Fast Track Home – Care Manager Team

Location: Community-based (with hospital and home visits, plus occasional in-person meetings)
Job Type: Full-Time (37.5 hours/week)
Pay Range: $45,000 – $60,000 (commensurate with experience and role placement)

Help People Heal at Home. Be the Advocate They Need.

At Council on Aging (COA), our Fast Track Home Care Managers are the frontline champions helping older adults and individuals with disabilities transition safely from hospital to home. Whether you're coaching patients in hospitals, conducting home visits, or providing flexible coverage across sites, you’ll empower recovery, reduce readmissions, and connect clients to long-term support—all while enjoying autonomy, flexibility, and purpose-driven work.

About the Fast Track Home Program

Fast Track Home (FTH) is a short-term care management intervention designed to support safe transitions from hospital to home. Our team works collaboratively with healthcare facilities, internal staff, and community providers to ensure clients receive the right services at the right time.

What You’ll Do

Depending on your placement within the team (Hospital Coach, Field Care Manager, or Floater), your responsibilities may include:

• Conducting timely hospital or home visits to assess client needs
• Enrolling eligible clients into Fast Track Home prior to discharge
• Coaching clients using the Coleman Care Transition Model to manage medications, follow-up care, and recognize health red flags
• Developing and communicating person-centered care plans across providers
• Maintaining contact with clients throughout the 60-day intervention
• Coordinating handoffs to long-term care management
• Providing vacation or coverage support across hospital sites
• Building relationships with discharge planners, physicians, nurses, and social workers
• Documenting all interactions and service authorizations in COA’s care management software

Qualifications

Education & Credentials

• Associate’s degree in a related field, LPN, or Community Health Certification required
• Bachelor’s degree in Nursing, Social Work, Gerontology, Psychology, Public Administration, RN, or LSW preferred

Experience

• Minimum 1 year in home health care, medical social work, geriatrics, or care/case management

Skills & Abilities

• Knowledge of aging-related issues and community resources
• Strong clinical and problem-solving skills
• Ability to manage diverse client needs and work independently
• Excellent communication and adaptability in a dynamic environment
• Familiarity with evidence-based care models and healthcare systems

Why Join COA?

• 50+ years of trusted service supporting older adults in Southwestern Ohio
• “I love being part of someone’s recovery journey. Helping them feel safe and supported at home is incredibly rewarding.” — COA Care Manager
• “Every day is different, and every client story reminds me why this work matters.” — COA Floater

Benefits That Support Your Life and Purpose

• Flexible hours and remote work with field visits
• Pension plan with 6% annual company contribution
• Generous paid time off and 12 paid holidays
• Health, dental, and vision insurance
• Health savings account
• LISW group supervision and professional development
• Pet insurance and employee assistance program
• Business casual work environment
• Opportunities to advocate and participate in community events

Keywords to Help You Find Us on Indeed

Care Manager, Hospital Discharge Planner, Field Care Coordinator, Home Health Nurse, Medical Social Worker, Geriatric Case Manager, Transitional Care Coach, Remote Care Management, RN Case Manager, LSW, LPN, Community Health Worker, Patient Advocate, Healthcare Navigator

Ready to help people recover with dignity and support?

Apply today and be part of a team that transforms transitions into new beginnings.