Case Manager

Job Title: Case Manager I

Department: Medicaid Waiver

Reports to: Case Manager II

Schedule: Monday – Friday, with occasional nonstandard hours and overnight travel

Position Summary:

Under the direction of the Case Manager II this exempt employee accomplishes clients’ care by assessing long-term services and support (LTSS) needs; developing, monitoring, and evaluating care plans and processes; and facilitating provision of services by LTSS providers. Manages a portfolio of cases and serves as integral member of LTSS care team. Performs all related tasks to ensure department and individual compliance with established case management policies, procedures, and standards. Establishes and maintains reports and records of activities. Performs other duties as assigned.

Essential Duties and Responsibilities

Case Management

• Determines eligibility for LTSS service programs.
• Provides information and assistance, and LTSS case management activities on a one-on-one contact basis by interviewing, assessing, and counseling clients and families.
• Develops person-centered care plan and monitor clients’ progress against the plan.
• Develops and maintains case records relative to client’s needs, service plan and progress; prepare reports and monthly reports based on program and agency’s requirements.
• Proactively communicates with clients and LTSS providers to facilitate client transitions between care settings.
• Develops organizational knowledge regarding aging and adult resources.
• Foster close working relationships with aging organizations, health care providers, and other social service and community resources.
• Collaborates with management team in the development of improvement of case management processes.
• Education and Outreach
• Performs program outreach functions in the community. Explains to clients and other service providers case management program goals and eligibility requirements.

2. Medication Review

• Documents client medications for clinical review by clinical team member.
• Works with LTSS care team and healthcare providers to identify medication discrepancies.

3. Record Keeping and Reporting

• Maintains records and corrects discrepancies in records for quality improvement purposes.
• Records activities and time spent using appropriate codes and forms; ensures time is correctly credited to specific clients and categories.
• Prepares reports of work activity, and other reports as needed.

4. Miscellaneous

• Develops and maintains general knowledge of the Medicaid Waiver program and of any other programs for which job duties are performed.
• Participates in various education and or training activities as required.
• Performs other duties as assigned.

Education / Experience

Possess a Bachelor of Arts (BA) or Bachelor of Science (BS) degree, preferably in human services related field from an accredited college or university or holds an active, unrestricted Registered Nurse (RN) license in the state of Alabama.

Special Skill Requirements (* Can be acquired on the job)

• Knowledge of basic health needs and common cognitive issues of the elderly and disabled population.*
• Knowledge of common medical conditions affecting the elderly and disabled population.*
• Ability to work as a team member with professional and support staff, analyze, and draw conclusions from case records and exercise judgement.
• Ability to assess social, mental, and emotional status of elderly and disabled clients.
• Ability to work cooperatively in a multi-disciplinary team, develop and carry out programs.
• Ability to establish and maintain effective working relationships with the public and communicate effectively.
• Ability to write effective and clear correspondence, maintain records, and document procedures and assessments thoroughly and clearly.*
• Ability to follow oral and written instructions.
• Ability to exercise judgment in evaluating difficult situations.
• Ability to organize work schedule and work independently.
• Ability to use Microsoft Office products for correspondence, reporting and analysis.
• Ability to use, review and document in case management software.*

Work Environment

The work environment involves everyday risks or discomforts which require normal safety precautions typical of such places as offices, meeting and training rooms, libraries, and residences or commercial vehicles, e.g., use of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations and traffic signals, etc. The work area is adequately lighted, heated, cooled and ventilated.

Physical Demands

The work is sedentary. Typically, the employee may sit comfortably to do the work. However, there will be some walking; standing; bending; carrying of light items such as papers, books, small parts; driving an automobile, etc. No special or extreme physical demands are required to perform the work.

Job Type: Full-time

Pay: $36,850.00 - $40,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Mileage reimbursement
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift

Ability to Commute:

• Camden, AL 36726 (Required)

Ability to Relocate:

• Camden, AL 36726: Relocate before starting work (Required)

Work Location: In person

Salary : $36,850 - $40,000