Provide case management services to EPD Waiver beneficiaries in their homes in accordance with the EPD Waiver regulations in the District of Columbia, and under the direction and supervision of the Clinical Director or another appropriate supervisor. Ensure that all required visits and assessments are completed and submitted timely.
Provide ongoing direct observation of the beneficiaries, maintain contact with the recipient’s Authorized Representative (AR) as needed, and conduct comprehensive assessments of the beneficiary’s medical, social, and functional status including requests for Level of Care (LOC) assessments and financial eligibility documentation.
Ensure that all required visits and assessments are completed and submitted timely.
Provide ongoing direct observation of the beneficiaries, maintain contact with the recipient’s Authorized Representative (AR) as needed, and conduct comprehensive assessments of the beneficiary’s medical, social, and functional status including requests for Level of Care (LOC) assessments and financial eligibility documentation.
Develop, present to the recipient /AR for acceptance, and implement the Person-Centered Service Plan (PCSP) for the beneficiary, including the goals, service providers, frequency, and duration of services as per the current EPD Waiver regulations and guidelines.
Observe, record, and report changes in the beneficiary's emotional and social factors that affect the client's illness and his/her need for EPD Waiver Services, and his/her response to services.
Consult with and contact the attending physician concerning changes in the Level of Care (LOC) and Change in Condition requests as needed.
Review and respond to all “TASKS” directed to the Case Manager in a timely fashion, and ensure the resolution of concerns expeditiously.
Maintain and submit clinical records as required by DHCF, including the assessments, communication notes, monthly visit notes, quarterly reviews, and other documents and assessments.
Evaluate the beneficiary and family's response to, and effectiveness of, the EPD Waiver services being rendered to the beneficiary.
Assist in the admission process of the beneficiary to the agency by performing an evaluation, assessing the client’s psychosocial status, and evaluating the beneficiary, family, and home to identify socioeconomic and emotional factors that will affect the services that the beneficiary can use to continue to live in the community.
Participate in agency meetings, activities, and committees when appropriate to include staff development activities and in-service education.
Supervise the Case Manager Assistant/Aide, when applicable.
Provide community resource planning and crisis intervention. Provide referral to community resources, maintain communication with other providers regarding the recipient’s progress and goals, coordinate with multiple providers, and assess the appropriateness for participation in the program on an ongoing basis.
Assume responsibility for self-development by continually striving to improve his/her Social Worker or RN practice through formal education, attendance at workshops and conferences, active participation in professional and related organizational meetings, and individual research and reading.
