Care Manager I

Institute on Aging Southern California, LLC; Salinas (CA); On-site; USD 71,000 - 78,000; Full time

Job summary

Institute on Aging Southern California, LLC is seeking a qualified social service professional to conduct comprehensive assessments, develop and implement a client-centered Community Living Plan, and coordinate services for disabled and older adults. The role includes home visits, coordination with healthcare providers, and ongoing case management to ensure timely, quality care.

The position requires at least a year of relevant experience, a BA/BS in Social Work or related field, bilingual

Qualifications

• B.A or B.S in Social Work or related field required.
• One year working with disabled adults and/or older adults required.
• Experience with mental/behavioral health and substance abuse highly desired.
• Bilingual English/Spanish required.
• Exceptional communication and presentation skills relating to functionally impaired adults and their support systems.
• Demonstrates case management skills and experience in the community health care delivery system.
• Computer literacy required.

Responsibilities

• Conducts comprehensive assessments and ongoing reassessments of the client including psychosocial, physical and mental health, environmental and spiritual needs.
• Writes comprehensive assessments.
• Develops and initiates the Community Living Plan with the client, which is client-centered and consistent with guidelines.
• Conducts home visits and escorts clients to medical appointments as clinically indicated.
• Identifies and arranges appropriate community services based on Medicare, Medi-Cal and other programs.
• Maintains a care management relationship with clients and family as appropriate.
• Provides crisis intervention, advocacy, problem solving and therapeutic interventions.
• Maintains documentation within 24-48 hours and updates the care plan as needed.
• Operates within the National Association of Social Workers ethics and Community Living Fund policies.

Skills

Communication skills

Bilingual English/Spanish

Computer literacy

Problem solving

Prioritization

Education

B.A. or B.S. in Social Work or related field

Job description

RESPONSIBILITIES:

• Conducts comprehensive assessments and on-going re-assessments of the client and including psychosocial, physical and mental health, environmental and spiritual needs.
• Writes comprehensive assessments.
• Based on assessment information with the client develops and initiates the Community Living Plan, which is client-centered, comprehensive and consistent with program guidelines and policies and procedures.
• Conducts home visits, acute hospital & skilled nursing facility visits, as well as escorts clients to medical and other appointments as clinically indicated.
• Identifies arranges for and monitors appropriate community services based a good knowledge of Medicare, Medi-Cal, and other entitlement programs.
• Establishes and maintains a care management relationship with clients and their significant others as appropriate, offering respect, dignity and support.
• Provides crisis intervention, advocacy, problem solving and therapeutic interventions.
• Meets with clients at least monthly, and more often as clinically indicated.
• Reviews and modifies their care plan on an ongoing basis.
• Documents via progress notes all case management activity regarding identified problems within 24-48 hours, adding any new problems to the care plan, as needed.
• Maintains required paperwork and follows a clear, concise, and consistent system of charting to allow for continuity of care.
• Ongoing evaluation for client Purchase of Service needs and follow-up to determine if services have been provided in a timely manner.
• Educates clients and significant others about resources.
• Establishes and maintains open and effective communication with community providers, including physicians and other health care and social service workers.
• Provides appropriate information on all significant aspects of individual client care and program operations, while maintaining necessary confidentiality.
• Monitors the quantity and quality of the services provided by other involved providers.
• Working closely with the team, continuously evaluates the clients’ ability to remain safely at home; coordinates placement as appropriate, according to Community Living Fund guidelines.
• In collaboration with the client, caregiver, and involved services, terminates clients when appropriate.
• Documents the process as required.
• Participates in data collection, as required.
• Participates in and promotes ongoing efforts towards Continuous Quality Improvement.
• Attends and actively participates in team and program meetings, activities and problem-solving endeavors; contributes to open lines of communication within the team.
• Utilizes supervision appropriately, maintaining open lines of communication and providing updates on caseload activity.
• Actively incorporates the ethical and legal standards of the National Association of Social Workers into all aspects of interactions with others.
• Understands and applies the regulatory and procedural requirements of Community Living Fund as well as the policies and procedures of the Institute on Aging.
• Attends continuing education classes and/or in-service training to increase knowledge, skills and attitudes related to case management, gerontology, family and community systems and other areas relevant to the Community Living Fund client population.
• All other reasonably related responsibilities as assigned.

EDUCATION:

B.A or B.S in Social Work or related field required.

BACKGROUND AND EXPERIENCE:

• One year working with disabled adults and/or older adults required.
• Experience with and understanding of the medical and psychosocial problems of functionally impaired adults and older adults.
• Experience working with individuals with mental and/or behavioral health diagnoses and substance abuse disorders highly desired.
• Exceptional communication and presentation skills relating to the functionally impaired adults and older adults, their support systems and teams of health professionals.
• Demonstrates case management skills and experience in the community health care delivery system.
• Detail oriented with good problem solving skills and the ability to prioritize multiple tasks.
• Computer literacy required.
• Bilingual English/Spanish required.

COMPENSATION:

Range: $ 71,000 to $78,000/annual This amount is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee, which is always dependent on actual experience, education and other factors. This range does not include any additional equity, benefits, or other non-monetary compensation which may be included. A job with benefits that goes above and beyond. From competitive salaries to investment and retirement opportunities, we offer our employees first-rate benefits. Coupled with outstanding health coverage, robust wellness programs, and additional perks, we make a rewarding career even more rewarding.