Case Manager I - Elderly & Disabled Medicaid Waiver - Initial Assessment

Case Manager I

Elderly & Disabled Medicaid Waiver Initial Assessment Team

Summary:

Case Manager I is a full-time, professional position within the East Alabama Commission and is responsible for carrying out professional level responsibilities, implementation of specific activities and projects, and case management related to specific social service programs for senior citizens and other client groups. This includes assisting in program development, participation in billing verification preparation, assisting in application development and coordination of client specific personal assistance activities. Assignments are usually specific in nature with latitude being given for case management discretion and professional judgement. Employees in this class are under the administrative supervision of the Department Supervisor and Program Director to which they are assigned.

Core Agency (included on all job descriptions)

Integrity and Trust- Our staff members act with integrity by keeping confidence, being accountable, taking responsibility and not misrepresenting our roles. We are committed to building trust in our relationships and establishing and maintaining positive working relationships with staff, volunteers and the public.

Passion for the Mission- Our staff is focused on and dedicated to meeting the expectations of internal and external customers. Promote a positive image of East Alabama Regional Planning and Development Commission.

Teamwork- Each employee is a valuable member of the Commission’s team and contributes to the overall success of the agency. We collaborate and communicate openly and honestly to solve problems, respect each other, learn from one another, grow in our respective roles and contribute to strong morale throughout the organization. T*ogether Each Achieves M*ore!

Technical Skills- Our staff is committed to possessing the skills needed to best perform in his/her position. As needs and resources change, staff will seek and engage in learning opportunities to improve their skills and strengths. We are committed to continuous improvement.

Time management- Our staff uses his/her time effectively and efficiently; values time; concentrates his/her efforts on the more important priorities.

Work Responsibilities:

Gather information through an initial assessment intake process

Documentation and evaluation of client needs

Schedule and conduct home visits for the E&D Medicaid Waiver Program

Assist clients through an application process to determine eligibility for LTSS service programs

Maintain detailed records and documentation for applications

Mail and/or email medical assessments to physicians to determine medical eligibility for program

Work with LTSS care team and providers to resolve medication discrepancies

Enter medical conditions, medications, and applications into social services computer programs

Submit applications to ADSS to determine medical eligibility for potential clients and follow up with slot confirmations received from ADSS to determine financial eligibility for program

Mail 204/205 applications to the Medicaid district office; track application status at the District Office

Follow up with E&D Medicaid Waiver referrals

Utilize agency human service program, FamCare, for inputting, monitoring, and tracking applications

Assists in coordinating specific aging or human resource activities and projects, as assigned. Job assignments will include assisting in project planning, program development, and project coordination, ongoing coordination with related state agencies, development of care plans, document billable services and case management as needed, client services, complaint resolution and participant training for specific programs to serve the 10-county area.

Assigned responsibility could include complaint resolution, coordination with related state and local agencies

Develop and maintain general knowledge of the Medicaid Waiver program

Participate in on-going training and professional development as required

Performs other work related to Commission's overall program responsibilities, as assigned.

Knowledge, Skills and Abilities:

Working knowledge of the problems and needs of senior citizens and other client groups

Working knowledge of SSA Title XIX LTC regulations and O.B.R.A. related to institutional care

Familiarity of Medicaid Waiver policy and procedures

Ability under supervision to design and initiate projects and case management plans related to social service programs and to carry out related projects

Ability to present social services programs to individuals, families, and groups, to provide information and prepare press releases for the media, to coordinate with other agencies and social service organizations, and to arbitrate when differences of opinion occur

Possess superior communication skills, organizational skills, and excellent time management. Extensive knowledge of office practices and/or procedures

Strong relationship development skills

Ability to work independently, be self-motivated to complete assigned job tasks

Knowledge of human services programs for program management, documentation and information retrieval purposes; possess proficient typing, word processing & computer skills. Highly proficient in the ability to establish and maintain working relationships with fellow team members & stakeholders

Ability to drive an automobile, possession of a valid driver's license, and meet the Commission's criteria for authorization to drive Commission vehicles, based on guidance from the Commission's motor vehicle insurance carrier

Must be willing to travel within a 10-county service area to conduct in-home visits

Must be able to pass pre-employment background checks, TB skin test, and drug-screen

Competencies:

· Effective Communication: Written & Oral

· Relationship Management

· Continual Improvement

· Critical Thinking & Evaluation

· Ethical Practice

· Cultural Awareness

The East Alabama Regional Planning and Development Commission is an Equal Employment Opportunity Employer. The Commission does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or provision of services.

Education and Experience:

Bachelor's degree in Sociology, Social Work, Psychology, Gerontology, or Nursing, from an accredited college or university; and

Preferred two years’ experience with an area agency on aging, with experience in human service delivery programs, or with human service delivery agency; or Registered Nurse with two years’ experience in home health services or long-term care facilities.

Position Classification Pay Grade: Pay Grade 8, $41,976 Entry Level

Reports To: Supervisor / Program Manager

Pay: From $41,976.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: Hybrid remote in Anniston, AL 36201

Salary : $41,976