HealthKeeperz

Manager

• Conduct initial screenings and comprehensive assessments of patients and families for the CAP program
• Evaluate eligibility for CAP services and identify social service needs
• Develop, update, and educate patients and families on individualized care plans
• Coordinate care with interdisciplinary team members and external providers and initiate referrals to community resources
• Perform regular follow-ups through home visits (averaging 35-40 visits per quarter within a ~30-mile radius of Waynesville, NC) and phone check-ins
• Monitor and document care effectiveness, complete discharge summaries, and maintain accurate records in the E-CAP system
• Review In-Home Aide documentation, re-certifications, and billing codes for compliance and support compliant billing practices
• Provide monthly case management, attend interagency conferences and periodic in-person team and supervisory meetings
• Complete continuing education and state-mandated training, collaborate with the CAP Director on professional goals
• Use personal vehicle for travel; adhere to safety precautions for rural and unpredictable home environments

Case Manager

• Assessments & Planning: Complete patient screenings, identify needs, and create individualized care plans.
• Coordination: Partner with families, providers, and agencies to ensure appropriate services.
• Follow-Up: Conduct home visits (35–40 per quarter), monitor progress, and adjust plans as needed.
• Documentation: Maintain accurate records in the E-CAP system, review aide notes, and support compliant billing.
• Professional Growth: Complete continuing education and stay current with CAP program requirements.
• Hybrid Work & Travel: Hybrid Schedule: Based at the Durham office, with the option to work remotely up to two days per week after onboarding and supervisor approval.
• Field Travel: Regular home visits across Durham County (private homes and occasional facilities).
• Schedule Flexibility: Case Managers set their own visit schedules while meeting program requirements.
• Vehicle Use: Must provide your own transportation; mileage reimbursement is provided.

Case Manager

CAP Case Manager