What are the responsibilities and job description for the HCBS Care Manager position at DIRECTION HOME OF EASTERN OHIO?
Job Details
Description
Summary of Duties and Responsibilities:
Under the general supervision of the Director of Home and Community Based Services and/or their designee, the Care Manager/Waiver Service Coordinator is responsible to know and abide by specific program contractual expectations. The CM/WCS is expected to manage and coordinate comprehensive services and assure that they are appropriate and meet the needs of the consumer/member to support them with the highest quality of life possible while remaining safely in a community/home setting of their choice.
Essential Functions:
- Conducts face-to-face comprehensive assessment, as per specific program requirements, (physical, cognitive, social, emotional, financial, spiritual, cultural, and environmental) with the individual/family system, obtaining and evaluating the care plan and services to determine program eligibility, needs, and options.
- Develops a comprehensive person centered service plan addressing the individual’s identified needs; the goals and outcomes to be achieved; the services to be pursued in support of goal achievement; and reviews the responsibilities of the individual, informal/formal support and the care manager; and defines payment sources for needed services as per specific program requirements.
- Arranges for service delivery through a process which includes collaboration with service providers (including informal caregivers, volunteers and outside resources) for needed services to the consumer in a manner outlined in the care plan.
- Conducts in-person quarterly visits and a comprehensive reassessment at least annually or more frequently if the needs of the consumer change and re-evaluates the appropriateness of care. The Care Manager re-evaluates consumer goals, objectives, service plans and program eligibility per program requirements.
- Evaluates the health and welfare needs of the waiver enrolled individual to assist in ensuring the individual’s welfare. The case manager is responsible for assisting the waiver individual in identifying risks to health and welfare associated with their decisions and explores options available to them to meet the identified need(s) and development of a Health & Safety Action Plan (HSAP) if necessary.
Qualifications
Minimum Job Qualifications:
Applicant must be a Registered Nurse or Licensed Social Worker with current, unencumbered license, with at least one year’s prior experience in home health care, medical social work and/or geriatrics. Demonstrates working knowledge and skills necessary to provide the assessment and care management required by the consumer. Applicant must demonstrate flexibility in schedule and in adapting to rule changes and productivity changes and possess an understanding of 1.) Medicare, Medicaid and third-party reimbursement and 2.) Community service delivery systems and the ability to link consumers to community resources.
Applicant must possess a valid driver’s license and proof of automobile insurance.
Must also pass a criminal background check and drug screen.
