About the Company

At COA, PASSPORT Care Managers help older adults and adults with disabilities remain safely and independently in their homes. You’ll apply your clinical skills to guide complex care needs—while enjoying autonomy, supportive teammates, and mission-driven work that truly matters.

About the Role

As a PASSPORT Care Manager, you will provide intake, assessment, and ongoing care management services to clients enrolled in the PASSPORT program. You’ll conduct home visits, develop and monitor person-centered care plans, coordinate medical and social services, support caregivers, and ensure individuals receive the services they need to live with dignity and independence.

Responsibilities

• Provide education, support, and advocacy to individuals with complex social, behavioral, and environmental needs
• Conduct in-home assessments to evaluate client health status, functional needs, and home environment
• Use clinical judgment and critical thinking to coordinate physical health, behavioral health, psychosocial, and medical wraparound services
• Determine ongoing program eligibility and complete comprehensive assessments
• Develop, implement, and update person-centered care plans with measurable goals and outcomes
• Monitor service delivery, address provider issues, and ensure services meet clinical and program standards
• Coordinate transitions between care settings, including hospitals, nursing facilities, and home-based programs
• Provide coaching and information to help clients and caregivers make informed lifestyle decisions
• Communicate relevant health and social information to the integrated care team
• Conduct advanced care planning with clients and involved parties
• Maintain compliance with confidentiality, HIPAA requirements, and internal policies
• Complete incident (WIRED) reports timely and accurately
• Maintain timely and accurate electronic documentation
• Meet program deadlines for assessments, care plans, and follow-up

Qualifications

• Ohio Licensed Social Worker (LSW), Registered Nurse (RN), or Licensed Practical Nurse (LPN) in good standing
• At least one year of experience working with individuals with disabilities, chronic conditions, and/or long-term services and supports
• Prior case management experience preferred; electronic documentation experience a plus
• Knowledge of aging, family systems, and issues related to the elderly population
• Strong clinical judgment, critical thinking, and interviewing skills
• Above-average technology skills and willingness to learn new software
• Knowledge of community resources within the region
• Strong customer service orientation and interpersonal communication skills
• Ability to adapt to frequent change and thrive in a self-directed team environment
• Excellent organizational, written, and time management skills
• Valid driver’s license and reliable transportation for travel within the multi-county area
• Ability to travel within the state for meetings or training
• Respect for diverse cultural, spiritual, racial, and ethnic beliefs

Required Skills

• Strong clinical judgment, critical thinking, and interviewing skills
• Above-average technology skills and willingness to learn new software
• Strong customer service orientation and interpersonal communication skills

Preferred Skills

• Prior case management experience preferred; electronic documentation experience a plus
• Knowledge of community resources within the region

Pay range $45,000 - $65,000 commensurate with experience

Ready to use your clinical skills to help people remain safe at home? Apply today and join a team that empowers older adults, supports caregivers, and supports you—so you can do your best work while living a full life outside of it.