Transitional Care Manager

Institute on Aging
$ 32.88 -
United States, California, San Francisco
3575 Geary Boulevard (Show on map)
Feb 28, 2025
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 Rather than focusing on archaic outdated design, we strive to consistently question the "status-quo" and create new and more innovative ways to help aging adults and adults with disabilities maintain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. PART TIME: 20 hours per week. Responsible for assessment of resident psychosocial needs and coordination of support services for low-income older adults. The CMI also plans for and monitors services and interventions ensuring provision of quality care. Provides care management services to clients enrolled in the Assisted Living Waiver Program. Ensures all documentation complete and submitted in a timely manner in order to ensure enrollment in the Assisted Living Waiver Program for all those released from the waitlist. Partners with existing Care Managers during the transition and/or step down process. Completes Assisted Living Waiver Assessment Tool upon initial enrollment and every 6 months following for all assigned clients. Develops and initiates Individualized Service Plan upon initial enrollment and every 6 months following for all assigned clients. Ensures Medi-Cal remains active; completes re-certification with clients as needed. Conducts monthly telephonic contact with enrolled clients. Conducts client visits as clinically indicated. Maintains open, professional communication with California Department of Health Care Services staff. Establishes and maintains a care management relationship with clients and their informal support network as appropriate, offering respect, dignity and support. Documents via progress notes all case management activity regarding identified problems within 24-48 hours. Establishes and maintains open and effective communication with community providers, including physicians and other health care and social service workers. Utilizes supervision appropriately; maintaining open lines of communication and providing updates on caseload activity. Understands and applies the regulatory and procedural requirements of the Institute on Aging and the Assisted Living Waiver Program. All other reasonably related responsibilities as assigned. EDUCATION: Bachelor's in human services field required. BACKGROUND AND EXPERIENCE: One year working with disabled adults and/or older adults required. Experience with and understanding of the medical and psychosocial problems of functionally impaired adults and older adults. Experience working with individuals with mental and/or behavioral health diagnoses and substance abuse disorders highly desired. Exceptional communication and presentation skills relating to functionally impaired adults and older adults, their support systems and teams of health professionals. Demonstrates case management skills and experience in the community health care delivery system. Detail oriented with good problem-solving skills and the ability to prioritize multiple tasks. Computer literacy required. PHYSICAL & LANGUAGE REQUIREMENTS: Ability to lift up to 25 lbs. Ability to reach, bend, and walk Five finger manipulation Ability to speak and write English clearly COMPENSATION Range: $ 32.88 - $39.29/hr 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. 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.