Care Manager

SUMMARY

Assists individuals in maintaining an interactive process of informed decision-making about Long-Term Services and Supports. Serves a key role in coordinating the efforts of formal and informal caregivers on behalf of clients. Care Management is a person-centered service that values the consumer’s choices and rights. Performs all duties in a manner that fosters the achievement of the organization’s mission to identify choices and provide services to help people of all ages, abilities and incomes to live at home.

KEY RESPONSIBILITIES

1. Conducts person-centered telephonic and in-person interviews with clients and their families, and other activities necessary for reassessment of clients and the monitoring and adjustment of care plans.
2. Monitors and reviews continued cost effectiveness, quality and appropriateness of care plan/service delivery, service order entry and renewals, and the contractual obligations. Works with the individual to make revisions where necessary, at established intervals and as otherwise indicated, in conjunction with the service provider.
3. Promptly completes all client documentation, applications, forms, and additional documentation as required.
4. Educates individuals on the components of the program, service options, and DSS guidelines, including eligibility, costs, how each may work with the person’s formal and informal supports and resources, and the pros and cons/costs and benefits of each option.
5. Conducts comprehensive, systematic person-centered assessments. Develops a quality and cost effective care plan based on the individual’s goals, desired outcomes and specific choices.
6. Conducts status reviews and care transitions when clinically appropriate. 
7. Works effectively as part of an interdisciplinary, self-directed team and in conjunction with other resources in the community. Participates in on-call services and acts as backup for emergency community coverage.
8. Participates in quality improvement activities.
9. Participates in community meetings and committees as appropriate and other external activities which increase public awareness of CCCI and its services.
10. Attends in-services offered by Educational Services as needed. 
11. Collaborates with Assessment Care Managers, Access Coordinators and other staff to ensure time efficiencies and client’s satisfaction. 
12. May participate in mentoring new staff.
13. Performs additional related duties as assigned.

COMPETENCIES

• Assertiveness: Communicates position directly and honestly while demonstrating respect for others.
• Client Focus: Builds effective relationships with clients, identifies client expectations, tries to see issues from their point of view; offers practical solutions to problems.
• Decision Making Skills: Gathers and analyzes information, considers consequences, and arrives at a timely decision that meets organizational goals.
• Diversity: Fosters an environment of belonging and inclusion. Values cultural, ethnic, racial and gender diversity. Committed to equity. 
• Ethics & Integrity: Makes decisions and conducts self-consistent with organization principles.
• Listening: Supports speakers and interprets their messages in such a way that effective communication takes place. 
• Personal Accountability: Accepts responsibility for own actions, including failure. Embraces experiences as learning opportunities and not chances to blame.
• Problem Solving: Gathers and analyzes information, identifies goals, explores, and selects solutions, implements an action plan, and evaluates results.
• Time Management: Allocates time efficiently to the most important issues and knows what not to spend time on; completes work in a timely fashion.

QUALIFICATIONS

Education

• Bachelor’s degree in administration, social work, nursing, public health, psychology, counseling or gerontology or related field required.

Experience

• Must have a minimum of two years’ experience in health care or human services (including but not limited to community, hospital, institution or behavioral health). Previous work with elders or disabled population preferred. Bachelor degree in fields related to care management preferred (social work, counseling, nursing, mental health, psychology, gerontology, sociology, RN (licensed in the State of CT), rehabilitation, public health, or human services)
• Knowledge and understanding of psychological, human development, social, health, and economic factors influencing the attitudes and behavior of individuals and families, especially as they relate to the gerontological and disabled populations; knowledge and skill in interviewing and assessment (social and health) techniques; understanding of chronic illness and its effect on the individual and family.
• Demonstrated skills/abilities in person-centered approached to care plan development and establishing and maintaining supportive relationships.
• Ability to comprehend, evaluate, negotiate and plan complex service reimbursements and plan for the costs of care options.
• Knowledge of community resources available to individuals and families; an ability to mobilize resources into a coordinated and comprehensive plan of care. 
• Familiarity with funding sources, including but not limited to Title XVIII and XIX and provisions of the Older Americans’ Act.  
• Computer experience required. 
• Maintains confidentiality of client, company and staff information.

Other

• Reliable transportation, valid driver’s license and current automobile insurance.
• Current CT State licensed RN may provide physical assessments as needed.
• CCCI Job Code: 6083

Physical Requirements

Physical Activity Approximate Percentage of Time Spent in this Activity

1. Bending 5%
2. Climbing (e.g. stairs) 5%
3. Keyboarding 60%
4. Kneeling 5%
5. Lifting (indicate maximum weight to be lifted) 30 lbs. (small office equipment, files, etc.)
6. Reaching 5%
7. Sitting 55%
8. Standing 20%
9. Using Telephone 60%
10. Walking 20%

Work Environment (a brief description)

Work is performed in various environments including office, client homes, hospitals, nursing homes and other locations. Employees can be exposed to adverse driving conditions and the varying conditions associated with a wide range of home situations.

The physical requirements and description of the work environment are representative of what an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.