CHOICES Senior Care Manager; Internal

Position:
Senior
Choices Care Manager Rev. 04/2026

Reports To:

Care Manager Supervisor

Basic Function:
To manage a CHOICES caseload. To educate and promote awareness of community services. To train and orient new staff, assist with new program initiatives, and pilot work groups.

Coordinate and assist with training new staff for the Care Manager position, including but not limited to teaching AGE documentation requirements, program standards and shadowing of home visits.

• Test new program initiatives set forth by AGE and/or Tri Valley, Inc. that directly impact the SHC department.
• Participate in pilot work groups set forth by AGE and/or Tri Valley, Inc. that directly impact the SHC department.
• Assist the SHC Director and SHC Supervisor with reviews of SHC business practices and provider billing.
• Review and approve submitted closings and annual reassessments ensuring that changes are updated in the consumer file. Submit QA sheets to Care managers and supervisor team for corrections
• Coordinate consumer services when transitioning into the community from a nursing home setting.
• Collaborate with CAE department and RN Manager on Choices care plans and extended care plans.
• Develop service plan and supportive networks through contact with consumer, formal and informal supports, and consultation with supervisor.
• Conduct assessments with consumers including social, emotional, physical, and environmental status to determine needs.
• Work with Community Transition Liaison to coordinate consumer services, discharge process and purchasing goods and services when transitioning into the community from a nursing home setting.
• Assist and provide support to families and consumers. Encourage self-advicacy.
• Coordinate a Choices level of services for consumers in the community which could entail 42+ hours up to 24x7.
• Have a high level of organization managing a caseload.
• Keep journal notes up to date, including changes/issues in services, including summary of telephone contacts, service changes, calls concerning consumers and keep files up to date.
• Have knowledge of Mass Health and Waiver guidelines
• Be able to work with multiple vendors/ coordinators to ensure authorized services are placed and resumed/suspended as needed in a timely manner.
• Implement service plans by phone or email immediately followed by authorization to provider agencies.
• Be able to organize in addition to quarterly visits, every other month visits for consumers who have care plans over 42 hours.
• Accurately manage reports and submit them by designated deadlines.
• Assist consumers to obtain and utilize other community services such as: VNA, housing, fuel assistance, COA, etc.
• Regularly communicate with supervisor and meet on a regular basis.
• Participate in quarterly Extended Care plan meetings.