Care Manager

Care Manager Entyre Inc. - 5.0 Toledo, OH Job Details Full-time $65,000 - $70,000 a year 1 day ago Benefits Mileage reimbursement Health insurance 401(k) Paid time off 401(k) matching Referral program Retirement plan Qualifications Working with individuals with disabilities Patient assessment Social work Working with geriatric patients Driver's License Bachelor's degree Case management Driving Care plan development Human Services Productivity software Full Job Description Job Overview We are seeking a dedicated Care Manager to join our team. Would you like to become part of a modern health care organization? Then come and join us today. Join our team and make a meaningful difference in the lives of individuals and families. Entyre Care is a progressive, high growth organization geared to have a positive impact on the Structured Family Caregiving Community. Seeking motivated candidates with the ability to transform lives with compassion and experience.

Responsibilities:

• Conduct comprehensive initial home assessments, ensuring all necessary caregiver credentials are in place and required home modifications are complete.
• Day to day monitoring relating to patient enrollment, credentialing, claims operations, prior authorization appeals, program integrity and reporting related to the SFC programs and the ability to triage issues to the appropriate LTSS internal staff.
• Work with members/family to resolve issues that relate to the SFC provider network and respond to requests for information regarding payment and policy questions.
• Gather essential information, perform psycho-social evaluations, and facilitate referrals to appropriate healthcare and community services.
• Coordinate patient placement in compliance with established procedures.
• Collaborate with caregivers and the care team to define and implement individualized care plans.
• Perform regular home visits to supervise personal care services and review care plan progress.
• Maintain detailed and accurate case records, documenting significant changes and observations.
• Provide ongoing training and support to caregivers.
• Collaborate effectively with nurses, primary care physicians, and other medical providers to ensure timely and appropriate delivery of consumer services.
• Actively participate in discharge and transition planning.
• Conduct annual reviews to ensure the continued suitability of the qualified setting.
• Maintain continuous survey readiness and ensure compliance with all regulatory and accreditation standards.

. . Perform other duties as assigned

Qualifications:

• Bachelor's degree required, must be LSW or LISW, human services, social work, or a related field.
• At least one year of experience working with elders or adults with disabilities.
• Valid driver's license and automobile insurance, as travel within Ohio is required.
• Demonstrated experience in case management, care planning, and assessment in a healthcare setting.
• Outstanding proficiency in common software and web-based applications including Microsoft Excel, Word, PowerPoint ,and Teams. Additional Qualifications (Preferred):
• Master's degree in social work or a related field.
• Experience working in Structure Family Caregiving (SFC) or a similar setting.
• Certifications in gerontology or case management.
• Familiar with using Hubspot.

Job Type:

Full-time Pay:

$65,000.00 - $70,000.00 per year

Benefits:

401(k) 401(k) matching Health insurance Mileage reimbursement Paid time off Referral program Retirement plan

Work Location:

Hybrid remote in Toledo, OH 43617