home health care case manager

The NESS Center

<div>Title: Case Manager - Maternal Group Home
Status: Full Time, Non-Exempt
We are seeking a Case Manager to provide trauma-informed, youth-centered case management services to pregnant and parenting youth ages 16 to 20 in a Maternal Group Home setting. This role supports young families by coordinating healthcare, housing, education, employment, and supportive services to promote safety, stability, and long-term success.<div>
Key Responsibilities 
<ul><li>Conduct comprehensive assessments and identify client strengths, needs, and goals</li><li>Develop and maintain individualized service plans in collaboration with clients</li><li>Connect participants to healthcare, behavioral health, housing, education, childcare, and employment resources</li><li>Provide advocacy to remove barriers and ensure timely access to services</li><li>Coordinate care with internal staff and community providers</li><li>Support transition planning, aftercare, and follow-up services</li><li>Monitor client progress and adjust service plans as needed</li><li>Maintain accurate and timely documentation in HMIS and other required systems</li><li>Participate in team meetings, case conferences, and supervision</li><li>Respond to crises and ensure client safety</li></ul></div><div>
Qualifications 
<ul><li>Bachelor&rsquo;s degree in Social Work, Psychology, Human Services, or related field</li><li>1-3 years experience in case management or direct client services strongly preferred</li><li>Experience working with youth, young adults, or families preferred</li><li>Knowledge of trauma-informed care and Positive Youth Development preferred</li><li>Strong advocacy, communication, and organizational skills</li><li>Experience with HMIS or similar systems a plus</li></ul></div>
Why Join Us 
This role makes a direct impact on young mothers and their children as they exit homelessness, trafficking, and instability and build healthier, independent futures. 
Northlake Behavioral Health is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for all employment; free from discrimination based on race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preferences, status as a qualified individual with a disability, or status as a protected veteran.</div>

Case Manager Maternal Group Home

AmeriHealth Caritas

<div>For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
The Clinical Case Manager assists members who are eligible for LTSS in obtaining the services they need as required by DSHP Plus LTSS in New Castle county. He or she contributes to the LTSS case management process by performing telephonic and/or face-to-face assessments for the identification, evaluation, coordination and management of member&rsquo;s needs, including physical health, behavioral health, social services and long term services and supports. This position is also responsible for completing Level of Care Redeterminations for home and community based members annually. This requires clinical review when evaluating the need for a member to remain in the program. The Clinical Case Manager will also provide clinical support to his/her non-licensed counterparts and may act as a secondary case manager when a member is experiencing an acute episode.<ul><li>
Coordination of care for medically complex LTSS Members receiving private duty nursing (PDN)</li><li>
Performs follow-up on outstanding items of need and maintains a calendar or PDN Coverage.</li><li>
Establish communication method to effectively communicate with multiplePDN agencies and member/member representative.</li><li>
Coordinates and collaborates with prior authorization team to make sure all necessary precertifications for required services are submitted for review. Assists in obtaining the Letter of Medical Necessity (LOMN) as needed</li><li>
Coordinate with provider network team in the utilization of non-contracted providers or facilities as necessary following the single case agreement (SCA) process</li><li>
Conducts reevaluation of level of care annually or more frequently as needed in accordance with DSHP Plan Plus LTSS requirements.</li><li>
Provides clinical support to non-licensed case managers as needed.</li><li>
Conduct condition specific assessments with members with chronic conditions. Provide education and routine follow-up with member.</li><li>
Perform initial clinical assessment of new members, develop care plan, and initiate services.</li><li>
Facilitate person-centered planning team meetings to coordinate care and services. Identify, coordinate, and assist participants in gaining access to needed LTSS and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports.</li><li>
Provides information to participants and conducts monitoring of authorized services and supports for Participants.</li><li>
Informs participants about available LTSS required needs assessments, the care plan process, service alternatives and service delivery options.</li><li>
Informs participants of their rights and responsibilities as well as assists with the complaint, grievance, and DHS Fair Hearing process.</li><li>
Collects additional necessary information, including participant preferences, strengths, and goals to inform the development of the Plan of Care.</li><li>
Conducts comprehensive needs assessments annually or more frequently as needed in accordance with requirements.</li><li>
Review and acting upon worklists in Jiva, including monitoring of new members</li><li>
Authorize urgent services when needed</li><li>
Monitoring critical incident reporting/documentation, recommending/taking action w/ other corporate entities as required</li><li>
Liaison activities with Physical health Care Coordination program</li><li>
Working with LTSS and DSNP members to complete comprehensive assessments, care plans, medication reconciliation, monitoring follow-up and progress, and assisting with discharge planning/transitions of care.</li></ul>
Education/Experience:<ul><li>
Delaware licensed RN required.</li><li>
Ability to travel throughout entire state of DE.</li><li>
Valid driver&rsquo;s license required</li><li>
Knowledge of the home and community-based service system and how to access and arrange for services</li><li>
Experience conducting LTSS needs assessments and monitoring LTSS delivery</li><li>
Ability to provide informed advocacy</li><li>
Ability to interact with members face to face</li><li>
Ability to interact with health care professionals in a professional manner</li><li>
Ability to travel up to 75%</li><li>
Duties may include case management responsibilities based on business needs. This role is also a part of the contingency plan, where a caseload may be assigned in the event of a staffing need</li></ul>
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.</div>

