Job Description

Do you thrive in a dynamic healthcare environment and crave opportunities for growth? We're seeking passionate individuals to join our expanding team!

Our company was founded in 2005 and has served the Central Florida Geriatric population for 18 years. We care for patients in the Skilled Nursing Facility, Assisted Living Facilities, and Home bound patients in the comfort of their homes. We are a growing company and we are looking for three outstanding full-time Case Managers to join our East, West and North Orlando team. 

The Case Manager plays a crucial role in ensuring that patients receive comprehensive, coordinated care throughout their healthcare journey. This position is responsible for advocating for patients, ensuring their safety, and helping them access the resources and services they need. The Case Manager assists patients in crisis situations, facilitates transitions to appropriate levels of care, and provides ongoing support, including assistance with paperwork and services like home health, hospice, and dementia care. This position also involves direct interaction with primary care patients and caregivers, with the goal of improving patient outcomes and satisfaction.

Key Responsibilities:

• Dementia Care Management: Evaluate, assess, and provide tailored care and support to dementia patients and their caregivers, particularly in the home setting, ensuring they receive the appropriate interventions and resources.

• Patient Rounds & Follow-Ups: Conduct home visits to primary care patients, ensuring they are receiving the appropriate care and services, and help schedule necessary appointments or treatments.

• Home Health & Hospice Enrollment: Identify eligible patients for home health, chronic care programs, or hospice services and facilitate their enrollment to ensure they receive timely and effective care.

• Welfare Oversight & Safety Monitoring: Continuously monitor patient care and progress, providing regular updates and ensuring follow-up care to safeguard patients' well-being.

• Collaboration & Communication: Collaborate with interdisciplinary teams to ensure the best possible care for patients. Maintain effective communication with patients, families, and healthcare professionals to improve patient outcomes.

• Driving & Travel: Travel to patient homes and facilities as necessary to provide in-person care and manage the placement of patients into appropriate care settings.

Critical Success Factors:

• Patient/Customer Satisfaction: Exceed national averages for publicly reported patient satisfaction by delivering exceptional, compassionate care.
• Quality Outcomes: Dedicate efforts to achieving excellence in patient outcomes, particularly in direct admissions and service delivery.
• Welfare Oversight: Actively monitor and update patients’ care plans, ensuring timely follow-ups and their continued safety throughout their care journey.

Essential Functions:

• Travel to assigned areas to visit patients in their homes and facilitate care transitions.
• Maintain up-to-date knowledge of company and community resources, processes, and services offered.
• Transport patients to facilities as needed for admission and placement.
• Recommend interventions and solutions for patients in crisis situations.
• Complete direct admissions, ensuring a smooth entry into care services.
• Provide oversight of patient care to ensure ongoing safety and appropriate care.
• Assist with completing required documentation and paperwork for various healthcare services.
• Support patients and caregivers in managing dementia-related challenges, offering guidance and resources.
• Ensure patients have timely appointments with specialists and the company’s care teams.
• Assist in enrolling patients into appropriate services such as home health, chronic care programs, and hospice when they qualify.
• Advocate for patients who require assistance accessing resources and services.

Qualifications:

• Education & Experience:

  • A Bachelor’s degree in Social Work or related field is required.
  • One to three (1-3) years of social services experience, preferably in a primary care provider setting or healthcare-related field.
  • Experience with care management, especially in home health, hospice, or dementia care, is highly desirable.

• Additional Requirements:

  • A proven track record of achievements and relevant licenses/accomplishments in the social services field.
  • Ability to travel regularly to patient homes and other assigned locations.
  • Strong organizational skills and attention to detail.

Work Environment:  This position requires flexibility in terms of work location and travel, as it involves home visits to patients in their local communities. Employees will work closely with patients, healthcare teams, and other professionals to ensure the best possible care.

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