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. This position is a traditional office environment that includes meeting consumers at their homes or in public places. 

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.
• 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.

Essential Functions:

• Ability to develop and maintain positive, effective relationships with providers, consumers, and the general public. 
• Maintain case load at program standard. 
• Communication skills with consumers, physicians, family members, providers (telephone, email, or in person, as needed) 
• Cultural competency and the ability to provide informed advocacy. 
• Knowledge and experience with long term care and social service delivery system; community resources. 

Physical Demands:

• Ability to operate a computer and other office equipment (e.g., keyboard, mouse, printer) for extended periods of time. 
• Ability to traverse homes, yards, and stairways. 
• Must be able to sit for periods of time at a computer of while driving 
• Must be able to carry files of up to 5 pounds and a laptop.