Case Manager

This is a fully remote position, open to applicants in California.

📋 Description

• The ALF Case Manager is responsible for coordinating the care of clients enrolled in the ALWP under the Care Coordination Agency (CCA).

• Care coordination involves the identification, organization, coordination, and monitoring of the needs of an ALW client.

• The ALF Case Manager verifies ongoing eligibility for the ALWP by performing monthly and as-needed follow-up visits for compliance and skilled needs.

• Verify Medi-Cal eligibility for each client on a monthly basis.

• Arrange monthly appointments with clients.

• Communicate with clients to assess if they require anything, such as Durable Medical Equipment (DMEs) or appointments.

• Inquire about medication adherence and other general assessment inquiries.

• Engage with staff to learn about any Serious Incident Reports (SIRs). If present, ensure that our office receives them.

• Identify if any individuals are absent and lacking an SIR. If so, inform the staff that they must obtain an SIR as soon as possible.

• Ensure to follow up with facility staff on this matter and confirm our office obtains a copy of the SIR.

• If there are Medi-Cal issues, communicate these to the client and facility staff, guiding them on how to resolve them if they are unaware.

• Consult with staff regarding medications and review the medication log.

• Ensure to update client information in the company tracking system regarding visit dates and when notes are uploaded in Devero.

• All documentation must be uploaded by the end of the next business day following the client visit.

• Ensure to document in your notes that you inquired about medication compliance from both the client and staff.

• According to the workflow process, when a client exits a facility, the CCA holds specific tracking responsibilities.

• As an ALF Case Manager, you are required to monitor when clients leave during your facility visits.

• Notify the ALF Coordinator when a client departs from and returns to the facility.

• During a Re-Assessment, the RN will inform you via email that it has been completed, and you will need to make a copy of the ISP for the client to sign.

• Provide a copy to the facility, then upload it to Devero and email your CCA to confirm completion.

• Ensure the client signs the document within 7 business days.

• Have knowledge of confidentiality, HIPAA, and healthcare laws and regulations.

• Maintain accurate timekeeping.

• Adhere to policies and procedures as outlined in the Employee Handbook.

• Keep all credentials current.

• Report instances of fraud and abuse.

• Have familiarity with mandated reporting.

• Conduct timely recording and/or documentation of client interactions.

• Attend Department meetings in person, by phone, or via web conferencing.

• Participate in all state-mandated in-service training sessions.

• Driving may be necessary to reach geographical areas covered by the company.

• A significant amount of driving may be required throughout Los Angeles, Fresno, San Diego, Riverside, and San Bernardino Counties.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor’s Degree in social work, psychology, counseling, rehabilitation, gerontology, or sociology, along with one year of related work experience.

• Current CPR certification is required.

• Familiarity with The State of California Assisted Living Waiver Care Coordination Agency is preferred.

• Experience in education, training, quality assurance, and management is preferred.

• Demonstrated excellent judgment and knowledge of current clinical practices, with notable clinical, analytical, and documentation skills.

• Strong organizational abilities.

• Self-directed with the capacity to work independently with minimal supervision.

• Proficient in using computers and electronic information systems.

• Ability to establish and maintain effective communication and relationships with office, field, and administrative personnel.

• Familiarity with Title 22 is preferred.

• Must possess a valid driver’s license and have access to an insured automobile in good working condition, in compliance with state and/or organizational requirements.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Paid time off and holiday pay.

• Professional development opportunities.

• Retirement savings plan.