Care Manager

About the role

The Care Manager oversees client care from start to finish. You’ll be the main contact for clients, families, parents and guardians, and caregivers. You’ll also keep authorisations current, fill every shift, and make sure EVV, billing and payroll data are accurate. This role suits someone organised and proactive who stays calm under pressure and cares about the people we serve and the staff who serve them.

What you’ll do

Client care

• Act as the primary contact for clients and families, and handle questions and concerns with empathy and professionalism
• Conduct assessments and develop and regularly review individualised care plans
• Check in with clients routinely (in person, by phone or virtually) and adjust care as needs change
• Coordinate with nurses, therapists and other healthcare professionals
• Document and resolve client concerns, complaints and incidents promptly

Caregiver support and supervision

• Guide and support a team of caregivers, and give fair, constructive feedback
• Review and approve caregiver notes and documentation
• Build a positive work environment that keeps good caregivers with us

Scheduling

• Create and manage schedules so every client shift is covered
• Match each client’s needs with caregiver skills and availability
• Handle call-offs, schedule changes and urgent staffing needs quickly

Authorisations and compliance

• Verify and track insurance authorisations for skilled and non-skilled services
• Manage re-authorisations ahead of time so care and billing aren’t interrupted
• Conduct quality assurance checks, client satisfaction surveys and caregiver audits
• Share on-call duties and use sound judgment to resolve issues

EVV, billing and payroll

• Train caregivers on EVV clock-in/clock-out in Kantime
• Verify and approve EVV visits daily, and resolve missed punches and discrepancies
• Work with billing to make sure visit data turns into accurate invoices
• Review hours in Kantime for payroll and resolve discrepancies

Incident reporting and administration

• Serve as the point of contact for incidents (falls, medication errors, employee injuries) and document them in Kantime and the state EIM system
• Keep client and employee records and schedules current in Kantime
• Generate reports on care, staff hours, PTO and authorisation status
• Attend the daily morning huddle and report on incidents and activities

What you’ll bring

Required

• 2+ years in care management, scheduling or client services in a home care or home health setting
• Working knowledge of insurance verification and authorisation for skilled and non-skilled services
• Experience managing an EVV system and keeping staff compliant
• Understanding of healthcare billing and payroll processes
• Strong written and verbal communication skills
• Excellent organisation, time management and problem-solving skills
• Comfort with computers, EMR systems and scheduling software

Preferred

• Kantime experience (strongly preferred)
• Experience with Pennsylvania Medicaid / Community HealthChoices programs

Personal qualities

• Able to work independently and juggle priorities in a fast-paced environment
• Patient and empathetic, with a real commitment to serving older adults and people with disabilities

Before you start

All offers depend on successfully completing Suma Home Care’s pre-employment requirements, including the background checks required under Pennsylvania law. All onboarding must be finished before your start date.

Suma Home Care, Inc. is an Equal Opportunity Employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other characteristic protected by law.