Care Manager I

Institute on Aging; San Mateo (CA); On-site; USD 73,000 - 88,000; Full time

Job summary

Institute on Aging is seeking a Care Manager I to assess residents' psychosocial needs and coordinate support services for low-income older adults in San Mateo, CA. The role focuses on developing and monitoring a client-centered Community Living Plan and ensuring access to Medicare, Medi-Cal, and other entitlements.

You will maintain open communications with clients, families, and health providers; document promptly and participate in quality improvement efforts while adhering to professional

Qualifications

• B.A or B.S in Social Work or related field required.
• One year’s experience working with disabled adults and/or frail elderly.
• Bilingual highly preferred; English plus Cantonese and/or Mandarin and/or Spanish.
• Exceptional communication and presentation skills relating to the frail elderly and teams of health professionals.
• Demonstrates case management skills within the community health care delivery system.
• Detail oriented with good problem-solving and ability to prioritize tasks.
• Computer literacy required.

Responsibilities

• Conducts comprehensive assessments of residents' psychosocial, physical and mental health needs.
• Writes comprehensive assessments and develops the client-centered Community Living Plan.
• Identifies and arranges appropriate community services including Medicare, Medi-Cal and other entitlements.
• Establishes and maintains a care management relationship with clients and families, offering advocacy and crisis intervention.
• Meets with clients monthly and updates their Community Living Plan as needed.
• Documents case management activity within 24 hours and maintains charting continuity.
• Educates clients about resources and trains them for self-management when possible.
• Maintains open communication with providers, physicians and other health/social service workers.
• Monitors the quantity and quality of services provided by involved providers.
• Participates in research and Continuous Quality Improvement efforts.

Skills

Communication skills

Case management

Computer literacy

Bilingual (EN + CN/ES)

Education

Bachelor's degree in Social Work

Job description

IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the “status-quo” and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life.

With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission.

The Care Manager I (CMI) is responsible for the assessment of resident psychosocial needs and coordination of support services for low-income older adults. The CMI plans for and monitors services and interventions ensuring provision of quality care.

SPECIFIC RESPONSIBILITIES:

• Conducts comprehensive assessments and on-going re-assessments of the residents 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 client-centered Community Living Plan.
• 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 needed. Reviews and modifies their Community Living Plan on an ongoing basis.
• Documents via progress notes all case management activity regarding identified problems within 24 hours, adding any new problems to the service plan, as needed.
• Maintains required paperwork and follows a clear, concise, and consistent system of charting to allow for continuity of care.
• Educates clients and significant others about resources and when possible, trains them to provide their own case management.
• 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.
• In collaboration with the client, caregiver, and involved services, terminates clients when appropriate. Documents the process as required.
• Participates in research studies and data collection, as required.
• Participates in and promotes ongoing efforts towards Continuous Quality Improvement.
• Attends and actively participates in IOA and Santa Clara Methodist Retirement Foundation team and program meetings, activities and problem-solving endeavors; contributes to open lines of communication within the teams.
• Utilizes supervision appropriately, maintaining open lines of communication and providing updates on caseload activity.
• Actively incorporates the ethical 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 Services 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 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’s experience working with disabled adults and/or frail elderly required.
• Experience with and understanding of the medical and psychosocial problems of functionally impaired adults and the frail elderly.
• Bilingual highly preferred; English plus Cantonese and / or Mandarin and/or Spanish.
• Exceptional communication and presentation skills relating to the frail elderly, functionally impaired 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.

PHYSICAL & LANGUAGE REQUIREMENTS:

• Ability to lift up to 25 lbs.
• Ability to reach, bend, and walk
• Five finger manipulation
• Ability to speak and write English clearly

Compensation

• Range: $73,233 - $87,525/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 othernon-monetarycompensation which may be included.