Specialized Care Manager in North Haven, Connecticut at Agency on Aging of South Central CT

The Agency on Aging of South Central Connecticut (AOASCC) is a nonprofit organization dedicated to helping older adults and individuals with disabilities live independently, safely, and with dignity in their communities. As one of Connecticut's five Area Agencies on Aging, AOASCC serves as a trusted resource for care management, advocacy, caregiver support, and long-term services and supports.

We are seeking a compassionate, organized, and motivated Specialized Care Manager (SCM) to join our Money Follows the Person (MFP) team. This rewarding position helps individuals transition from nursing facilities and other institutional settings back into community living by coordinating services, developing person-centered care plans, and providing ongoing support to ensure successful outcomes.

If you are passionate about helping people achieve greater independence and improving quality of life, we encourage you to apply.

At AOASCC, we understand the importance of balancing meaningful work with personal well-being. We offer a supportive team environment, excellent benefits, and the opportunity to make a lasting impact in the lives of Connecticut residents.

• Monday–Friday schedule, 8:30 AM – 4:30 PM
• No evenings, weekends, or holiday work
• Hybrid work schedule available upon successful completion of orientation and training
• 15 days of Paid Time Off (PTO) during your first year
• 12 paid holidays annually
• Comprehensive medical, dental, and vision insurance
• 403(b) retirement plan with a 3.5% employer match after six months of employment
• Mileage reimbursement for approved business travel
• Professional development and training opportunities
• Supportive, collaborative work environment
• Meaningful work that directly impacts the lives of older adults and individuals with disabilities

The Specialized Care Manager serves as a key member of the Money Follows the Person (MFP) program and is responsible for coordinating successful transitions from institutional care settings to community-based living. This position provides assessment, care planning, service coordination, advocacy, and ongoing case management to ensure participants have the resources and supports needed to live safely and independently in the community.

• Establish timely contact with assigned consumers and their authorized representatives.
• Conduct comprehensive assessments to identify medical, functional, social, and environmental needs.
• Gather and maintain required documentation, including informed consent forms, assessments, and supporting records.
• Identify barriers to community transition and develop strategies to address them.

• Develop individualized, person-centered care plans that support successful community living.
• Coordinate services and supports with healthcare providers, community agencies, family members, and interdisciplinary team members.
• Monitor service delivery and make recommendations to ensure participant needs are met.
• Collaborate with housing coordinators, transition coordinators, facility staff, and state partners throughout the transition process.

• Participate in discharge planning and transition meetings.
• Coordinate community-based services, supports, and authorizations necessary for discharge.
• Ensure emergency backup plans and required documentation are completed prior to transition.
• Support participants and families through all phases of the transition process.

• Provide post-transition follow-up and quality management services.
• Maintain regular contact with participants according to program requirements.
• Monitor participant stability, address concerns, and facilitate access to additional resources as needed.
• Complete incident reporting and documentation in accordance with program standards.

• Participate in team meetings, trainings, and statewide initiatives.
• Work collaboratively with agency staff, state partners, healthcare providers, and community organizations.
• Demonstrate flexibility and a commitment to supporting both consumers and team objectives.

• Bachelor's degree in Social Work, Human Services, Nursing, Psychology, Gerontology, Public Health, or a related field.
• Minimum of two years of experience in case management, care management, social services, discharge planning, healthcare, or long-term services and supports.
• Strong assessment, documentation, organizational, and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively within a multidisciplinary team.
• Valid driver's license and reliable transportation for community visits.

• Experience working with older adults and individuals with disabilities.
• Knowledge of Medicaid, waiver programs, and long-term services and supports.
• Familiarity with person-centered planning and community-based service coordination.
• Experience in care transitions, discharge planning, or community case management.

At AOASCC, you'll have the opportunity to build a rewarding career while helping individuals regain independence and successfully return to their communities. If you're looking for meaningful work, a supportive team, and a schedule that promotes work-life balance, we'd love to hear from you.

Apply today and help make community living possible for those who need it most.