Case Manager

Function: Under general supervision of the Case Management Supervisor, perform case management functions to include but not limited to needs assessment, planning and arranging services, seeking funding sources, consulting with others involved in case, crisis management, documentation and case closure.

Job Duties:

1. Acts as entry point for new Medicaid Targeted case as well as coordinating and Allocating resources.

· New MTCM initial contact is made within 5 working days in 90% of cases.

· 90% of cases are entered in STS within 3 days of service agreement signature.

2. Coordinates access to all services available to consumers, including those available to Medicaid recipients, those from other agencies, those through DSN Board or DDSN, local health providers and transportation.

· Chart documentation to waiver and Family Support Services present in 100% of cases checked.

· Contact to assist in maintaining Medicaid eligibility occurs as needed in

100% of cases.

· Time frame documented is adhered to 90% of cases checked.

3. Initiates, completes and supervises the Single Plan to assigned cases, assuring formulation within 45 days of eligibility and every ( not more than) 365 days thereafter; monitors currency of plan and progress toward meeting needs on a quarterly basis and amending the plan to address emergencies met, in no progress needs/actions.

· Single Plan remains current throughout the year.

· For newly eligible cases, plan is formulated within 45 days of eligibility in all cases.

· Bi-monthly, quarterly, semi-annually and annually face-to-face, monitoring for all needs is completed for each case checked.

· Progress statements and family satisfaction notations are present in 90% cases checked.

4. Serves as the consumer’s advocate in justifying and accessing on wide rate of services; assures rights of people served are respected, assures and offers choice of providers.

· Choice of providers, choice to facilitate or not, choice of facilitation is documented in 100% of cases checked.

· 90% of returned satisfaction survey indicates respectful treatment of those served.

· 90% of cases checked reflect ongoing contacts to meet unresolved needs.

5. Provides crisis intervention services, responding to consumer requests and needs in a timely manner, through consultation with other professional services and agency supervisor.

· Calls are returned to consumers/family members within 24 working hours in all cases checked.

· Professional services identified in POS are arranged by target date in 90% of cases checked.

6. Completes documentation to support eligibility, service provision and billing, in accordance with federal, state, department, agency guidelines and requirements.

· Level of care re-determinations are 100% complete and never expire.

· Single Plans checked contain 90% of checklist content.

· Service notes reflect match to billing report with billable services documented Reported 100% of cases checked.

· STS is up to date 90% of issues checked.

· Charting is done within 2 hours of contact in 90% of cases checked.

7. Serves in agency committees and in planning groups; conducts training; participates in training, maintaining required certification and annual requirements for re-training; other duties as assigned.

· Participate by attending 80% of assigned committee/group meetings.

· All required training is up to date.

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Minimum Requirements: Bachelor’s degree in social work or a related field, or a bachelor’s degree in an unrelated field and at least one year of experience in programs for people with disabilities or as a case manager.

Physical Requirements: Reading, writing, driving, standing, walking, sitting, lifting, carrying, pushing, pulling, stooping, kneeling, reaching, handling, speaking, hearing, seeing, depth perception. Occasional out of town travel, possibly overnight; driving in various weather conditions; may work evenings or even weekends to meet needs of assigned clients.

Skills and Knowledge Requirements: General knowledge of case management practices and the needs of people with disabilities; general knowledge of disabilities; knowledge of regulatory process. Communication skills to listen and present orally; ability to organize and maintain work load, managing multiple tasks and priorities; basic word processing skills; ability to read and follow instructions; writing skills to organize and record thoughts and information.

Job Types: Full-time, Part-time

Benefits:

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

Schedule:

• 8 hour shift

Work Location: In person