Care Manager III - Home Care and Support Services

IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the "status-quo" and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life. With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission.

The Care Manager III serves a long-standing, discerning clientele with eclectic life experiences who expect excellence, discretion, and individualized attention. This role requires a high level of clinical expertise, interpersonal intelligence, and the ability to provide solution-oriented care management in a dynamic and complex environment. Proactive care coordination is central to the daily duties of this role.

Key Responsibilities:

Client Assessment and Care Planning

• Conduct comprehensive psychosocial, physical, mental health, and environmental assessments to evaluate clients' needs, strengths, and goals.
• Develop and implement individualized, client-centered care plans that prioritize safety, well-being, and quality of life.
• Continuously reassess clients' needs and modify care plans as circumstances evolve.
• Evaluate the client's ability to remain safely at home and recommend alternative care settings when appropriate.

Care Coordination and Advocacy

• Serve as the primary liaison between IOA, Corio clients, families, physicians, caregivers, and other service providers to coordinate services seamlessly.
• Facilitate communication across care teams to ensure consistency in client care and address any gaps or barriers.
• Coordinate and monitor in-home services, such as caregiver support, private duty aides (typically IOA), and other resources, ensuring they meet client expectations and care standards.
• Initiate and facilitate care conferences/family meetings to achieve client goals.
• Ongoing evaluation of effectiveness of services and recommendations to alternative resources to maximize achievement of care plan.
• Accompany clients to medical appointments, advocating for their needs and helping interpret medical guidance.
• Provide crisis intervention and problem-solving support as issues arise.
• Facilitate transitions of care (hospital to home, hospital to SNF, higher level of care) by coordinating all involved services, activities, and parties. - Purchase goods and services on behalf of clients to meet basic needs and deliver effortless access to needed items.
• Serve as primary point of contact for care coordination with medical, non-medical, fiduciaries, home care partners, durable power of attorneys, responsible parties, loved ones, and others.

Client and Family Support

• Act as a trusted advisor to families, offering guidance and emotional support as they navigate care decisions and complex family dynamics.
• Maintain a high level of discretion and professionalism, ensuring confidentiality for an affluent and discerning client population.
• Respond promptly to urgent client needs with a solution-driven approach.

Documentation and Administrative Duties

• Maintain timely, accurate, and detailed records of client interactions, assessments, care plans, and all care coordination activities in progress notes.
• Collaborate with home care services, billing, human resources and administrative tasks as needed.
• Leverage Wellsky technology platform to document care management activities and track outcomes.
• Complete all monthly billing activities to ensure accurate and timely billing within IOA required timeframes.
• Adhere to NASW professional standards and code of ethics.

Professional Leadership and Development

• Serve as a mentor and ASW Supervisor to PACE or other care management team members or interns as needed, fostering best practices and professional growth. (If LCSW)
• Participate in ongoing professional development, including program leadership meetings and relevant continuing education opportunities.
• Stay current with best practices in care management, aging services, and private-pay care solutions.
• Be an Institute on Aging Advocate and Ambassador.

Qualifications:

Required:

• Master's in Social Work (MSW)
• A minimum of 5 years of experience working with older adults or adults with complex medical and psychosocial needs.
• Strong interpersonal and communication skills, with the ability to build trust and rapport with clients, families, and professional partners.
• Highly organized, detail-oriented, and capable of managing multiple priorities in a fast-paced environment.
• Proficiency in electronic documentation and basic computer skills (ability to learn Wellsky, Microsoft Office Suite, care management software).
• Valid driver's license, reliable vehicle, and willingness to travel within Bay Area counties. Mileage reimbursement provided.

Preferred:

• Licensed Clinical Social Worker (LCSW) strongly preferred
• Prior experience serving private pay clientele strongly preferred.
• Experience working with individuals with mental health/cognitive/behavioral health conditions in addition to multiple chronic medical conditions.

Work Environment:

• Community-based role with visits to clients' homes, hospitals, and skilled nursing facilities, largely in San Francisco and including the other Bay Area counties.
• Administrative duties may be completed at the main office (Geary location) or off-site as needed. Street parking is available near the office.
• Occasional evening or weekend availability to meet client needs.

Compensation

• Range: $93,303.00 - $ 111,511.000/annual

This amount is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee, which is always dependent on actual experience, education and other factors.

This range does not include any additional equity, benefits, or othernon-monetarycompensation which may be included.

We encourage you to learn more about IOA by visiting us here.

IOA reserves the right to adjust work hours or duties when appropriate.

Institute on Aging is an Equal Opportunity Employer. Institute on Aging is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neuro-diversity, disability, veteran status or any other protected category under federal, state and local law.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.