Clinical Case Manager DE Long Term Services & Support-Private Duty Nursing

Monument Health

<div>Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the &quot;Career&quot; icon on your homepage.
Primary Location
Rapid City, SD USA
Department
Home Plus RC Home Care Services
Scheduled Weekly Hours
40
Starting Pay Rate Range
$37.40 - $46.75
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
It starts with heart. That is what you will do each day. As a Case Manager - Home Care and Hospice at Monument Health, you will be valued as an essential team member providing compassionate patient focused care. You will discover a culture of teamwork, professionalism, mutual respect, and&mdash; most importantly&mdash; a life-changing career. You will make a difference. Every day. 
 
As a Case Manager - Home Care and Hospice, you will be responsible for the collaboration of medical staff, patients, family, and the Healthcare team by assessing, facilitating, planning, and advocating for the health needs of a patient resulting in quality, cost-effective outcomes. You will establish goals and priorities consistent with the mission and goals of Monument Health as well as work to meet the individualized plan of care for the patients of our communities.
 
 
Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing. Every time. If you share this philosophy, we hope you&rsquo;ll join us.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:<ul><li>Supportive work culture</li><li>Medical, Vision and Dental Coverage
</li><li>Retirement Plans, Health Savings Account, and Flexible Spending Account</li><li>Instant pay is available for qualifying positions</li><li>Paid Time Off Accrual Bank</li><li>Opportunities for growth and advancement</li><li>Tuition assistance/reimbursement</li><li>Excellent pay differentials on qualifying positions</li><li>Flexible scheduling</li></ul>
Job Description
Essential Functions:<ul><li>
Optimize care coordination with hospital, ER, Nursing homes, Assisted living facilities, physicians and community resources as necessary. Collaborates with physicians, providers and interdisciplinary team to indentify appropriate patients for home care and hospice.</li><li>
Acts as a resource to interdisciplinary teams, patients and families throughout episode of care. Facilitates efficient, appropriate, seamless, coordinated care to help ensure positive patient outcomes.</li><li>
Quality review of data, care plans, coding, documentation, oasis, HIS is analyzed to ensure the achievement of consistent clinical/financial outcomes. Data outcomes is used to identify indicators where process improvements projects are developed.
</li><li>Works with caregivers, schedulers, physicians and administration to coordinate care based on patient needs, geographic area, caregiver skill set to meet regulatory standards. Demonstrates effective fiscal management through cost containment measures while ensuring high quality, cost effective care is being provided to patients within the home care program.</li><li>
Assists leadership in the development of program goals and objectives. Assist with the development , implemnatation and maintenance of quality programs that include best practice patient care outcomes.</li><li>
Directly or indirectly ensures 24 hour care provided 7 days per week across our service area.</li><li>
Coaches staff and assists in performing supervisory visits to ensure regulatory compliance is met. Takes a leadership role in the participation of any survey across the division. Assists leadership in action plans/audits.</li><li>
All other duties assigned.</li></ul>
Additional Requirements
Required:
Education - Completion of a nursing education program that is approved by a board of nursing
Certification - Registered Nurse (RN) - South Dakota Board of Nursing; Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer.
Regarding BLS certification: The department you are applying to may require BLS certification sooner than 60 days post transfer/hire. The hiring manager will discuss this with you if it is applicable. 
 
