Case Manager

Case Manager

Location: Harvard, Massachusetts

Join a compassionate human services organization dedicated to helping individuals live safely, independently, and meaningfully within their communities. In this role, you will have the opportunity to build lasting relationships with participants and caregivers while connecting individuals with services that can make a genuine difference in their daily lives. You will work alongside a collaborative team committed to person-centered care, professional integrity, and positive outcomes for the individuals and families we serve.

The Case Manager coordinates the delivery of Adult Foster Care (AFC), Department of Developmental Services (DDS), and Transitional Assistance services. This position ensures participants receive high-quality, person-centered support while helping them maintain independence and access essential healthcare, housing, benefits, and community resources.

The Case Manager conducts assessments, develops and reviews care plans, completes home and community visits, maintains accurate documentation, and collaborates with participants, caregivers, healthcare providers, social service agencies, and internal program leadership.

This position includes a combination of office-based responsibilities and community-based work throughout the surrounding service area. The Case Manager reports to the Program Manager and Director of Nursing.

Manage a caseload of up to 35 Adult Foster Care clients, five DDS clients, and five Transitional Assistance clients. Maintain positive, professional relationships with participants, caregivers, families, and service providers. Monitor participant needs, progress, renewal dates, and changes in circumstances to support uninterrupted service delivery. Communicate significant participant changes to the Program Director, Director of Nursing, and Compliance Manager. Participate in discharge planning, transition meetings, and community outreach activities, including occasional weekend events when needed.

Conduct initial and ongoing assessments of AFC-qualified settings. Complete social histories and psychosocial assessments for new participants and caregivers. Participate in the development, implementation, and ongoing review of individualized AFC Plans of Care. Update AFC Plans of Care semiannually, annually, and whenever a participant's needs change. Conduct and document required fire and safety procedures for each qualified setting. Collaborate with participants, families, caregivers, and interdisciplinary team members to establish and implement appropriate service plans.

Conduct required monthly on-site visits with AFC participants. Provide weekly in-person support to designated participants to assist with daily tasks, personal goals, and independent living skills. Help participants develop skills related to self-care, budgeting, transportation, socialization, and vocational goals. Assist participants with housing and health insurance recertifications, benefit applications, and other essential paperwork. Support participants in accessing healthcare, recreational opportunities, social programs, and other community-based services. Empower participants to make informed decisions and become more independent within their communities. Assist participants with obtaining adaptive equipment, including medication dispensers, shower benches, walkers, canes, and other necessary items. Coordinate with physicians, specialists, and social service agencies to secure additional services and resources.

Complete quarterly participant progress notes and all other required documentation accurately and within established deadlines. Enter, manage, and update participant information through managed care, state, and internal portals. Submit Primary Care Provider order forms and follow up on outstanding documentation. Review after-visit summaries and ensure copies are properly filed. Monitor and verify completion of all required AFC caregiver training. Maintain organized and compliant participant records, including home and office files. Protect participant confidentiality and follow all organizational, contractual, and regulatory requirements.

Help participants search for appropriate housing and complete housing applications. Assist participants with obtaining required documents, including identification and Social Security cards. Conduct home assessments and help coordinate safe transitions into the community. Purchase essential household items based on participant needs and preferences. Coordinate apartment setup, utilities, and other move-in requirements. Collaborate with discharge planners, Massachusetts Rehabilitation Commission case managers, and other service providers. Attend transition meetings and provide timely updates regarding participant progress. Track services, expenses, purchases, and participant communications. Submit reimbursement requests accurately and promptly. Implement individualized service plans that promote independence, dignity, and community involvement.

Previous experience in case management, social services, human services, behavioral health, community-based care, or a related field is preferred. Experience supporting adults with disabilities or individuals receiving AFC, DDS, or transition services is strongly preferred. Strong interpersonal, communication, organization, and problem-solving skills. Compassionate, patient, and respectful approach to working with participants from diverse backgrounds. Ability to manage multiple priorities, deadlines, participant needs, and documentation requirements. Ability to work independently in community settings and collaboratively as part of an interdisciplinary team. Strong attention to detail and commitment to accurate, timely documentation. Ability to maintain confidentiality and exercise sound professional judgment. Proficiency with Microsoft Office, electronic records, and state or managed care portals. Flexibility and adaptability in responding to changing participant and program needs. Ability to travel throughout the assigned service area for home and community visits.

This position involves a combination of office-based and community-based work. The Case Manager regularly travels to participants' homes and other community locations. The role requires flexibility, emotional resilience, and the ability to provide in-person support to individuals with varying physical, emotional, and social needs.

We are an equal opportunity employer and do not discriminate based on race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local law. We are committed to maintaining an inclusive workplace where all employees and applicants are treated with dignity and respect.