RN, LSW, LISW, Care Manager

About Us

A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond.

Position Summary

• Love to Travel?
• This Role is for You!
• If you enjoy being on the go and exploring new places, you’ll thrive here.
• Expect to spend approximately 50% of your time traveling throughout Paulding, Defiance Williams, Fulton, Lucas, Henry, Wood, Ottawa, Sandusky, and Erie counties, as well as surrounding areas.
• The Registered Nurse (RN) Care Manager or Licensed Social Worker (LSW/LISW) Care Manager works collaboratively as part of a care management team to onboard new families onto service and provide ongoing support to caregivers.
• This role is responsible for assessing consumer and caregiver needs, evaluating eligibility for service, and guiding prospective families through an efficient activation of services.
• The Nurse or Social Worker establishes a person-centric plan of care, completes an orientation to Careforth’s digital communication platform, and conducts regularly scheduled home visits.
• For an assigned caseload, this position coaches, advocates, and educates caregivers to assist with the daily health and well-being of their care recipients.
• Embark on an exciting journey with us and transform lives with your experience and compassion.

What You Will Do

Manages the enrollment process of prospective families and educates them on qualifications as it relates to the consumer, caregiver, and home; assesses consumer and caregiver eligibility for services Helps guide consumers with applications for Medicaid, waiver programs, and other state benefits Conducts initial in-person clinical assessments and coordinates service activation, ensuring that all required forms and standard procedures are followed Assists with orientation training for each caregiver to facilitate a proper onboarding to Careforth’s HIPAA secure technology platform; ensures caregiver understands how to successfully submit electronic daily communications Works collaboratively to develop each member’s plan of care and review on an ongoing basis Provide ongoing coaching to drive effective utilization of established best practices, encourage caregiver education, and connect families to community resources Reviews the caregiver notes daily and appropriately addresses changes in the consumer’s condition or environment Completes documentation corresponding with each on-site visit or encounter Monitors the health status of all members to ensure that all needs and programmatic requirements are properly delivered (i.e. incident management) Collaborates and communicates regularly with clinical team, agency and support services, primary care physician, and other medical providers to ensure timely and appropriate delivery of consumer services Ensures continuous compliance with all regulatory and accreditation agency standards as well as company policies and procedures Plans and implements discharges and transitions from the program Perform other duties as assigned