedicated Care Manager to coordinate comprehensive care plans for individuals needing long-term support. You will assess needs, develop personalized discharge plans, and ensure smooth transitions between care settings to promote optimal health outcomes.

You will collaborate with multidisciplinary teams to access Medicaid and other benefits, advocate for members, and monitor progress to align care with clinical guidelines and personal preferences, delivering

Qualifications

• Bachelor’s degree in Social Work, Human Services, Nursing, or a related field.
• Experience in case management within healthcare or social services settings.
• Knowledge of Medicaid policies and procedures.
• Relevant experience may substitute for the educational requirement on a year-for-year basis.

Responsibilities

• Conduct comprehensive assessments of members' physical, mental, and social needs to develop individualized care and discharge plans.
• Coordinate with healthcare providers, social service agencies, and community resources to facilitate access to Medicaid and other benefits.
• Monitor progress and adjust care plans as necessary to address changing needs and ensure continuity of care.
• Provide education and support to members and families regarding available services, treatment options, and long-term care planning.
• Maintain detailed documentation and case records in compliance with regulatory standards and organizational policies.

Skills

Case management

Care coordination

Multidisciplinary collaboration

Advocacy

Education

Bachelor’s degree in Social Work, Human Services, Nursing, or related field

Master’s degree in Social Work (MSW) or related discipline

CCM certification (preferred)

Tools

Electronic Health Records (EHR)

Care coordination software

Job description

Independent Living Systems pursues a dedicated Care Manager to coordinate comprehensive care plans for individuals needing long-term support. You will assess needs, develop personalized discharge plans, and ensure smooth transitions between care settings to promote optimal health outcomes.

You will collaborate with multidisciplinary teams to access Medicaid and other benefits, advocate for members, and monitor progress to align care with clinical guidelines and personal preferences, delivering