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Long Term Care Case Manager - Adult Care / Aging Population

Company: Genworth
Location: Richmond
Posted on: September 15, 2021

Job Description:

POSITION TITLE

Long Term Care Case Manager

LOCATION

This position is available to Virginia residents as Richmond, Virginia in-office applicants or Lynchburg, Virginia in-office applicants or remote applicants residing in states/locations under Eastern or Central Standard Time: Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas,  Virginia, Washington DC, Vermont, West Virginia or Wisconsin.

YOUR ROLE

The Case Manager will be responsible for providing evidence-based, short-term case management services to long-term care insurance policyholders who have a high probability of recovering from a functional or cognitive loss.

YOUR RESPONSIBILITIES

You will perform person-centered, strength-based case management services, both telephonically and in writing, with the insured and their family members. This includes reviewing their in-person functional and cognitive assessment and associated Plan of Care, empowering the insured to set recovery expectations and appropriate goals related to independence, frequently monitoring progress, evaluating results and pertinent medical records, and ultimately working towards a goal of termination of services due to recovery.

You will be able to comprehensively assess and address the insured’s biological, psychological and social needs on an ongoing basis.  This includes providing education on common medical conditions using understandable terms and may include coaching caregivers on how to best support the insured.

You will feel comfortable developing a warm and professional rapport with the insured’s care team (family, physicians, care providers) and when appropriate, will effectively integrate input them into the Plan of Care. This candidate will be able to anticipate and help the insured to problem solve common barriers to recovery and will adjust goals as appropriate to motivate and engage the insured. This may include suggesting referrals to specialists, recommending home modifications, researching appropriate equipment, and connecting the insured to resources.

You will need to research local/state/federal resources and services for the insured and be comfortable advocating for them if requested. This position will identify, request, and analyze pertinent medical records required to best understand the disease progression, ADL and IADL loss and potential for recovery. 

You will work independently and in a team environment and will manage and prioritize a work queue and multiple job responsibilities and will identify process improvement opportunities, provide feedback on processes and case management model as well as be a critical team member in enhancing the team’s performance and results.

YOUR QUALIFICATIONS

  • College degree in a field related to care management (counseling, gerontology, mental health, nursing, occupational therapy, physical therapy, psychology, or social work).

  • At least 2 years of supervised case management experience with older adults and their families (hospital, nursing home, or community placements).

  • Superior written and verbal communication and customer service skills

  • Able to effectively motivate individuals with post-operative musculoskeletal, neurological and general acute problems and communicate and execute appropriate Plans of Care.

  • Demonstrated experience in making sound business decisions using risk management and quality protocols.

  • Work effectively in a team environment or independently.

  • Professional and personal effectiveness in establishing relationships with customers, care providers, discharge planners, vendors, peers and Claims associates.

  • Ability to work with outside vendors to ensure a reasonable Plan of Care is in place.

  • Ability to understand and Interpret Insurance Contracts and Long Term Care Benefits.

  • Able to understand and interpret Physician Records and Occupational/Physical Therapist records and understand disease progression and recovery expectations. 

  • Understanding of single and cumulative medical conditions (particularly those common in the aging process), including their effect on physical/cognitive function, as well as their prognosis and rehabilitative potential.

ADDITIONAL QUALIFICATIONS

  • Graduate degree, certificate, or training in gerontology/geriatrics is preferred.

  • Strong knowledge of care, treatment, community programs, equipment and devices used to assist individuals with functional & cognitive impairments in regaining optimal independence.

  • Experience in using Windows applications (e.g. letter writing, spreadsheets, databases).

  • Strong knowledge of senior/geriatric/home health care, continuum of care, long-term care insurance and/or the Medicare program.

  • Good working knowledge of systems applications (e.g. WORD, EXCEL, PowerPoint, etc.). Willingness to learn claims and workflow systems.

WHY WORK AT GENWORTH

  • We have a real impact on the lives of the people we serve

  • We work on challenging and rewarding projects

  • We give back to the communities where we live

  • We offer competitive benefits including:

    • Medical, Dental, Vision, Flexible Spending Account benefit options available beginning your first day  

    • Generous Choice Time Off your first full year

    • 12 Paid Holidays

    • 40 hours of volunteer time off

    • 401K Account with matching contributions

    • Tuition Reimbursement and Student Loan Repayment

    • Paid Family Leave

    • Child Care Subsidy Program

COMPANY

Genworth Financial, Inc. is a leading insurance holding company committed to helping families achieve the dream of home ownership and address the financial challenges of aging through its leadership positions in mortgage insurance and long term care insurance.  Headquartered in Richmond, Virginia, Genworth traces its roots back to 1871. 

The mission of Genworth’s US Life business is to develop solutions that meet the financial challenges of aging, including individual and group long term care insurance, annuities, life insurance and new innovative products over time. 

We know we can’t deliver on our mission unless we deliver for our employees. That’s why we’re committed to creating a work environment that fosters inclusion, camaraderie, rewarding work, community involvement, and a focus on our employees’ well-being. We know each employee contributes in their own unique way and we’re dedicated to supporting every one of them to help them reach their full potential.

Key Word Highlights:

Gerontology, Geriatrics, Aging Adults, Elder Care, Elderly, Long Term Care, Senior Citizens, Nursing Home, Assisted Living, Dementia, Long Term Care, Advocate, Clinical, Social Work, Care Partner

Keywords: Genworth, Richmond , Long Term Care Case Manager - Adult Care / Aging Population, Other , Richmond, Virginia

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