Community Case Manager

Essential Functions:

Individuals Served Support

• Maintain a caseload of twenty-five (25), not to exceed 35:1, adhering to all standards as outlined in the Case Management manual.
• In the event of a case manager vacancy, be able to maintain services to all people served through an increased caseload and temporary reassignment of cases, not to exceed the 35:1 ratio.
• Develop and maintain relationships with the person receiving services, their family/friends, and other agencies/support providers which allow for necessary observation and assessment of needs.
• Maintain the rights of persons supported and advocate for the needs of the person.
• Ensure that their case management activities are directly linked to a person-driven needs-based model with the PCP acting as the primary vehicle to this model.
• Create and monitor the Person-Centered Plans with adherence to accepted treatment principles, practices, and techniques.
• Work with individuals and their families to elicit services as needed, promoting choices in employment, living, and social decisions.
• Promote health and safety in the services provided to all people served and follow outlined Quality Management processes.
• Serve as a representative payee for individuals receiving SS/SSI payments to manage and administer the person's finances, when determined necessary.
• Interpret and apply Federal and State Regulations governing programs such as Social Security Disability and Medicaid Waiver programs to provide quality services.
• Plan testimony and testify at legal hearings, when needed.
• Maintain appropriate quality management procedures that adhere to all state and agency requirements.
• Ensure compliance and adhere to all standards set forth by DHHS and MaineCare regulations including the Case Management Manual, Chapter 10 Certification Requirements, and MaineCare Benefits Manual Section 13 Targeted Case Management Services.

Safety

• Ensure the implementation of plans with a focus on the health and safety of people supported through 3Rivers.
• Promote safe work practices.

Documentation

• Complete all documentation as required to provide high-quality services, complete billing, and maintain waiver classification.
• Document all communication (i.e. personal contact, emails, letters, phone calls, etc.), screening summaries, evaluations, and observations as they occur.

Community and Stakeholder Engagement

• Maintain strong relationships with regulatory bodies, case management agencies, medical providers, advocacy organizations, and families.
• Respond professionally to concerns from stakeholders, guardians, or partners in care.
• Promote 3Rivers' mission and services in external meetings, conferences, and community forums.
• Serve as a member on relevant committees, work groups, job/service fairs, etc.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities and activities may change at any time.

Additional Expectations

• Maintain confidentiality and adhere to HIPAA and all applicable laws and policies.
• Stay current on relevant trainings, certifications, and regulatory updates.
• Participate in professional development activities such as workshops, webinars, or team meetings.
• Be available to travel between assigned regions and work flexible hours as needed.

Qualifications:

• Bachelor's degree from an accredited four (4) year institution of higher learning with specialization in psychology, mental health and human services, behavioral health, behavioral sciences, social work, special education, counseling, rehabilitation, sociology, nursing, or a closely related field; OR
• Master's degree in social work, education, psychology, counseling, nursing, or closely related field from an accredited graduate school; OR
• Bachelor's degree from an accredited four (4) year institution of higher learning in an unrelated field and at least one (1) year of full-time equivalent relevant human services experience; OR
• Have been employed on 8/1/2009 as a case manager providing services under the former subsections of Section 13. A person so employed shall be considered qualified for the purposes of this section.
• Demonstrated abilities in effective personnel administration, staff motivation and development, conflict resolution, decision making, the ability to support and implement personnel policies and procedures, and the desire to work as a team member within the Agency.
• Exceptional written and verbal communication skills.
• Ability to read, understand and explain complex regulations and procedures.
• Ability to solve problems and practice time management and organization skills.
• Ability to work independently; in an environment requiring flexibility, managing multiple priorities.
• Working knowledge of Microsoft Office programs.
• Must have a valid Maine driver's license
• Must have high moral character, demonstrate professional values, ethics, responsibility, and confidentiality.
• Ability to pass required background checks, to include Adult/Child Protective Services; criminal history; OIG Exclusion list; National Sex Offender Registry; Maine CNA Registry, and Bureau of Motor Vehicles record

Physical Requirements/Work Environment:

• Ability to remain in a stationary position (sitting or standing) for extended periods.
• Frequent use of computer, telephone, and standard office equipment.
• Ability to move throughout office spaces and between service sites as needed.
• Occasionally lift and carry items up to 35 pounds (e.g., equipment, materials).
• Ability to drive and travel for meetings, clinical visits, and community events.
• Must be able to engage in crisis response activities and maintain emotional resilience in clinical environments.

The Community Case Manager (CCM) is responsible for seeking and maintaining services for all individuals assigned to their caseload. All services will be directly linked to a person-driven needs model. The CCM is required to facilitate effective relationships with all individuals receiving services, promoting empowerment, community inclusion, and health and safety. The CCM will develop positive relationships with provider agencies and guardians while assisting all parties in identifying support strategies that can guide the individuals receiving services to reach their goals. The CCM will be responsible for developing and ensuring adherence to the Person-Centered Plan.