Care Manager PASSPORT
Area Office on Aging of Northwestern Ohio, Inc., Toledo, Ohio — Full‑Time, $52,000 Exempt, Department: Long‑Term Care Programs.
Reports To: Care Manager Supervisor
This role is responsible for coordinating, monitoring, and supporting the delivery of home and community‑based services for individuals enrolled in Medicaid waiver programs such as PASSPORT and Assisted Living Waiver. This position ensures that older adults and individuals with disabilities receive the care, resources, and advocacy they need to remain safely and independently in their homes.
Working in collaboration with consumers, caregivers, providers, and interdisciplinary teams, the Care Manager conducts assessments, develops person‑centered care plans, and ensures that all services align with Medicaid and AOoA program standards.
Ideal candidates are licensed Social Workers (LSW) or Registered Nurses (RN) passionate about improving lives and empowering independence.
What You’ll Do
Conduct comprehensive in‑home assessments to identify the consumer’s medical, functional, psychosocial, and environmental needs.
Develop individualized, culturally competent Comprehensive Service Plans in collaboration with consumers, caregivers, and providers.
Coordinate and monitor services to ensure they meet the consumer’s evolving needs, maintaining safety and quality of life.
Develop, evaluate, and modify care plans as necessary to reflect current goals and circumstances.
Serve as an advocate for consumers, assisting them in navigating care options and making informed choices about their services.
Coordinate available funding sources and ensure proper payer sequencing, using Medicaid and waiver programs as payers of last resort.
Maintain regular contact with consumers, caregivers, and providers through phone calls, visits, and care conferences.
Provide education and support to consumers and caregivers to promote understanding of care options, risks, and benefits.
Monitor the consumer’s Medicaid eligibility status and assist in maintaining waiver program eligibility.
Participate in interdisciplinary meetings with service providers, physicians, and Adult Protective Services (APS) workers to ensure coordination of care.
Develop discharge and transition plans for consumers who no longer meet program eligibility.
Maintain accurate, timely, and confidential case documentation and clinical records.
Complete assigned work within established deadlines and performance standards.
Perform additional duties as assigned by the Care Manager Supervisor.
Qualifications
Licensed Social Worker (LSW) or Registered Nurse (RN) in the State of Ohio.
One (1) year of experience in home care for the elderly, home health, medical social work, gerontology, or similar.
Knowledge of community resources, Medicaid programs, and waiver services preferred.
Excellent communication, organizational, and problem‑solving skills.
Ability to work independently and manage multiple priorities.
Strong commitment to person‑centered, culturally competent care.
Special Requirements And Conditions
Must possess a valid driver’s license, reliable transportation, and proof of auto insurance.
Must complete a Motor Vehicle Record (MVR) check, criminal background check, drug/alcohol screening, and meet Ohio Department of Aging certification requirements.
Why You’ll Love Working Here
At AOoA, you’ll be part of a caring, mission‑focused team that helps older adults and individuals with disabilities live with independence, safety, and dignity. As a Care Manager, you’ll build meaningful relationships while ensuring each consumer receives the quality care and support they deserve.
Apply today to join a compassionate team dedicated to improving lives across Northwest Ohio!
Area Office on Aging of Northwestern Ohio, Inc. provided pay range
This range is provided by Area Office on Aging of Northwestern Ohio, Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.