Case Manager

GENERAL FUNCTION:

Performs necessary duties associated with the review/auditing of supported person records to include training employees on proper protocols and procedures related to records maintenance.

ESSENTIAL FUNCTIONS:

In order to perform this job successfully, an individual must be able to perform each essential function satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities assistance with performing the essential functions of this position.

1. Develops the Plan of Care, follows it through to approval and insures that all update requests or requests for services connected to the plan are submitted timely.
2. Responsible for locating, coordinating and monitoring all proposed waiver services to include:
   • Arranging provisions of services and additional supports.
   • Monitoring and reviewing participant services.
   • Facilitating crisis intervention.
   • Providing guidance and support to direct care staff.
   • Case Management and Planning.
   • Needs assessments and referral for resources.
   • Follow-along to ensure quality of care.
3. Insures the coordination of all medical, social and educational services.
4. Coordinates informal community supports needed by individuals and their families.
5. Completes case reviews that focus on the individuals progress in meeting goals and objectives established through the case plan.
6. Assuring the integrity of all case management billing in that the service delivered must have prior authorization and meet the required service definitions and must be delivered before billing can occur.
7. Assuring submission of timely (advance) and comprehensive behavior/positive programming reports, continued plans of care, revisions to the plan of care as needs change, and information and documents required by Mental Health Services Division level of care eligibility determination or re-determination.
8. Arranges access to advocacy services.
9. Documents and sign all contacts in the case record to include date and time of visit, location, persons present, a summation of the visit, any request by the individual for modification of current services or initiation of new services.
10. The following are required at minimum related to interaction with the person supported:
    • One contact annually to occur at the supported persons residence.
    • For Pervasive Service Level, a minimum of one face-to-face visit per month and one other contact per month.
    • For Extensive Service Level, a minimum of one face to face visit per month must be conducted.
11. Assist supported person with accessing community resources i.e. utility assistance, food stamps, social security benefits, etc.
12. Maintains medical and therapy grids for supported persons supported by SSTN.

OTHER FUNCTIONS:

1. Exhibits behaviors and best practices that are consistent with the vision and values of SSMS.
2. Practices safe work habits to eliminate and control potential safety and health hazards and to maintain a safe work environment. Attends all safety training as scheduled.
3. Work as part of the team to ensure that SSTN Quality Management principles (Plan, Measure, Assess, and Improve.) are practiced and achieved.
4. Operates SSTN and personal transportation in a safe and healthy manner.
5. Performs other job related duties as may be assigned by designated and/or authorized staff.

This job description does not list all the duties of your job. You may be asked by Supervisors, Managers or designated and/or authorized staff to perform other duties. You will be evaluated in part based upon your performance of the tasks listed in the job description. SSMS reserves the right to revise this job description at any time. The job description is not a contract for employment and either you or SSMS may terminate employment at any time, for any reason.

MINIIMUM REQUIREMENTS:

A Bachelor Degree in a Human Services field to include Social Services, Psychology or Social Work. Minimum two (2) years experience working with people with developmental disabilities, with preference for those working with those requiring a Pervasive Level of care. Strong computer skills to include proficient knowledge of Microsoft Office suite of programs. Knowledge in the use of scanners, faxes, copiers and other general office equipment. Willingness to travel to other company locations utilizing personal vehicle.

KNOWLEDGE, SKILLS & ABILITIES:

• Effective verbal and written communication skills
• Effective organizational skills
• Effective interpersonal skills
• Effective time management skills
• Must be able to practice confidentiality

LICENSES/CERTIFICATES:

• Valid Driver License (CDL- if required for the position.)
• Valid automobile insurance (this must be maintained throughout employment.)