Care Manager

Job Summary:
We are seeking a dedicated and experienced Care Manager with a strong clinical background and field experience to oversee patient care coordination, assess patient needs, and ensure the delivery of high-quality healthcare services. The ideal candidate will have experience in case management, interdisciplinary collaboration, and a passion for improving patient outcomes.

Objectives

1. To actively promote best practice in Support provision including all aspects of care planning activity, to ensure that the services provided by Manuella Care conform to current Essential Standards of Quality and Safety and the Health and Social Care Act 2008 and associated Regulations so as to:
1. Ensure the safety of service users
2. Safeguard services users against abuse or neglect
3. Promote service user’s independence
4. Provide a service which respects privacy, dignity and wishes of service users and with due regard to gender, religious persuasion, racial origin, cultural and linguistic background, disability and to the way in which they conduct their lives
5. Provide a Service which meets the assessed needs of Service Users
2. To ensure that complaints are investigated and recorded and take the lead on investigations where appropriate.
3. To liaise with CQC, operational staff from Social Services, Housing Officers, Health Care Professionals, Service Users, Tenants and their family members and be the named link between these and Manuella Care.
4. To ensure that schedule of staff activity / rostering occurs so as to ensure care plans can be fulfilled over 24 hours, seven days a week in a cost-effective and time-effective manner ensuring a safe and effective service delivery.
5. To support staff in responding to emergency situations.
6. To participate in out of hours ‘on call’ rota.
7. To undertake any other duties commensurate with this role that may be required from time to time.
8. Active marketing to bring in new business.

Key Responsibilities:

1. Conduct comprehensive patient assessments to determine medical, psychosocial, and functional needs.
2. Develop, implement, and monitor individualized care plans tailored to patient needs.
3. Coordinate healthcare services across multiple providers, ensuring seamless transitions of care.
4. Provide direct support and guidance to patients and their families on treatment plans and healthcare options.
5. Collaborate with interdisciplinary teams, including physicians, nurses, social workers, and therapists, to optimize patient outcomes.
6. Monitor patient progress, adjust care plans as necessary, and document all interventions in accordance with regulatory standards.
7. Advocate for patient needs and ensure they receive appropriate and timely healthcare services.
8. Educate patients and families on disease management, medication adherence, and lifestyle modifications.
9. Conduct home visits or field assessments to evaluate patient environments and support systems.
10. Ensure compliance with all healthcare regulations, policies, and best practices.
11. Utilize electronic health records (EHR) and case management software to track and document care activities.
12. Participate in quality improvement initiatives and contribute to process enhancements.

Qualifications:

1. Degree in Nursing, Social Work, or a related healthcare field.
2. Minimum of 3-5 years of experience in case management, care coordination, or a related clinical role.
3. Experience working in home healthcare, hospice, hospital discharge planning, or community health settings.
4. Strong knowledge of medical conditions, treatment options, and healthcare systems.
5. Ability to work independently in the field and manage a caseload efficiently.
6. Excellent communication, problem-solving, and interpersonal skills.
7. Proficiency in EHR systems and case management software.
8. Valid driver’s license and willingness to travel for patient visits as needed.

Preferred Qualifications:

1. Certified Case Manager (CCM) or equivalent certification.
2. Experience in Medicaid/Medicare or value-based care models.

Benefits:

1. Competitive salary and performance-based incentives.
2. Pensions.
3. Professional development opportunities and certification support.
4. Mileage reimbursement for field visits.