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Case Manager
GENERAL DESCRIPTION: Provides coordination of services or targeted case management to adults and children with cognitive, emotional, physical, and developmental disabilities residing in residential or community settings in Ohio, Marshall and Wetzel Counties in West Virginia.
QUALIFICATIONS:
Bachelor's degree in a human services field (social work, special education, psychology or counseling), or RN with valid WV license and one or more years' experience in the I/DD field or
- Bachelor's degree in a human services field and less than one (1) year experience in the I/DD field, or
- Bachelor's degree in a non-human service field and one year of experience in the I/DD field.
- (Restriction) - Upon hire, this person will be under the supervision of the Service Coordinator Supervisor. Clinical supervision involves review of clinical activities and review of case notes for six (6) months. This must be verified by supervisory documentation once per month.
RESPONSIBILITIES:
Provide service coordination services to assigned Waiver consumers as set forth in the current Medicaid Title XIX I/DD Waiver Manual and agency policy.
Creates and submits calendars, notifications along with the coordination of Individual Program Plans (IPP) for assigned consumers.
Distributes completed Individual Program Plans to all IDT members within 14 days of the IDT meeting.
Schedules and chairs interdisciplinary treatment team (IDT) meetings for assigned consumers in accordance with funding requirements and consumer needs.
Coordinates the APS Waiver budget and Medicaid budget process and the development of assigned consumer's budget, assuring that needed information is submitted to the Care Connection system and appropriate prior authorizations are granted prior to services being delivered.
Maintains a working knowledge of federal and state regulations and agency policies regarding, but not limited to: Licensure regulations, Medicaid policies, and Medicaid Waiver Manual.
Assists Utilization and Quality Assurance Specialist in identifying and resolving billing issues related to assigned consumers.
Schedules and attends a minimum of monthly home visits and bi-monthly site visits for each assigned consumer and completes appropriate DD-3 forms accurately and in a timely manner.
Assures that re-certification of I/DD Waiver Medical eligibility for each assigned consumer is maintained.
Assures completion of necessary documentation in a timely manner to maintain the eligibility of Medicaid TCM consumers.
Ability to accurately calculate and predict number of units of services needed by the consumer to fulfill the service needs of the consumer as set forth in the treatment plan.
Competence in basic word processing and spreadsheet skills, ability to accurately input information into Medicaid Title XIX I/DD Waiver ("Waiver") website.
Ability to maintain the highest levels of confidentiality and safeguard participant, agency and administrative documentation and/or information.
Must maintain training and certification in:
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Overview of Developmental Disabilities
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People First Language
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Normalization
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Sensitivity to Individual/Family Needs/Concerns
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Participant Rights and Confidentiality
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Recognition of and Reporting of Neglect and Abuse
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Positive Behavior Support
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Non-violent Crisis intervention
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Current I/DD Waiver Manual and Home and Community Based Waiver Services
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Overview of Positive Behavioral Support
Additional trainings also must be maintained:
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First Aid and CPR
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Additional trainings as required for licensure
Completes other duties as assigned.
Must possess a valid driver's license.
Must satisfy the criminal background requirements set forth in the licensure regulations and must have a satisfactory motor vehicle report in accordance with insurance requirements and agency policies.
EOE Statement
This agency is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants. We are an equal opportunity employer which is fully committed to the recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Our mission is to support life opportunities for people with disabilities and enhance their career growth.
