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AFC Case Manager


  • The AFC Case Manager is responsible for the implementation and administration of the AFC program per regulations.  This shall include maintaining records, advocating for participants, counseling host families and participants, coordinating services (such as transportation, respite, etc.) with other community agencies, and other social service tasks.  The Interdisciplinary approach for implementation of placements including pre-matches and monitoring of AFC homes will be completed in cooperation with the program nurse.
  • Participates in the admission process which can include: screening and matching of host families and participants; arranging pre‑placement visits; assisting with participants move into home; and making follow‑up visits as indicated.
  • Submits information to the AFC Team Leader for documentation required by DMA which include:  billing data forms, completion of incident reports and discharge forms. 
  • Also completes HCSIS reports for DDS contract consumers                                                           
  • Serves on after hours on-call team to respond to consumer needs as assigned
  • Follows AFC regulations.
  • Provides the AFC Team Leader with the necessary information for accurate participant billing, enter data on consumer calendar on missed days and authorizations to pay host families.
  • Make regular visits to participants and caregivers for the purpose of monitoring the placement and evaluating it against eligibility criteria.
  • Advocating, supporting and counseling AFC consumers, caregivers and co workers.
  • Encourage and assist participant caregivers and guardians to complete MH eligibility forms to secure on-going MH coverage.
  • Updates SAMS: care enrollment, care managers, and contacts at placement and updates SAMS as needed throughout placement
  • Refers participant to the Money Management program when a participant is in need of budget counseling, a representative payee, or volunteer money manager.  For non-related caregivers and consumers: ensure that caregiver is not named on any bank accounts.   Recommend that all caregivers keep receipts for money spent so either family or money manager will have data for their records.
  • Completes annual home safety evaluation and re-contract with participant, caregiver and guardian  annually
  • Attends DDS ISP meetings and participant case conferences as necessary.
  • Assists participant with securing other placement when the present living situation has
  • been determined to be inappropriate or alternative placement is requested.
  • Participates in caregiver trainings throughout the year
  • Assist in the tasks of the Group Adult Foster Care program as requested.
  • Other duties as assigned.


The Program Case Manager must possess a minimum of a Bachelor's Degree (preferably in social work). Possession of a Massachusetts social work license, eligibility for such, and/or willingness to establish eligibility within a reasonable time following employment is essential.  AFC CM must have at least two (2) years clinical experience working with elderly or disabled adults. 

The Worker must be able to work with a diverse population, make mature judgements, possess good communication skills and maintain effective interpersonal relationships.  Knowledge of basic medical, mental health, social service delivery systems, as well as acceptable record keeping practices is essential.

A valid Massachusetts driver's license and legally insured and registered motor vehicle, a copy of current license and registration will be on file in the personnel record.

Essential Functions:


  • Visual, speaking, auditory and mobile capacity necessary:
  • Capacity to see computer screen, read written material, and drive a car.
  • Capacity to hear and speak on the telephone.
  • Capacity to communicate verbally with consumers, caregivers, supervisors and managers.
  • Capacity for fine manipulation in the frequent use of office equipment such as computers, copy machines, fax machines, telephones, calculators, etc.
  • Capacity to drive in all-weather to visit consumers in their homes
  • Capacity to navigate uneven terrain in all-weather to visit consumers in their homes
  • Capacity to climb stairs
  • Ability to sit or stand for extended periods of time.
  • Occasional reaching and grabbing objects with both hands, twisting of hand and wrist, and pushing and pulling of objects.
  • Occasional bending, squatting, and twisting to perform work functions.
  • Occasional capacity to lift up to 25 pounds.


  • Ability to understand and/or interpret complicated program instructions and laws.
  • Capacity to learn complicated computer software
  • Capacity to deal rationally and calmly with varying personalities
  • Capacity to work well in fast paced, rapidly changing environment.         


  • Work is split between indoor office work and traveling outdoors to meetings, trainings and consumers’ homes.
  •  Must be able to tolerate odors and pollutants including but not limited to smoke, air fresheners, pet dander, personal odors, etc. from a variety of in-home conditions.
  • Must be able to tolerate by-products of office machine operation.
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