Preferred: 
Education - Bachelors in Nursing
Experience - 3+ years of Registered Nurse Experience; 3+ years of Home Medical Equipment Experience
Scheduling Requirements: Requires the ability to work assigned schedules and hours as determined by the department.
 
 
Physical Requirements: Heavy work - exerting up to 25 pounds of force constantly (67-100% of the time), and/or up to 50 pounds frequently (34-66% of the time), and/or up to 100 pounds of force occassionally (up to 33% of the time), and or up to 100 pounds of force seldomly to move objects. Possible exposure to blood, bodily fluids, or tissues.
Job Category
Patient Services
Job Family
Care Coordination
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular 

40 Monument Health Home Plus
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.</div>

Case Manager- Home Care and Hospice

GOLDEN YEARS ADULT DAY CARE

<div><h4 class="jobSectionHeader">Our Mission</h4>
Our mission is to treat every day, and every person, as a sacred opportunity to serve. Guided by the Golden Rule, we offer respectful, kind, and empathetic care that uplifts seniors, supports families, and strengthens our community.
<h4 class="jobSectionHeader">
Our Vision</h4>
Our vision is to be the heartbeat of the communities we serve through compassionate care, so every person feels seen, valued, and at home.
<h4 class="jobSectionHeader">
The Opportunity</h4>
Join our dynamic healthcare team as a Case Manager specializing in Medicaid and HCB Waiver Services. This is not just case management, it's life-changing advocacy that empowers vulnerable adults to live independently and thrive in their communities.
<h4 class="jobSectionHeader">
What makes this role unique:</h4><ul><li>
Hybrid flexibility Balance office coordination with meaningful home visits</li><li>
Sacred impact Turn care plans into real independence for Kentucky seniors.</li><li>
Local connection Serve your own southcentral Kentucky community.</li><li>
Expert development Structured training with waiverspecific guidance</li><li>
Missiondriven culture Work with a team that genuinely lives the Golden Rule</li></ul>
What You'll Do
<h4 class="jobSectionHeader">
Leading Person-Centered Care</h4><ul><li>
Coordinate personalized care plans that empower participants to remain safely at home.</li><li>
Complete comprehensive assessments and develop Individualized Service Plans (ISPs) per Kentucky Medicaid requirements (907 KAR 7:010)</li><li>
Conduct regular home and community visits to monitor health, safety, satisfaction, and goal progress.</li><li>
Advocate for participant preferences and rights, facilitating informed choices.</li><li>
Coordinate services across Golden Years programs and external providers (attendant care, transportation, therapies) within authorized scopes.</li></ul><h4 class="jobSectionHeader">
Ensure Regulatory Excellence</h4><ul><li>
Maintain compliance with Kentucky Medicaid/HCB Waiver regulations, including conflictfree case management requirements.</li><li>
Complete all assessments, ISPs, reviews, and progress notes within mandated timeframes.</li><li>
Document contacts, visits, coordination, and critical incidents for audit readiness.</li><li>
Review service utilization, identifying and correcting under or overutilization.</li><li>
Participate in quality improvement initiatives and corrective actions.</li></ul><h4 class="jobSectionHeader">
The Work Environment</h4>
Hybrid Model: Combination of office-based work (documentation, virtual meetings at Edmonton location) and field work (home/community visits throughout service area)

Schedule: Full-time, standard weekdays with flexibility for participant visits

Travel: Local travel within service area required; reliable transportation essential
<h4 class="jobSectionHeader">
Location Preference</h4>
We strongly prefer candidates residing in Metcalfe County or the six bordering counties:
<ul><li>
Metcalfe County (Edmonton base)</li><li>
Fayette County (Lexington)</li><li>
Jefferson County (Louisville)</li><li>
Counties surrounding Lexington and Louisville</li></ul>
Local knowledge and proximity strengthen relationships with participants and enable responsive, community-connected care.

