About Us
The Columbus Organization is a group of caring professionals whose mission is to assist individuals at risk and with complex care needs remain in the least restrictive environment of their choice while improving their quality of life through coordinated services and supports. With a person-centered planning & thinking approach, it is our vision to be recognized as an organization that transforms individuals’ lives and provides families the peace of mind in knowing their loved one has a voice and a valued role in their community.
Summary of Position
The Care Manager for the HCBS program is responsible for coordinating person-centered Plans of Care and Service Plans for program participants. This role supports individuals in selecting service providers, ensures timely initiation of authorized services, and monitors ongoing service delivery. The Care Manager - HCBS maintains regular contact with participants and caregivers, identifies changes in health or functional status, and escalates clinical concerns to nursing staff as appropriate. This position actively participates in interdisciplinary meetings, discharge planning, and transitions of care to ensure comprehensive, coordinated support.
Essential Functions
1. Conduct initial comprehensive assessments and complete a 60-day follow-up after enrollment.
2. Perform annual reassessments and additional assessments when changes in condition or needs occur.
3. Schedule and coordinate monthly client visits for initial and annual assessments.
4. Develop individualized Plans of Care based on clinical needs and participant preferences.
5. Collaborate with participants, families, caregivers, and service providers to address identified needs.
6. Support transitions of care, including coordination with hospitals, providers, and interdisciplinary team members.
7. Maintain accurate and timely documentation of assessments, visits, service coordination, and care planning.
8. Balance field-based responsibilities with office-based case management, typically completing visits two to three days per week and dedicating remaining time to documentation and coordination duties.
9. Ensure full compliance with regulatory requirements, organizational policies, and quality standards.
10. Participate in audits, reviews, and quality improvement initiatives.
11. Prepare and submit required reports for regulatory and organizational purposes.
12. Collaborate closely with healthcare professionals, social workers, and other team members to optimize participant care, including participating in interdisciplinary team meetings.
13. Educate participants and families about available community resources, supports, and program services.
14. Refer individuals to Transition Specialists, Behavioral Health Care Management, Member Resource Administrators, or Clinical Intake Specialists for additional benefit coordination or transition support.
Position Requirements
1. Bachelor’s degree in social work or a health-related field, or current Georgia licensure as a Registered Nurse or Licensed Practical Nurse.
2. Minimum of two years of experience in community-based case management, including assessment, service planning, and treatment or service recommendations.
3. Strong relationship-building, problem-solving, and person-centered planning skills.
4. Proficiency with Microsoft Office 365 and electronic documentation systems.
5. Valid driver’s license, automobile insurance, and reliable transportation for frequent travel.
Skills, Knowledge and Abilities
1. Proficient in Microsoft Word, Excel, and PowerPoint.
2. Knowledgeable in planning principles and report preparation.
3. Ability to interpret policies and procedures accurately.
4. Strong analytical skills, including evaluating information and recommending appropriate actions.
5. Skilled in developing and maintaining effective working relationships with colleagues and external
partners.
6. Ability to clearly explain rules, regulations, and program requirements.
7. Strong written communication skills, including report and correspondence writing.
8. Effective in presenting information and responding to questions from leadership, colleagues, and groups.
Travel/Work Environment
1. Frequent travel to participants’ homes and community sites as required.
2. Must maintain a valid state driver’s license, automobile insurance, and access to a reliable vehicle.
3. Work is performed in varied settings, including participant homes, community locations, and office environments.
Why Join Us?
- Medical, Dental, and Vision Insurance
- Prescription Coverage
- Life Insurance with Buy-Up Option
- Short- and Long-Term Disability
- Flexible Spending Accounts (FSA)
- Health Savings Account (HSA)
- Accident, Hospital, and Cancer Plans
- Health Advocacy Program
- Workers’ Compensation Insurance
- 401(k) Retirement Savings Plan
- Employee Assistance Program (EAP)
