Job Title: Fast Track Home (FTH) Care Manager –  Field
Location: Southwestern Ohio  Field-based
Job Type: Part-Time (22.5 hours/week)
Pay Range: $26,160.00 to $33,558.00

Reports To: Program Manager

Your Advocacy. Their Safe Return Home. Your Most Meaningful Career Move.

At COA of Southwestern Ohio, Fast Track Home Care Managers make a lasting difference—supporting older adults during one of life’s most vulnerable transitions while enjoying flexibility, trust, and the support to thrive in their own lives. Your work directly improves continuity of care, independence, and health outcomes for older adults and their caregivers.

Job Summary

The Fast Track Home (FTH) Care Manager plays a critical role in improving transitions from hospital or facility to home. In this role, you empower eligible patients through assessment, enrollment, and short-term care coordination—helping them safely return home while reducing readmissions and unnecessary complications. Care Managers collaborate closely with healthcare facilities, community partners, and COA care management teams to deliver person-centered, evidence-based support during a 60-day intervention period.

This position will operate in a Field, capacity.

What You’ll Do

Assessment & Care Planning

• Review medical history, identify chronic disease risk factors, medication concerns, and transition barriers
• Develop a personalized, person-centered plan of care in partnership with clients and caregivers
• Coordinate services needed for a safe and successful transition home

• Conduct timely home or nursing facility visits to assess client needs
• Coordinate smooth handoff to long-term care management when appropriate
• Maintain consistent client contact throughout the 60-day intervention

Client Support & Advocacy

• Use the evidence-based Coleman Care Transitions Model to coach clients on medications, personal health records, follow-up visits, and red flag symptoms
• Empower clients to navigate in-home services such as skilled nursing, therapy, and home health aides
• Communicate the plan of care across providers and care settings
• Educate clients about service options following the Fast Track Home program
• Complete satisfaction surveys and ensure client voice is heard

Collaboration & Coordination

• Partner with COA internal teams to ensure continuity and quality

Documentation & Compliance

• Maintain accurate, timely documentation in COA’s care management system
• Ensure all services and authorizations are fully supported by case documentation
• Adhere to HIPAA, confidentiality standards, and all COA policies

What Sets COA Apart

• 50+ years of trusted service supporting older adults in Southwestern Ohio
• Evidence-based care coordination that improves outcomes and reduces hospital readmissions
• Flexible scheduling with autonomy to manage caseloads
• A mission-driven culture rooted in trust, respect, and advocacy
• High employee satisfaction in leadership trust and mission alignment

Qualifications

• Associate degree in a related field or four years of related experience or Community Health Certification or LPN required
• Bachelor’s degree preferred (Nursing, Social Work, Gerontology, Psychology, Public Administration, or related field)
• RN or LSW strongly preferred
• At least one year of experience in home health, medical social work, geriatrics, or care/case management
• Knowledge of community resources and aging services
• Strong understanding of the healthcare system and care transition models
• Ability to manage complex caseloads, problem-solve independently, and adapt to change
• Excellent communication, organization, and advocacy skills

Benefits That Support Your Life and Purpose

• Flexible schedules and role-based hybrid work so you can balance career and life
• Pension plan with 6% annual company contribution to invest in your future
• Professional development opportunities to grow your expertise in care coordination and community health

Apply

Ready to advocate for safe transitions, stronger independence, and better outcomes for older adults?

Apply today and make a difference right where it matters most—home.