What You Bring
<h4 class="jobSectionHeader">
Required Qualifications</h4><ul><li>
Bachelor's degree in social work, nursing, human services, or related field (preferred)</li><li>
Experience in case management, care coordination, or waiver services (required)</li><li>
Knowledge of personcentered planning and conflictfree case management</li><li>
Strong assessment, planning, and problemsolving skills balancing participant choice, safety, and regulations.</li><li>
Excellent written/verbal communication for documentation and stakeholder interactions</li><li>
Organized time management for caseloads, deadlines, and accurate records</li><li>
Valid driver's license and reliable transportation (Travel is required)</li><li>
Current auto insurance</li></ul><h4 class="jobSectionHeader">
Highly Valued</h4><ul><li>
Kentucky Medicaid/HCB Waiver experience</li><li>
Familiarity with 907 KAR 7:010 requirements</li><li>
Cultural competence working with diverse populations.</li><li>
Electronic health record system experience</li></ul><h4 class="jobSectionHeader">
Pre-Employment Requirements</h4><h4 class="jobSectionHeader">
All candidates must successfully complete:</h4><ul><li>
Criminal background check</li><li>
Drug screen</li><li>
TB test</li><li>
Driver's license and auto insurance verification</li></ul>
Timeline: Formal offers require acceptance and onboarding completion within 48 hours.
<h4 class="jobSectionHeader">
Cultural Expectations</h4><h4 class="jobSectionHeader">
We expect every team member to:</h4><ul><li>
Live out the Golden Rule with participants, families, and teammates daily</li><li>
Demonstrate respect, kindness, and empathy consistently.</li><li>
Support safe, choicedriven services that honor dignity and independence.</li><li>
Embody servant leadership, putting participants' goals at the center.</li></ul>
How to Apply
<h4 class="jobSectionHeader">
Submit:</h4>
1. Resume highlighting case management/waiver experience and relevant education.
2. Brief cover letter describing:<ul><li>
Your case management or waiver coordination experience o How you embody the Golden Rule in professional practice</li><li>
Why Golden Years ADHC's mission resonates with you?</li><li>
Your connection to Lexington and Louisville or surrounding area (if applicable)</li></ul><h4 class="jobSectionHeader">
Contact:</h4>
Call 270-432-2044 to speak with Team Care leadership (McKenzie or Sarah)

Golden Years Adult Day Healthcare (ADHC) 903 W Stockton Street, Edmonton, KY 42129

Job Type: Full-time Work Location: Hybrid (Office + Field) Service Area: Metcalfe County and surrounding North Central and Eastern Kentucky.</div>

Case Manager - Medicaid/HCB Waiver Services

Adara Home Health

Up to $10,000 Sign-on Bonus
 Why Work for Adara?
 
Adara Home Health offers fulfilling Home Care careers to professionals looking for flexibility and the ability to manage their own schedule. Join our team and work for an employer who values each employee as an individual and respects everyone’s need for work-life balance.
 
The Physical Therapy (PT) Case Manager provides and oversees home health services for clients within the community. Collaborates with the client, their family, and the health care team to develop and implement goal-centered care plans taking into consideration quality measures and financial aspects of treatment. Provides skilled care to clients and clinical oversight to professional and unlicensed personnel. Builds and maintains respectful relationships with others. The position reports to the Clinical Supervisor.
 
