ESSENTIAL DUTIES AND RESPONSIBILITIES

• Performs comprehensive assessments in the participant's home or health care facility to assess need for community services. Determines eligibility for CCP, accurately administers and scores Mini Mental Status Exam (MMSE) and Determination of Need (DON) and collects needed financial information.
• Creates a care plan to meet the needs of the participant and caregiver. Demonstrates ability to authorize CCP services and coordinate referrals to other benefits/services available to the participant.
• Completes Choices for Care assessments for Nursing Home or Supportive Living Facility placement
• Demonstrates knowledge of the various types of assessments, billing codes and documentation required.
• Accurately completes Medicaid applications when indicated.
• Advocates, intervenes and follows-up in a timely manner to ensure services remain in place and are appropriate to the changing needs of the participant. Documents and completes follow-up on critical events. Updates care plan and completes redeterminations as needed.
• Meets established timelines for assessments and critical event follow-up.
• Rotates weekend on-call duties as required by IDOA for weekend assessments.
• Completes paperwork timely and accurately. Responds to participant/family inquires and phone calls in a timely manner.
• Participates in departmental and all-agency staff meetings; offers constructive input to the group.
• Completes annual educational requirements for IDOA and Mercyhealth.

CULTURE OF EXCELLENCE BEHAVIOR EXPECTATIONS

To perform the job successfully, an individual should demonstrate the following behavior expectations:

Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.

Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.

Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.

Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

EDUCATION & EXPERIENCE

Case Manager minimum qualifications shall be a minimum of 1 year experience in needs assessment and care planning, and:

RN or a BSN, or have a BA/BS degree in social science, social work or related field

One year of program experience (defined as assessment, provision, and/or authorization of formal services), may replace one year of college education up to and including four years of experience replacing a baccalaureate degree; or

LPN with one year of program experience which is defined as assessment of and provision of formal services and/or authorizing service provision.

CERTIFICATION/LICENSURE

Approved CPR or BLS certification required within 90 days

Successfully complete IL Department on Aging Care Coordinator Certification

Maintain a valid driver's license and reliable transportation with proof of vehicle insurance when requested.

Have and maintain an acceptable driving record per Mercy's HR-01 Fleet Safety policy.

ADDITIONAL REQUIREMENTS

Passing the Driver's License Check and/or Credit Check (for those positions requiring).

Passing the WI Caregiver Background Check and/or IL Health Care Workers Background Check.

OTHER SKILLS AND ABILITIES

Basic PC/Laptop skills

Knowledge of Microsoft Office, Internet Explorer, Google Chrome

Excellent customer service skills

Effective verbal & written communication

Organized, able to multi-task in a fast-paced environment

Able to sit, stand and walk intermittently

Ability to lift/carry laptop and paperwork to/from office and homes/facilities

Must be able to navigate various entrances to homes/apartments/facilities

WORK ENVIRONMENT

The noise level in the work environment is usually moderate.

Occupational Exposure: Category A - All partners in the specified job classification have occupational exposure.

AGE OF PATIENTS SERVED

Adult (18 years - 64 years)

Geriatric (65 years and older)

INFORMATION ACCESS

Partner may access patient care information needed to perform their job duties.

WORK CONTACT GROUP

Partners, physicians, patients/family, visitors, vendors

SPECIAL PHYSICAL DEMANDS

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.

While performing the duties of this Job, the employee is frequently required to talk, hear or sit; use hands to finger, handle, or feel; reach with hands and arms. The employee is occasionally required to stand, walk, climb or balance; stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.