Per Diem Case Manager

The Per Diem Case Manager is responsible for supporting the dignity and independence of older persons in need of assistance by conducting assessments to ensure needs are being met, care plans and program services are appropriate, and ensuring consumers meet program eligibility requirements. Following the consumer assessment, the Per Diem Case Manager may assist with making initial referrals and/or recommendations for further follow-up, which will be designated to other members of the Home Care team. The Per Diem Case Manager should expect to work between 10 and 19 hours per week, as needed. This position offers a flexible schedule, including opportunities to work outside of standard business hours and/or weekends.

Job Responsibilities and Performance Standards:

  • Conduct in-person assessments in consumers’ homes to determine program eligibility and ensure that the consumer’s plan of care and services are appropriate and meeting the consumer needs. Makes initial referrals for services and/or other agency programs as needed. Does so according to Executive Office of Elder Affairs (EOEA), state, federal and Agency regulations and guidelines.
  • As needed, update the Manager of State Home Care Programs and other members of the team of pending referrals, recommendations, and/or changes to the consumer’s status that will require additional follow-ups and/or ongoing monitoring, these will be designated to other members of the Home Care department.
  • May participate in interdisciplinary case conferences as requested by the Manager of State Home Care Programs.
  • Conduct check-in calls with consumers as requested.
  • Maintain documentation for consumer records and completion of required paperwork in an accurate, complete, confidential and timely manner.
  • Comply with HIPAA and other state and Agency confidentiality and documentation requirements.
  • Performs other duties as assigned.

Professional Standards and Conduct:

  • Leadership: Ability to lead, inspire, and empower staff by demonstrating confidence and leadership presence. Passion and commitment to establishing and developing evidence-based programming for individuals to live in the setting of their choice with dignity and for as long as possible.
  • Collaborative and Responsive: Regularly communicate, follow up, and use a team-driven approach. Respond thoughtfully and promptly to agency needs, requests, and inquiries; identify and build partnerships with key stakeholders. Demonstrates excellent organizational and time management skills to meet various deadlines, ensuring closed-loop communication. Ability to multi-task and maintain flexibility to adapt and adjust workload assignments based on various needs.
  • Communication: Skilled in verbal and written communication, demonstrating the ability to communicate information in various ways to meet diverse styles and cultural backgrounds.
  • Analytical: Critical thinking skills, using logic and reasoning to identify the strengths and opportunities of alternative solutions, conclusions, or approaches to problems.
  • Attendance and Punctuality: Dependable, punctual, showing flexibility when needed. Attends meetings as needed and is fully present and participates during those meetings.
  • Commitment: Embodies SCES’s core values and shows great integrity, accountability, and professionalism in all interactions. Aids in furthering SCES’s mission and commitment to an inclusive environment.


  • Bachelor’s degree required.
  • Previous Aging Services Access Point (ASAP) experience
  • Experience working within an interdisciplinary team preferred. Must be able to work independently and collaboratively with diverse populations and as part of a team.
  • Exceptional time management and organizational proficiency. Should possess strong communication skills and the ability to multi-task in a fast-paced environment and ensure closed-loop communications.
  • Must be knowledgeable and comfortable using Adobe and MS Word, Excel, SharePoint, and other Microsoft 365 platforms. Experience with Wellsky a plus.
  • Must be able to travel to consumers’ homes via public transportation or by car.
  • Must meet both CORI/SORI and public health screening requirements.
  • Bilingual a plus.

Physical Environment:

  • Physical surroundings are comfortable with minimal exposure to injury or hazards.

Social/Psychological Conditions:

  • Occasional stress due to periodic or cyclical workload pressures and deadlines. Some interruptions involved.

Physical Effort:

  • Frequently sits, stands, walks, bends, reaches, and stoops throughout the day.
  • Frequently lifts, pulls, pushes, and carries up to 20 lbs.
  • Periodic eye strain and light ear strain.