SCHEDULE
 <ul>
<li>This is a full time position, Monday - Friday. As PT Case Manager, you will manage your schedule during office hours.</li>
<li>This position will require you to travel to client's homes to provide 1:1 client care that may take 1-3 hours per client.</li>
</ul>
COVERAGE AREA
 <ul>
<li>This position reports to the Mendota Heights, MN office and provides services in Minneapolis and surrounding cities.</li>
</ul>
BENEFITS
 <ul>
<li>Opportunity for Productivity Bonuses in Addition to Base Salary</li>
<li>Ability to Manage Your Schedule</li>
<li>Mileage Reimbursement</li>
<li>Medical, Dental, Vision, Life, AD&D, Pet Insurance</li>
<li>401K 100% Vested Upon Eligibility</li>
</ul>
DUTIES AND RESPONSIBILITIES
 <ul>
<li>Reflects the company’s mission and values in developing and maintaining professional working relationship with others.</li>
<li>Performs initial and periodic assessment of clients to determine care needs, implements interventions, and evaluates the effectiveness of care to achieve positive outcomes.</li>
<li>Collaborates with physicians/non-physician practitioners and the home health team to develop and update the client’s home health plan of care at least every 60 days or more often as changes occur.</li>
<li>Serves as a client advocate ensuring safety needs are addressed by assessing the home environment, developing and implementing individualized abuse prevention plans, and reporting any suspected vulnerability such as abuse, neglect or financial exploitation.</li>
<li>Meets documentation standards ensuring accuracy, timeliness, and compliance with state and payer/billing requirements.</li>
<li>Provides education to the client, family, caregivers, licensed clinicians (as indicated), and unlicensed personnel.</li>
<li>Provides direct care to clients of varying ages, clinical acuity levels, and diagnoses in accordance with the company’s policies, procedures, processes and the Minnesota Physical Therapy Practice Act.</li>
<li>Coordinates client care with family, caregivers, community resources, and other health care</li>
</ul>
members.
 <ul>
<li>Provides clinical oversight, delegation, and leadership to licensed clinicians and unlicensed personnel.</li>
<li>Ensures effective and appropriate financial management of the client’s home health services are met.</li>
<li>Manages work schedule effectively, adapts to and remains flexible with unexpected changes</li>
</ul>
PHYSICAL/ENVIRONMENTAL DEMANDS
 Client care provided in individual client homes and may require transfers and lifting with adaptive equipment. Must be adaptable to a variety of environments and community settings. Must be able to drive or use public transportation in all types of weather.
 
Heavy. Amount of weight moved; 50 to 100 pounds occasionally; 25 to 50 pounds frequently; 10 to 20 pounds constantly. Physical Demand requirements are in excess of those for Medium Work.
 
QUALIFICATIONS
 <ul>
<li>Currently licensed as a Physical Therapist (PT) in the State of Minnesota. The license must not have been revoked, suspended and without limitations or restrictions.</li>
<li>Proof of negative TB testing: Mantoux skin test, single TB blood test or chest x-ray.</li>
<li>Access to a dependable automobile in order to travel to multiple company business stops a day.</li>
<li>A valid driver’s license and proof of current car insurance when using a personal vehicle for company business.</li>
<li>Have U.S. Citizenship or evidence of valid Alien Work Permit.</li>
<li>Disclose any conviction and criminal history records pertaining to any crime related to the provision of health services. A candidate who has been convicted of such crimes will not be hired.</li>
<li>Pass initial and ongoing background studies and screenings including but not limited to those of the Minnesota Department of Health and the Federal Office of the Inspector General’s List of Excluded Individuals and Entities.</li>
</ul>
SKILLS AND EXPERIENCE
 <ul>
<li>Have at least two (2) years’ experience in a health care facility or home care field.</li>
<li>Demonstrates critical thinking skills, the ability to follow standards/procedures, and make appropriate clinical judgments to provide safe and effective client care.</li>
<li>Ability to work independently with minimal supervision, adapt to change, and manage a variety of assignments while establishing priorities and ensuring the necessary duties are completed.</li>
<li>Ability to build and maintain professional relationships.</li>
<li>Excellent written and oral communication skills; interpersonal communication and teaching skills.</li>
<li>Basic computer skills and willing to learn new software programs; experience with Electronic Medical Records and Microsoft Outlook preferred.</li>
<li>Current CPR certification highly recommended.</li>
</ul>
Adara Home Health, Inc. is committed to fair and equitable compensation practices. The base salary range for this position in the U.S. is $80,000 - $115,000 per year plus productivity, compensation and benefits. A candidate's salary is determined by various factors including, but not limited to, relevant work experience, skills, certifications, job level, supervisory status, and location.

