Description

As a care manager, your responsibilities include coordinating, collaborating, and supervising care in the client’s home in a safe and dignified manner. The care manager assesses the healthcare status of the clients, identifies problems and needs, and develops a care plan based on the assessment. Some duties of a care manager include care consultations, health and safety assessments, placement assistance, and advice about ongoing care in a safe environment. Lead liaison for Veterans Administration Home Care Contract, facilitating assessments, home care services, follow-up periodic re-assessments, communication with the VA, and discharge of Lifespan Services. A care manager provides training, orientation, and supervision of home care aides.

Qualifications

Qualifications

• Graduate of an accredited nursing program
• Current California license as a Registered Nurse (RN) or Licensed Vocational Nurse (LVN)
• Minimum of 2 years’ experience in community health
• Home health and supervisory experience preferred
• Reliable personal vehicle available for daily work
• Valid California driver’s license with a clean DMV record
• Automobile insurance as required by the State of California

Physical Requirements

• Ability to communicate clearly in person and by phone frequently
• Able to sit or stand at a desk for approximately 25% of the workday
• Proficient with computers, including word processing, documentation, and scheduling systems
• Occasional walking, bending, or reaching for file access
• Ability to travel to and work from the Lifespan office

Job Responsibilities

Orientation and Education

• Complete the required orientation and ongoing in-service training
• Provide in-service education to agency staff as requested by the Lifespan Trainer

Safety and Compliance

• Ensure a safe environment for clients, staff, and the public
• Identify and report unsafe conditions; address hazards when feasible
• Adhere to agency safety and infection control policies
• Educate employees and clients on safety and infection control practices
• Participate in annual training related to safety and infection prevention

Care Management

• Deliver direct care management services in clients' homes
• Clearly explain Lifespan services, fees, and contracts to clients
• Conduct comprehensive assessments, including:
  
  • Physical and mental health
  • Emotional, psychological, and social status
  • Functional and financial status
  • Home safety
  • Advance directives
• Document assessments accurately and file in client records
• Develop individualized care plans based on assessment data
• Provide written reports recommending care options
• Refer clients to appropriate community resources (e.g., home health, meal services, support groups)

Ongoing Monitoring & Supervision

• Conduct regular follow-ups to assess health status, home safety, and satisfaction with services
• Supervise and instruct care staff on client needs, safety, and infection control practices
• Notify physicians and other health professionals of relevant client changes
• Recommend treatment changes or further evaluations as needed
• Assist clients and families with housing options that support independence and safety
• Evaluate and adjust care plans as needed
• Document all interactions in progress notes and the ClearCare database
• Maintain effective communication with the Lifespan team through email, documentation, and meetings
• Prepare and send client progress reports to designated family or legal representatives

Administrative Responsibilities

• Aim for a 70% ratio of billable to total work hours
• Participate in performance management and disciplinary actions when necessary
• Administer and read TB tests (RN or LVN only)
• Collaborate with staff and clients to address care concerns
• Represent Lifespan in outreach and marketing efforts
• Serve as a community resource on geriatric care
• Conduct long-term care insurance assessments
• Provide backup on-call support at least once per month (for nurses only)
• Maintain an up-to-date work calendar in Microsoft Outlook
• Participate in service calls with prospective clients; possess a clear understanding of Lifespan’s services and pricing