Case Manager - Senior Care Options

Tri Valley, Inc.; Dudley (MA); On-site; USD 52,000 - 74,000; Full time

Job summary

Tri Valley, Inc. seeks a Case Manager for Senior Care Options to work with an interdisciplinary team to coordinate medical, behavioral, and long-term services for SCO enrollees based on individual needs.

Responsibilities include entering referrals into SAMS, conducting home visits, developing care plans, coordinating community LTSS, and communicating with the care team to ensure timely updates and disenrollment when appropriate.

Qualifications

• Bachelor's degree in Social Work or Human Services is required.
• Valid Driver's license and ability to maintain insurance and a driving record check.
• Strong computer skills and proficient in documentation and record-keeping.
• Experience working with people with disabilities and/or elders in need of LTSS is preferred.

Responsibilities

• Enter new referrals into SAMS from One Care programs and SCO rosters.
• Complete home visits and assess long-term services needs for enrollees.
• Send initial assessment to One Care staff and update data in One Care databases.
• Develop care plans for community LTSS to improve or maintain health and function.
• Arrange and coordinate community LTSS after care plan approval.
• Monitor provision and effectiveness of services per care plan.
• Document communications with the care team and update cases.
• Close cases in SAMS according to disenrollment dates.

Skills

Documentation skills

Computer literacy

Driver's license

Education

Bachelor's degree in Social Work or Human Services

Tools

SAMS

Job description

The Case Manager for Senior Care Options is part of an Interdisciplinary Care Team that helps the enrollee with person centered integration of medical, behavioral and long term services and supports and provides case management services to Senior Care Organization (SCO) enrollees based on enrollee needs assessment.

Responsibilities:

• Enter new referrals into SAMS from the various One Care programs and SCO rosters.
• Completes home visits for enrollees and conducts an assessment to determine the need for long term services, supports and advocates on the enrollee's behalf.
• Send the initial assessment to the various staff from each individual One Care, and update the One Care's data base as applicable.
• Develops a care plan for community long term care and social support services for the Enrollee based upon their care needs with the goal to improve or maintain their health and functional status.
• Upon approval for the care plan from the One Care organization, arranges and coordinates the provision of appropriate community long term care and social support services.
• With authorization from the SCO, arranges and coordinates the provision of appropriate community long term care and social support services.
• Enter and maintain the care plans in SAMS including adjustments to ongoing services and suspensions.
• Monitors the provision and effectiveness of community services as defined by the Enrollee's care plan.
• Communicate and document with care team regarding case status.
• Close cases immediately in SAMS according to disenrollment date from the SCO Program.

Qualifications:

• Bachelor's degree in Social Work or Human Services and knowledge of the long term care and social services delivery systems.
• Valid Driver's license; maintain minimum insurance liability on vehicle and complete motor vehicle driving record check.
• Strong computer acuity and documentation skills.
• Experience and expertise in working with people with disabilities and or elders in need of LTSS.