Key Responsibilities

Assessment & Care Coordination

Complete non-clinical client assessments (psychosocial, functional, environmental needs)

Assist with development and updates of individualized care plans in collaboration with clinical staff

Coordinate services and referrals with nurses, providers, and community resources

Monitor service delivery and follow up on unmet client needs

Documentation

Maintain accurate and timely documentation of assessments, care coordination activities, and client progress

Ensure records meet agency, funding, and Georgia state requirements

Compliance & Regulatory

Follow Georgia regulations related to home and community-based services

Maintain HIPAA compliance and client confidentiality

Participate in audits, quality improvement activities, and corrective actions as needed

General Duties

Communicate regularly with clients, families, and service providers

Participate in team meetings and case reviews

Perform other duties as assigned to support agency operations

Performance Expectations

Complete assessments within required timeframes

Maintain accurate, timely documentation with minimal errors

Ensure assigned clients receive coordinated services without service gaps

Meet caseload productivity standards established by the agency

Demonstrate professional communication and timely follow-up with clients and providers

Maintain compliance with agency policies and state regulations

Minimum Requirements

Bachelor’s degree in Sociology, Psychology, human services, social work, healthcare, or related field preferred

Minimum 1 year experience in care coordination, case management, home health, or community-based services preferred

Knowledge of community resources and social service systems

Strong organizational, documentation, and communication skills

Valid Georgia driver’s license and reliable transportation

Ability to pass background check, TB screening, and drug screening per Georgia requirements

Ability to work independently as a contractor

If you require a reasonable accommodation to complete the online application, please contact Smith Outreach Family Services at HR@smithoutreachcf.com.

This is a remote position.