Home Health Physical Therapy Case Manager

The Guthrie Clinic

<div></div><div>Unlock a Rewarding Career with up to a $5K Sign-On Bonus: Join Guthrie Home Care NY (Vestal) as a Part-Time RN Case Manager!
Position Details:<ul><li>
Schedule: 32 hours per week with the hours typically 8:00 AM - 4:30 PM, Monday - Friday, with flexibility to create your own daily schedule based on patient load.</li><li>
On-Call Rotation: Typically once a week.</li><li>
Weekend Rotation: Typically one weekend a month.</li></ul> 
Why Join Us:<ul><li>
Up to $5,000 Sign-On Bonus for Experienced RNs: A warm welcome to our team!</li><li>
Comprehensive Medical and Dental Insurance: Effective the 1st of the month following your hire date.</li><li>
Generous PTO Accrual: Start earning experiential paid time off from Day 1.</li><li>
Tuition Reimbursement Program: Up to $7,500 annually, starting after just 90 days.</li><li>
403B Retirement Plan with Company Matching: Secure your future with our robust retirement plan.</li><li>
Consistent Work &amp; Flexible Schedule: Enjoy a great work/life balance.</li><li>
Friendly, Supportive, and Diverse Work Family: Be part of a team that feels like home.</li></ul> 
Recognized for Excellence:<ul><li>
Modern Healthcare&rsquo;s Best Places to Work 2025</li><li>
Becker&rsquo;s Best Places to Work &ndash; 2025</li><li>
Forbes 2025: Best Employers for Women, Best Employers for Healthcare Professionals, and Best-In-State Employers (PA)</li><li>
Newsweek&rsquo;s America&rsquo;s Best-In-State Employers &ndash; 2025</li></ul> 
Who We Are:
At Guthrie Home Care in Vestal, NY, we are dedicated to providing exceptional home health services to support patients recovering from hospitalization, illness, or injury. Our incredible team of Case Managers are not only critical thinkers but also compassionate caregivers who deliver the highest standard of care directly to patients in their homes.
Join us and be part of a team that makes a real difference in the lives of our patients every day. We prefer one year of experience in Med/Surg, ER, or ICU to ensure our patients receive the best care possible.
Description:
Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization.
Education/License:
Diploma from an accredited school/college of nursing. Required professional licensure at time of hire.
Responsibilities:<ul><li>
Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate. Performs direct participant care, including acute triage, blood draws, wound care, etc.|</li><li>
Participates in the development, implementation, and evaluation of the Interdisciplinary Team (IDT) plan of care. Serves as a primary coordinator of all disciplines for well-coordinated patient care.|</li><li>
Carries out physician and nursing orders. Attends team meetings and care plan meetings.|</li><li>
Assesses and coordinates patients' discharge planning needs with members of the healthcare team. Participates, develops, and provides education to participants, caregivers, and associates.|</li><li>
Participates in after hours/weekend on-call rotation, as needed. May require travel to participant place of residence, long term care and assisted living facilities.</li></ul> 
Other duties as assigned
The payrate for this position is from $81,120 - $112,569.60 
#LI-JK1
Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you&rsquo;ll find staff members who have committed themselves to serving the community.

The Guthrie Clinic is an Equal Opportunity Employer.

