Care Manager

JOB SUMMARY

The Care Manager is responsible for providing care planning and navigation with Hospice SLO County and other area resources tailored to the needs of current and specifically referred client with cognitive impairment or complicated diagnoses. The Care Manager tracks and communicates with these clients and/or their caregivers for as long as it is required to connect the clients with area services, assists them to receive benefits or services, advocates on their behalf (when necessary) with health care providers, and helps create care plan with clients, caregivers, and families.

The Care Manager receives direct referrals from current in-home clients from the Volunteer Services Manager, Hospice SLO County volunteers or staff, and community agencies. These community agencies include direct referrals from physicians, home health agencies, hospitals, social workers, potential clients (or their family members), or other area service providers. The Care Manager works closely with the in-home team to help meet the needs of clients and volunteers wherever possible. The Care Manager also works with office staff and volunteers to communicate the needs of serving clients.

The position requires organization, good verbal/communication skills, willingness to assess clients in the home environment in all kinds of situations, ability to problem solve, broad knowledge of community and regional resources (and how to qualify), strong assessment skills, and good charting and records keeping.

 

ESSENTIAL JOB FUNCTIONS

  • Assess client needs in home.
  • Use a system on Microsoft Excel for tracking clients.
  • Record information about client needs and referrals on care plan.
  • Record pertinent client data on Microsoft Excel tracking form for current grant funds.
  • Use online database and care plan for client notes, follow up and maintain current contact information.
  • Use assessment template to create a workable care plan for clients, caregivers, and families.
  • Communicate with volunteers through online portal and by email/phone to enhance a team approach to care.
  • Coordinate weekly or more often with in-home team members to coordinate care in the program as well as to reach out to other Hospice SLO County team members.
  • Engage in community outreach, networking, and communication by attending regular or one-time meetings to understand community resources and referral opportunities.
  • Willingness to speak in public for education and outreach.
  • Advocate for non-medical hospice and appropriateness for medical hospice/palliative/home health care when needed.

 

REQUIRED EDUCATION AND EXPERIENCE

  • Social Worker, RN, or person with direct care management experience.
  • Experience with care coordination and management.

 

PREFERRED EXPERIENCE

  • Experience working in a nonprofit setting.
  • Experience in a service organization.
  • Speaking and presenting experience.
  • Experience with training and education.

 

COMPETENCIES

  • Broad knowledge of community/regional resources and how to engage.
  • Good relationships with community resource providers and process of referral.
  • Ability to assess and plan care in a variety of situations and for many different diagnoses.
  • Ability to protect client confidentiality.
  • Good organization, ability to track and follow up on client and volunteer needs in a timely manner.
  • Personable, good communicator (written and spoken) and willingness to reach out to others in the community to learn about resources and to promote Hospice SLO County services and partnership opportunities.
  • Ability to stay abreast of current needs and opportunities in the community.
  • Proficient in Microsoft Word, Excel, Outlook and other computer software plus a willingness to learn new digital skills.
  • Willingness to meet clients in person or by phone.
  • Maintain constructive relationships and demonstrate respect and a high level of professionalism with a variety of people and personality types.
  • Self-motivated with effective time management and organizational skills and ability to accomplish projects with little supervision while asking for assistance when needed.
  • Ability to work effectively, efficiently, and creatively in a team environment.
  • Must be able to multitask while maintaining accuracy with the ability to respond creatively and diplomatically to conflicting priorities.
  • Flexibility and ability to adjust to changing conditions and priorities.
  • Ability to reason and apply common sense in understanding and dealing with problems involving variables in standardized situations.
  • Must be responsible, reliable, and possess problem solving and conflict resolution skills.
  • High level of interpersonal skills to handle sensitive and confidential situations.
  • Provide ideas, opinions, feedback, and information in a professional manner.

 

REQUIREMENTS

  • Must be at least 18 years of age; possess a valid CA Driver’s License, reliable transportation, proof of auto insurance, and DMV driving record that meets Hospice SLO County’s current vehicle insurance requirements. May be required to utilize personal vehicle and auto insurance.
  • Attendance is an essential function of this job that requires face-to-face interaction with other employees. Some remote work from home may be possible.
  • Understand safety policies and actively practice and promote safe practices in the workplace.
  • Must be able to recognize, support and adhere to all Hospice SLO County policies and procedures.
  • Will have completed Hospice SLO County In-Home Volunteer Training Program in the first six months of employment (this will be provided).

 

WORKING CONDITIONS

  • Office Environment (Two Story House)
  • Sitting For Long Periods
  • Computer Use
  • Using Hands/Fingers
  • Grasping/Reaching
  • Seeing
  • Hearing
  • Speaking
  • Moving Around Office
  • Climbing Stairs
  • Stooping/Bending
  • Balance
  • Lifting/Carrying Light Items
  • Pushing/Pulling/Dragging Items
  • Driving

Americans with Disabilities Act: Employees who are or become disabled must be able to perform the essential duties and responsibilities either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

 

DETAILS

This is a full-time position, either 32 or 40 hours a week depending on experience and preference.

The Hospice SLO County office is located at 1305 Marsh Street, San Luis Obispo, CA 93401.

 

HOW TO APPLY

Email a cover letter, resume, and a paragraph in the email about why you feel you are a good fit for this role to Shannon McOuat, Executive Director at [email protected] . Please include your name and title of the job applying for in the subject line. No phone calls please.