CAP Case Manager with HealthKeeperz, Inc. providing critical support for individuals in the Community Alternatives Program. Conducting assessments and coordinating care for clients in the community.
Responsibilities
Conduct initial screenings and assessments of patients and families
Identify social service needs and connect patients to appropriate community resources
Evaluate eligibility, needs, and support systems
Develop and update individualized care plans that promote patient health and safety
Educate patients and families on care plans and available service options
Initiate referrals and provide counseling to support family and caregiver well-being
Coordinate care with interdisciplinary team members and external providers
Perform regular follow-ups through home visits and phone check-ins
Monitor and document care effectiveness and adjust plans as needed
Provide monthly case management and attend interagency conferences as appropriate
Maintain accurate, timely records per agency policy and CAP guidelines
Document patient status, changes in condition, and care outcomes
Complete discharge summaries and ensure all documentation is current in E-CAP
Review aide documentation, recertifications, and billing codes for compliance
Requirements
Working knowledge of basic social work principles, techniques, and practices
Knowledge of governmental and private organizations and resources in the community
Strong organizational, communication, listening, and assessment skills
Ability to travel as needed to other office locations
Bachelor’s degree in social work from an accredited school of social work and one (1) year of directly related community experience (preferably case management) in the health or medical field directly related to home care, long-term care, or personal care
The completion of an NC Medicaid certified training program within 90 calendar days of employment; OR
Bachelor’s degree in a human services or equivalent field from an accredited college or university with two or more years of community experience (preferably case management) in the health or medical field directly related to home care, long-term care, or personal care and the completion of an NC Medicaid certified training program within 90 calendar days; OR
Bachelor’s degree in a non-human services field from an accredited college or university with two or more years of community experience (preferably case management) in the health or medical field directly related to home care, long-term care, or personal care and the completion of an NC Medicaid certified training program within 90 calendar days; OR
Nurse who holds a current North Carolina license with two (2) year or four (4) year degrees and one (1) year case management in home care, long-term care, personal care, or related work experience and the completion of an NC Medicaid-certified training program within 90 calendar days; OR
An individual with a bachelor’s degree or who holds a nursing license as described above, without the number of years of experience, may be designated as an apprentice or a trainee and shall be hired to act in the role of case manager.
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