Community First Solutions · 1 month ago
Elderly Services Program, Care Manager (Hybrid)
Hamilton, OH
Full-time
Hybrid
Entry Level
1+ years expCommunity First Solutions is dedicated to helping seniors stay safe, healthy, and independent. They are seeking a Care Manager to support older adults in Butler County by assessing needs, coordinating services, and ensuring quality care through the Elderly Services Program.
Health CareMedicalNon Profit
Responsibilities
Assess client referrals for program eligibility according to program policy and procedures; enroll eligible individuals
Develop individualized service plans in collaboration with client and/or caregiver that includes community resources as well as ESP services
Provide information, referrals, and/or resources as needed
Inform clients of rights and responsibilities
Monitor service plan costs to ensure we adhere to cost caps, per procedure
Secure and monitor services to ensure quality of care to support the health and safety of the participants
Maintain the client contact schedule of required interventions (phone or home visits) to assess and verify the service plan; identify any problems in service delivery and assess for any changes in client status, conditions or needs; provide support and assistance as needed and assure ongoing eligibility
Complete documentation as required per procedure
Maintain ongoing contact and open communication with caregivers, family members, friends and other sources of informal support as appropriate
Work with clients, service providers and others involved in the client’s plan of care in mutual problem solving and coordination of care as needed
Complete review of income and medical expenses to determine client co-payment amount if applicable. Monitor client’s co-payment status
Insurance, Medicare, Medicaid, Advantage plans, referrals to benefit specialist, payor of last resort, pursues other funding sources
Assist client/caregiver with discharge planning upon disenrollment from ESP and/or from hospital/nursing home as appropriate
Follow policy and procedure for processing client appeals and participate in appeal proceedings as required; disenroll clients who no longer meet eligibility requirements in accordance with policy and procedures
Cooperate with care management team to assure adequate and appropriate care management coverage of all agency clients
Maintain accurate and confidential computer record of client activity using care management software
Adhere to confidentiality policy and HIPAA protocol as related to all client information/interactions
Follow-up on reported incidents and health and safety issues. Complete incident reports and/or complaint form as necessary
Participate in the PQI process as directed by supervisor or manager
Promote a positive community image at all times
Attend required program and agency trainings and meetings
Participate in case conferences
Attend professional meetings, workshops, seminars as appropriate
Embraces the company’s Always Behaviors each and every day as we serve our clients, colleagues, and community
All other duties as assigned and/or appropriate to the position
Qualification
Required
Bachelor's degree in Social Work, Gerontology, or related field (appropriate experience, such as LPN, may be considered with approval)
Valid driver's license, insurance, and reliable transportation for home visits
Acceptable criminal records check required
Strong computer skills, including basic applications and care management software
Must possess excellent communication and organizational skills
Must be proficient in basic computer applications
Preferred
One year of experience in geriatrics, case management, long-term care, home health, or medical social work preferred
Experience as a social worker or nurse is very helpful
Company
Community First Solutions
Community First is a non-profit organization that provides medical services to individuals with health and wellness requirements.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Brett Kirkpatrick
President & CEO
Recent News
Seattle TechFlash
2025-07-02
The Business Journals
2024-11-06
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