Case Manager OHC - Fairfield and Counties

Company: Care Star, Inc.
Location:Fairfield, Pickaway, Fayette,Madison, Licking and Franklin Counties, Ohio (and surrounding areas)
Job Type: Full Time | Remote with Field Visits
Industry: Healthcare / Social Services / Case Management

Founded in 1988 in Cincinnati, Ohio, Care Star, Inc. is a recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we proudly serve individuals across Ohio through compassionate, high-quality care coordination. We are currently seeking Case Manager to join our Ohio Home Care
program. This is a meaningful opportunity for professionals who are passionate about helping others live healthier, more independent lives. As a Case Manager
, you’ll work directly with individuals to assess their needs, develop personalized care plans, and connect them with essential services and supports. You’ll be part of a mission-driven team that values your expertise, supports your growth, and empowers you to make a real difference in your community.

• Conduct face-to-face eligibility evaluations and assessments (e.g., Adult Needs and Strengths Assessment)

• Must be available during business hours, 8:00 a.m. to 5:00 p.m., to complete all job duties, including but not limited to phone calls, home visits, and returning emails.

• Travel to and from the individual’s home, not to exceed 2 hours each way.

• Develop and maintain individualized, person-centered care plans and Health and Safety Action Plans, make required reports to regulatory bodies, and complete incident reports as needed.

• Coordinate and authorize services across behavioral health, medical, and community-based systems

• Transition planning, including coordinating care and services to support individuals during changes in providers, settings, or levels of care.

• Assist individuals in accessing Medicaid and other essential services

• Monitor service delivery and ensure compliance with program guidelines

• Serve as the lead advocate and care coordinator for each participant

• Adhere to the Care Star Rule in performance of job responsibilities.

• Understand and comply with Care Star Policies and Procedures.

• Maintain confidentiality as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense.

• Follow the Acceptable Use Policy while using any information systems owned or controlled by Care Star, Inc.

• Bachelor’s degree in Social Work, Counseling, Psychology, Nursing, or a related field

• Required:
  
  Licensed Social Worker (LSW), Licensed Independent Social Worker (LISW), Licensed Practical Nurse (LPN) or Registered Nurse (RN)

• Minimum 1 year of experience in home and community-based services (within the last 5 years)

• Experience working with individuals with chronic conditions or severe and persistent mental illness

• Strong knowledge of Medicaid, behavioral health systems, and local community resources

• Remote flexibility with meaningful community engagement

• Competitive salary based on experience and education

• Comprehensive benefits:
  Medical, dental, vision, life insurance

• 401(k) with a generous company match

• Paid time off + 10 paid holidays

• Employee Stock Ownership Plan (ESOP) – become a part-owner in the company

• Supportive, mission-driven culture focused on improving lives