Care Manager: Community-Based Health & Resource Navigator

NextStep Care; Thomasville (GA); On-site; USD 50,000 - 65,000; Full time

Job summary

NextStep Care, based in Thomasville, GA, is seeking a dedicated care manager to coordinate between members and home and community-based service providers, ensuring high-quality, cost-effective care and positive outcomes for the community.

You will educate members and families about available resources, develop collaborative relationships with providers, track progress, document interventions, and participate in after-hours on-call rotation as needed.

Qualifications

• Communication: Effective verbal and written communication with clients, families and professionals.
• Empathy and Compassion: Understanding and supporting clients in challenging situations.
• Resourcefulness: Knowledge of community resources to connect clients with services.
• Collaboration: Work well with professionals and agencies across settings.
• Problem-Solving and Critical Thinking: Assess problems and develop solutions.
• Organization and Time Management: Handle multiple cases and documentation.
• Cultural Competence: Respect diverse cultures to build trust and provide support.
• Advocacy: Ensure clients access necessary services.
• Ethical and Legal Knowledge: Understand ethical and legal frameworks in social work.

Responsibilities

• Acts as a liaison between members and home and community-based service providers to facilitate quality and cost-effective care and outcomes.
• Provides education and support to members and their families regarding community resources and services.
• Develop effective, collaborative relationships with key stakeholders including primary care providers, managed care plan providers, home and community-based service providers (HCBS), formal/informal caregivers and families.
• Maintains regular communication with members through phone calls and home visits to monitor their wellbeing and adjust careplans as needed.
• Records and documents interventions and member information completely and accurately, in accordance with payer and organization guidelines.
• Collaborates and communicates with internal team members, including Central Intake and Assessment Team members, to ensure continuity of care for assigned members.
• Identifies and resolves care plan variances, including barriers to primary and specialized medical care, to ensure effectiveness of member’s careplan.
• Assesses and addresses member engagement and behavior to support optimal health and functional status.
• Participates in after-hours on-call rotation requirements, as assigned.
• Maintains and monitors quality of services through collaboration with the Quality Assurance and Education Team and Care Management Director.
• Participating in Community Outreach as outlined in Quarterly Outreach plan.
• Support the training and onboarding of new team members.
• Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
• Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System, in a professional manner.
• Performs other duties as necessary to ensure the success of the System.

Job description

NextStep Care, based in Thomasville, GA, is seeking a dedicated care manager to coordinate between members and home and community-based service providers, ensuring high-quality, cost-effective care and positive outcomes for the community.

You will educate members and families about available resources, develop collaborative relationships with providers, track progress, document interventions, and participate in after-hours on-call rotation as needed.