Case Manager Boston

About Us:

At Entyre we are convinced that those in need of care who are looked after by their relative or friend at home, have the right to a self-determined and dignified life in their own four walls. Entyre Care is determined to achieve this goal by basing our efforts on two central pillars: professional support for family caregivers in all areas of outpatient care. With many years of AFC expertise we value fair remuneration to the caregiver for their services. We are also driving forward the development of innovative technology solutions with scientific partners Entyre Care is a professional support company responsible for planning, coordinating, and monitoring AFC members.

Would you like to become part of a modern health care organization? Then come and join us today. Join our team and make a meaningful difference in the lives of individuals and families. Entyre Care is a progressive, high growth, start up organization geared to success in the Adult Foster Care (AFC) Community. Utilizing cutting edge computer technology for the advancement of healthcare in a homecare setting. Seeking driven, motivated candidates that are excited to join a fast paced team. Previous experience working in ASAP preferred. 

Case Manager - Adult Foster Care

What You Will Do

• Conduct comprehensive initial home assessments, ensuring all necessary caregiver credentials are in place and required home modifications are complete.
• Day to day monitoring of the LTSS through Mass Health relating to patient enrollment, credentialing, claims operations, prior authorization appeals, program integrity and reporting related to the AFC programs and the ability to triage issues to the appropriate LTSS internal staff.
• Work with Mass Health members/family to resolve issues that relate to the AFC provider network and respond to requests for information regarding payment and policy questions.
• Gather essential information, perform psycho-social evaluations, and facilitate referrals to appropriate healthcare and community services.
• Coordinate patient placement in compliance with established procedures.
• Collaborate with caregivers and the care team to define and implement individualized care plans.
• Perform regular home visits to supervise personal care services and review care plan progress.
• Maintain detailed and accurate case records, documenting significant changes and observations.
• Provide ongoing training and support to caregivers.
• Collaborate effectively with nurses, primary care physicians, and other medical providers to ensure timely and appropriate delivery of consumer services.
• Actively participate in discharge and transition planning.
• Conduct annual reviews to ensure the continued suitability of the qualified setting.
• Maintain continuous survey readiness and ensure compliance with all regulatory and accreditation standards.
• Perform other duties as assigned.