CMA Case Manager A

Position closes: 2/28/2025

Hiring pay range: $25.08 - $30.72

Full pay range: $25.08 - $36.36

SUPERVISION:

Case Manager A: Non-Supervisory

DISTINGUISHING CHARACTERISTICS:

• Case Manager A: This is the entry-level position in the CMA Case Manager job series.

GENERAL PURPOSE OF JOB:

Case Manager A: Provide a variety of case management services to clients eligible for publicly funded long-term care (LTC) programs.

ESSENTIAL JOB FUNCTIONS:

(These duties are illustrative of typical essential responsibilities of the job, and may vary according to assignment)

Core Case Manager Responsibilities:

• Receives referrals for LTC services from a variety of sources and performs appropriate intake and screening procedures.
• Provides initial assessment and functional eligibility determination relative to the nature of the disabling condition, client capabilities, eligibility for LTC services, support systems and appropriate community resources. In-person assessment visits will occur in the applicant’s place of residence, hospital, nursing facility or other setting where the applicant is located.
• Develops appropriate service plan for client’s (members) who are approved for LTC services.
• Provides information and referral services to applicants who do not qualify for Medicaid LTC services in addition to providing this same service to members who do qualify for Medicaid LTC services.
• Provides ongoing case management services which involve regular home visits to members to assure the effectiveness of services, to reassess continuing need for LTC services and to determine member capacity.
• Provides care planning services to include development of a service plan, arrangement of alternative services, identification of appropriate support and community resources and determination of the cost effectiveness of the use of alternative services. Develops, locates, and coordinates services in the community to maintain the member’s highest level of independence within the cost containment and consistent with member choice.
• Compile’s information writes observations and prepares documentation as required by the agency, state, and Federal requirements; maintains log notes of all contacts, significant events or activities on behalf of the member.
• Coordinates functional eligibility determinations with financial eligibility in the County of member residence/application.
• Meets all state-defined timeframes for completion of assessments, continued stay reviews and documentation in the Care and Case Management system. Provides quality documentation regarding services provided.
• Report Critical Incidents within 24 hours of notification with follow up for all Critical Incident reports as required by HCPF review.
• Establish and maintain member records to meet regulatory requirements and agency standards.
• Assure all case activity meets regulatory requirements to assure monthly reimbursement for such activity under the agency contract with HCPF.
• Use state required data entry system to assure benefits for members. These systems include but are not limited to: Care and Case Management system, Bridge, FMS portals and Telligen.
• Maintains HIPAA and agency confidentiality standards and ongoing compliance with these standards of practice.
• Attends training relative to the client population and/or rules and regulations for LTC programs.

CMA Case Manager A:

• Performs responsibilities under close supervision and within established guidelines.

Other duties as assigned.

CORE COMPETENCIES:

(Representative of the knowledge, skills, and abilities expected of the position)

• Public Service: A commitment to the mission of providing exceptional services to the citizens of Garfield County. It is who we are, and what we do.
• Customer Service: A commitment to providing exceptional service to all customers (internal & external), which includes being helpful, professional, courteous, and taking the time to understand customer’s needs. Customer services also includes timely communication and response to members, families, providers and community partners.
• Stewardship & Innovation: Is a good steward of public resources and looks for ways to be innovative and improve efficiencies.
• Teamwork: Able to work together with a diverse group of people towards a shared goal, while considering the needs of others.
• Business Technology: Ability to utilize the technology required of the position and demonstrates a willingness to learn new technologies as required to assist the County in providing exceptional services, innovation, and work efficiencies.
• Communication: Proficient in communication, and able to communicate using the English language, including written, verbal, or other communication channels as required by the position.
• Integrity: Maintain a high level of confidentiality and professionalism while performing essential job functions.

BENEFITS:

• Medical, Vision, Dental
• Disability & Life Insurance
• Retirement Plan
• Paid Vacation & Sick Time
• Employee Wellness Programs
• Employee Gyms

To view the complete benefits information, please visit https://www.garfield-county.com/human-resources/benefits-brochure/