Care Manager II

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 Rather than focusing on archaic outdated design, we strive to consistently question the "status-quo" and create new and more innovative ways to help aging adults and adults with disabilities maintain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. Responsibilities Conduct comprehensive assessments and ongoing re‑assessments of the client including psychosocial, physical and mental health, environmental and spiritual needs. Write comprehensive assessments and, based on the information, develop and initiate client‑centered Community Living Plans consistent with program guidelines and policies. Conduct home visits, acute hospital & skilled nursing facility visits, and escort clients to medical and other appointments as clinically indicated. Identify, arrange for, and monitor appropriate community services based on a good knowledge of Medicare, Medi‑Cal, and other entitlement programs. Establish and maintain a care‑management relationship with clients and their informal support network, offering respect, dignity and support. Provide crisis intervention, advocacy, problem solving and therapeutic interventions. Meet with clients at least monthly, and more often as clinically indicated; review and modify their Community Living Plan on an ongoing basis. Document progress notes for all case‑management activity within 24‑48 hours, adding any new problems to the Community Living Plan as needed. Maintain required paperwork and follow a clear, concise and consistent system of charting to allow for continuity of care. Evaluate client purchase of service needs and follow up to determine if services have been provided in a timely manner. Educate clients and informal support network about resources. Maintain open and effective communication with community providers, including physicians and other health‑care and social service workers, and provide appropriate information while maintaining confidentiality. Monitor the quantity and quality of services provided by other involved providers. Work closely with the team to evaluate clients' ability to remain safely at home and coordinate placement as appropriate. Terminate clients when appropriate in collaboration with the client, caregiver, and involved services, documenting the process as required. Participate in research studies and data collection as required. Participate in and promote ongoing efforts towards continuous quality improvement. Attend and actively participate in team and program meetings, activities and problem‑solving endeavors; contribute to open lines of communication within the team. Utilize supervision appropriately, maintaining open lines of communication and providing updates on caseload activity. Actively incorporate the ethical and legal standards of the National Association of Social Workers into all aspects of interactions with others. Understand and apply the regulatory and procedural requirements of the Institute on Aging. Attend 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. Perform all other reasonably related responsibilities as assigned. Education and Qualifications M.S.W. (Masters in Social Work) or another appropriate Masters level degree such as an MPH, MFT with additional or specialized work experience in psychology, counseling, or geriatrics. Alternatively, in lieu of a Masters degree, an employee may qualify for a Care Manager II position with a BA or BS in Social Work or another appropriate major and a minimum of two (2) years of relevant social work experience and the ability to demonstrate autonomous work in conceptualizing and formulating biopsychosocial assessments, identifying care needs and necessary interventions, and then executing effective care interventions. 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. #J-18808-Ljbffr