Case Manager - Senior Care Options

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.