Care Manager

Role Overview

• Conduct comprehensive assessments of members physical, mental, and social needs to develop individualized care and discharge plans.
• Coordinate with healthcare providers, social service agencies, and community resources to facilitate access to Medicaid and other benefits.
• Monitor members progress and adjust care plans as necessary to address changing needs and ensure continuity of care.
• Provide education and support to members and their families regarding available services, treatment options, and long-term care planning.
• Maintain detailed documentation and case records in compliance with regulatory standards and organizational policies.

Requirements

• Bachelor’s degree in Social Work, Human Services, Nursing, or a related field.
• Experience in case management within healthcare or social services settings.
• Knowledge of Medicaid policies and procedures.
• Relevant experience may substitute for the educational requirement on a year-for-year basis.
• Master’s degree in Social Work (MSW) or related discipline preferred.
• Certification in Case Management (CCM) or equivalent preferred.
• Experience working with diverse populations in community-based settings preferred.
• Familiarity with electronic health records (EHR) and care coordination software preferred.
• Training in trauma-informed care or behavioral health interventions preferred.