Care Manager, IDD or TBI

Covenant Case Management Services is seeking a dedicated Care Manager to promote whole person, integrated care for individuals with intellectual/developmental disabilities (I/DD) or traumatic brain injury (TBI). This role involves planning, coordinating, tracking, and monitoring care to help individuals achieve their behavioral health goals. This is a hybrid role. Being Bilingual (Spanish/English) is a plus!

Essential Functions and Duties:

Care Management Services:

• Engage actively with individuals through assessment, care coordination, health promotion, and transitional care/follow-up.
• Document care management assessments and coordinate care with the care team, participating in regular case conferences.
• Provide comprehensive care management, health promotion, and referrals to community and social support services.

Coordinate Referrals:

• Make appropriate referrals to community resources, empowering individuals to manage their healthcare and personal needs.
• Address behavioral health, physical health, and Social Determinants of Health (SDOH) needs, including economic stability, education access, and community engagement.

Coordinate Care Transition:

• Organize follow-up services within 24 hours of discharge for individuals recently hospitalized or visiting the Emergency Department.
• Manage after-care needs during transitions such as release from incarceration or changes in housing.
• Identify and provide emergency crisis response as necessary, adhering to agency policies.

Crisis Response Coordination:

• Participate in agency on-call structure for 24/7 crisis response.
• Engage in post-crisis team debriefings, providing feedback to prevent future crises.

Establish Relationships with Integrated Care Team Members and Community Resources:

• Communicate effectively with individuals, providers, and support systems.
• Educate all parties involved in the care of individuals and establish collaborative relationships to enhance resource linkage.

Maintain Documentation:

• Ensure medical record compliance and timely documentation of care coordination activities.

Other Responsibilities:

• Review data to assess service appropriateness and monitor utilization.
• Comply with agency policies and procedures and maintain required trainings.
• Participate in Quality Improvement (QI) projects as needed.
• Additional responsibilities as assigned by the supervisor, with potential travel required.

Minimum Required Education:

• Bachelor’s degree in health, psychology, sociology, social work, nursing, or a relevant human services area; or licensure as a registered nurse (RN).

Minimum Required Experience:

• Two years of experience working directly with individuals with I/DD or TBI.
• For care managers serving members with Long-Term Services and Support (LTSS) needs: Two years of prior LTSS and/or Home and Community Based Services (HCBS) coordination experience.

Physical Requirements:

• Activities include sitting, walking, typing, talking, and hearing.
• Moderate activity level with visual acuity required for data analysis and extensive reading.
• Typical office or administrative work conditions.

Compensation

• Compensation starts at $52,000 annually.

Covenant Case Management Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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