Medicaid Waiver Case Manager

Full Job Description

Advantage Case Management provides case management for persons with intellectual/development disabilities and/or brain injury through Medicaid Waiver programs. We offer case management services in the Seven Counties, Communicare, River Valley, Pennyrile, Bluegrass and Adonta regions.

Mission

Advantage Case Management, LLC, (Advantage) is a provider of case management services for persons with intellectual/developmental disabilities and/or brain injury. It is the mission of Advantage to support individual empowerment and informed decision making in the process of providing coordination of and access to the most appropriate services provided by well-trained, motivated, caring professionals whose highest priority is to serve individuals while promoting dignity and self-worth. In addition, Advantage is committed to support and assist individuals to remain connected to natural support networks by supporting the person-centered team process including meetings which will help ensure and promote the client’s right to choice, inclusion, employment, growth and privacy in an environment free from any kind of restraint. The health, safety and welfare of our clients as they live and work in the community, is our highest priority and we achieve this by respecting what is important to and for the people we serve through true person-centered supports.

Job Description:

Louisville Area-Full Time

Case managers assess and reassess the medical, vocational, psychosocial and economic needs of the people served to coordinate services as appropriate and/or approved, ensure cost-effectiveness and satisfaction with service delivery and facilitate communication between all parties involved. Case managers monitor the implementation of person-centered services both waiver and non-waiver and document all activities through written reports.

ESSENTIAL JOB FUNCTIONS

Conducts or participates in and documents comprehensive assessments of participant and/or participant needs via state tools. Leads development of participant's person-centered service plan ensuring it is consistent with assessments. Coordinates/refers for delivery of needed services as identified in the assessment. Monitors participant progress and satisfaction by completing referrals, noting what is important to/for the participant, tracking participant appointments and services, following up on needs, services and appointments in order to provide next-steps and coordination. Performs advocacy on behalf of participant with providers, family, guardians, state agencies, and other entities and facilitates the participant to advocate on their own behalf whenever possible. Creates and maintains necessary participant documents as required by Advantage Case Management and state agencies including certification documents, recertification documents, plans of care, employment documentation, case management documentation and others. Follows guidelines for services as set by regulation and Advantage policy. Communicates with supervisors about case management as a whole including participant status. Provides follow-through and follow-up for the participant for all issues. Ensures health, safety and welfare.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.

EDUCATION

• Bachelor’s degree in Social Work, Psychology, Sociology, Human Services, or related field as approved by Medicaid, or as required by applicable funding source.*
• Completion of state-required case management/service coordination course within six months of date of employment.

EXPERIENCE

• Minimum of two years experience* in working with people in a relevant or related field or position
• Good interpersonal skills and written and oral communication skills

PHYSICAL DEMANDS/REQUIREMENTS

• May involve 24-hour on-call responsibilities.
• Reliable transportation for frequent travel.

REQUIRED SKILLS/COMPETENCIES

• Effective "person-first" communication and language skills
• Ability to prioritize tasks
• Works independently after training with strong organization and time management skills
• Manages changing workflow as participant's needs/crisis situations change or occur
• Facilitates Service Team meetings
• Provides services that are within the scope of definition of case management

Time Type:

Full time

• Health & Wellness
• Long Term Disability - Company Paid
• Financial Wellbeing
• Life Insurance - Company Paid
• Employee Assistance Program - Company Paid
• Travel Stipend
• Career Development and Growth
• We provide regular in-service and continuing education opportunities
• Work Life Balance
• Paid Time Off
• Flexible work schedules after training
• Work Remotely No

Hide