Case Manager – (CMA) Medical Day Care Services

Case Manager - CMA Medical Day Care Services 

Responsibilities:

The Case Manager is responsible for delivering high-quality, person-centered case management services to individuals enrolled in the Medical Day Care Services Waiver (MDCSW). This includes conducting comprehensive assessments, developing Plans of Service (POS), coordinating needed resources, monitoring participant progress, and ensuring all services comply with MDH, COMAR, and LTSS Maryland requirements.

Job Summary:

The Case Manager plays a key role in supporting older adults and individuals with disabilities by coordinating medical, social, and community-based services that promote independence, safety, and quality of life. Case Managers work directly with participants, their representatives, Adult Medical Day Care Centers, Local Health Departments, MAP offices, and community partners to ensure holistic, individualized care.

This is a non-exempt, hourly position. Compensation is based on hours worked and supporting documentation completed in accordance with LTSS Maryland and EMRC requirements. Accurate, timely, and compliant documentation is an essential function of this role.

Case Managers are assigned a manageable caseload (example: approximately 1:55) to support frequent contact, individualized planning, and ongoing monitoring.

Essential Functions Include

• Conducting in-person comprehensive assessments, including the Comprehensive Strengths Questionnaire (CSQ), SDOH screening, risk assessments, and participant interviews. 
• Making initial contact and conducting the first visit within 14 calendar days of receipt of the referral. 
• Developing individualized Person-Centered Plans of Service (POS) that reflect participant strengths, needs, goals, preferences, and risks within 20 calendar days of assessment completion. 
• Completing the redetermination POS at least 30 days before eligibility expiration. 
• Ensuring all PCP/POS documents meet MDH documentation standards and are completed within required timelines. 
• Providing participants with education on rights, responsibilities, informed choice, RE reporting, and satisfaction surveys. 
• Coordinating and linking participants to Medicaid and non-Medicaid services, including AMDC services, behavioral health support, transportation, housing assistance, caregiver resources, and community/faith-based supports. 
• Verifying participants’ Medicaid eligibility each month using the Eligibility Verification System (EVS). 
• Maintaining ongoing contact with participants through monitoring visits at a minimum of every 180 days and/or as needed for follow-up. 
• Maintaining accurate, timely, and compliant documentation in LTSS Maryland. 
• Identifying risks or changes in participant condition and escalating concerns promptly to the Lead Case Manager or Supervisor. 
• Ensuring conflict-free case management by presenting provider options objectively and without influence. 
• Reporting all Reportable Events (RE) within 3 business days and updating the Intervention/Action Plan within 10 business days. 
• Supporting participants in resolving service gaps, provider issues, or unmet needs. 
• Participating in interdisciplinary meetings with Adult Medical Day Care Centers, Local Health Departments, and community partners to coordinate care. 
• Complying with COMAR, MDH policies, HIPAA, and EMRC documentation standards. 
• Participating in required MDH training, coaching sessions, supervision meetings, and ongoing professional development activities. 

Case Managers are assigned a manageable caseload (example: approximately 1:55) to support frequent contact, individualized planning, and ongoing monitoring.

Documentation & Work Expectations

• All client contacts and attempted contacts must be documented daily to ensure compliance, accountability, and accuracy of services provided. 
• Case Managers are expected to report to the closest office during afternoon hours to complete documentation, upload required forms and finalize any outstanding tasks. 
• All Case Managers are required to participate in a daily supervisory check-in prior to the closure of business to review caseload progress, discuss concerns, and confirm completion of all required documentation. 

Qualifications

• Passionate about supporting older adults, individuals with disabilities, and vulnerable populations. 
• Strong interpersonal skills and ability to engage participants and families in person-centered planning. 
• Excellent documentation, organizational, and time-management skills. 
• Demonstrated experience in case management, service coordination, medical day care, behavioral health, or related human services roles. 
• Knowledge of community resources, SDOH support, crisis interventions, and referral systems strongly preferred. 
• Understanding of COMAR 10.09.61, Medicaid waiver services, and LTSS Maryland is preferred (training will be provided). 
• Ability to conduct home visits, in-office assessments, and field-based activities as required. 
• Ability to work independently while collaborating with a multidisciplinary team. 
• Bachelor’s or master’s degree in social work, Human Services, Psychology, Public Health, Gerontology, or a related field. 
• Must pass Maryland CJIS background clearance and comply with Conflict-Free Case Management standards. 
• Must complete all MDH-mandated in-person and recurring trainings