The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.</div>

Case Manager - Home Health, Part Time

CAMBA

<div>Program Overview:
HomeBase provides case management and essential services to at-risk individuals and families to prevent homelessness. Individuals and families receive services that will help overcome problems with public benefits, housing, education, health care and other issues that could impede their ability to maintain stable households.
Position Overview:
The Case Manager, under general supervision, is expected to: (1) aid individuals and/or families requiring social service assistance; (2) conduct client interviews and evaluations to assess needs and develop service plans, including short-term and long-term client goals; and (3) assist clients in identifying and locating community resources.<ul><li>
Prescreen clients for eligibility and schedule intake appointments.</li><li>
Review all documentation establishing clients' eligibility, conduct initial intake or assessment of clients and clients' families, and conduct periodic reassessments.</li><li>
Input client data and client progress information into automated database.</li><li>
Review and complete all CAMBA intake forms with the client.</li><li>
Refer clients to appropriate services based on their needs.</li><li>
Answer incoming calls and check voicemails daily on both desktop and work cell phones, responding to messages within 48 hours, and ensure emails are read and replied to within 48 hours.</li><li>
Report to work daily with fully charged provided cell phone for multifactor authentication.</li><li>
Conduct home visits and inspections for any open HomeBase case; not limited to assigned cases only. Evaluate living conditions and/or conduct inspections as per DHS/DSS/HRA standards.</li><li>
Create and maintain client files, both hard copy and electronic.</li><li>
Develop service plans with the clients tailored to their needs and provide ongoing follow-up to support them in achieving their goals by monitoring clients' progress (dates achieved) via regularly scheduled telephone contact and/or face-to-face home and office visits. Document client progress via detailed progress notes.</li><li>
Evaluate and recommend closing of cases in which clients: (a) have achieved stability, (b) have not demonstrated a willingness to participate (lost-to-service), or (c) have reached the allotted time of services 120 EAF/90 ESG without recertification or has become ineligible for services (e.g. exceed income guidelines).</li><li>
Meet daily, weekly, and monthly goals and tasks as assigned and in accordance with the funder guidelines.</li><li>
Complete and submit subsidy applications and requests for financial assistance.</li><li>
Provide all required information for weekly, monthly, quarterly, and annual reports.</li><li>
Act as client liaison/client advocate with outside organizations regarding matters such as education, healthcare, housing, legal issues, etc.</li><li>
Assist clients in completing applications for benefits and entitlements, and process applications on clients' behalf (e.g., Access HRA, Housing Connect, DRIE, SCRIE).</li><li>
Escort clients to appointments (e.g., social services, healthcare, etc.) as needed.</li><li>
Other duties as assigned.</li></ul>
Education, Licenses and/or Certifications Required:<ul><li>
Bachelor's degree (e. g., B.A., B.S.W.), or</li><li>
Associate degree and 2 years of relevant experience, or</li><li>
High School Diploma and 4 years case management experience in the social services field.</li></ul> 
Minimum Experiences and Skills Required:<ul><li>
Proficiency in Microsoft Office (Excel, Word, Outlook)</li><li>
Excellent writing skills, with the ability to draft assessments, service plans, progress notes, weekly reports, and general client-related correspondence.</li><li>
Excellent communication skills, with the ability to effectively present information and respond to questions from supervisors, clients, funders, other organizations, and the general public.</li><li>
Ability to apply basic mathematical concepts, such as fractions, decimals and percentages, to practical situations.</li><li>
Strong problem-solving skills, with the ability to define problems, collect data, establish facts, and draw valid conclusions.</li><li>
Willingness to learn and adapt.</li></ul> 
Preferred Qualifications:<ul><li>
Proficiency in a language other than English (e.g., Haitian/Creole, French, Spanish, Russian, etc.)</li><li>
Familiarity with HRA benefits, NYC housing programs, and community resources.</li></ul> 
Pre and/or Post Employment Requirements:<ul><li>
Required pre &amp; post-employment requirements.</li></ul></div>

Case Manager, Homelessness Prevention Initiative (HomeBase - Fulton)

Search 10000+ Home health care case manager jobs near you this May. New roles added regularly across leading industries. Apply today.