What are the responsibilities and job description for the Case Manager position at Regional Planning Commission of Greater Birmingham?
Job Description
Description:
The Medicaid Waiver Case Manager assists individuals in gaining access to appropriate, needed, and desired waiver and other State Plan services, as well as needed medical, social, educational, and other appropriate services. The position serves to provide necessary coordination with direct service providers (DSP) of non-medical, non-waiver services when the services provided by these entities are needed to enable the client to function at the highest attainable level or to benefit from programs for which clients might be eligible.
Tasks & Responsibilities:
Bachelor’s Degree from an accredited college or university in human services related field (preferably in social work) and at least 2 years of professional experience in the human services field. Knowledge of Medicaid programs and experience working with elderly and disabled people preferred.
-OR-
Master’s Degree in Social Work.
Licensed Clinical Social Worker (LCSW) preferred.
Company Description
Medicaid Waiver is a program designed to allow elderly or disabled individuals who are at risk of nursing home placement to remain in their home as long as possible.
Medicaid Waiver is a program of the Alabama Department of Senior Services (ADSS) and the Alabama Medicaid Agency and administered by the Regional Planning Commission of Greater Birmingham.
Medicaid Waiver is a program designed to allow elderly or disabled individuals who are at risk of nursing home placement to remain in their home as long as possible. Medicaid Waiver is a program of the Alabama Department of Senior Services (ADSS) and the Alabama Medicaid Agency and administered by the Regional Planning Commission of Greater Birmingham.
Description:
The Medicaid Waiver Case Manager assists individuals in gaining access to appropriate, needed, and desired waiver and other State Plan services, as well as needed medical, social, educational, and other appropriate services. The position serves to provide necessary coordination with direct service providers (DSP) of non-medical, non-waiver services when the services provided by these entities are needed to enable the client to function at the highest attainable level or to benefit from programs for which clients might be eligible.
Tasks & Responsibilities:
- Maintains a caseload of 38-42 clients each month.
- Executes ongoing monitoring of the provision of waiver and non-waiver services including the individual’s Plan of Care.
- Conducts intake and screening of clients.
- Authorizes initial waiver services and determines continued eligibility.
- Determines level of care.
- Determines choice of institution or community care.
- Develops plan of care based on individual needs.
- Coordinates, monitors, changes, re-determines, level of services.
- Authorizes termination of services or case transfer/termination.
- Makes monthly visit to client to ensure level of care is being upheld. Responsible for other required home visits when needed.
- Responsible for in depth record keeping including documenting monthly visits and keeping daily logs.
- Maintains regular contact with clients and advocates for their rights within scope of services.
- Facilitates crisis intervention.
- Provides guidance and support for clients, client’s families, and staff.
- Active listening skills.
- Ability to communicate in a collaborative, effective manner with others and to maintain good working relationships.
- Ability to comprehend basic medical terminology.
- Possess knowledge of Medicaid Waiver programs and service providers.
- Flexibility. Workload may include working before or after normal business hours.
- Communication Proficiency. Both written and oral.
- Strong interpersonal skills.
- Project Management.
- Critical thinking and deductive reasoning skills.
- Ability to maintain high degree of confidentiality.
- Experience with Microsoft Office programs (Word, PowerPoint, and Excel).
- Ability to interpret and communicate complex rules and regulations.
- Excellent organization skills.
- Ability to work towards objectives with little supervision.
- Strong time management skills. Ability to meet deadlines.
- Problem solving skills.
- Attention to detail.
Bachelor’s Degree from an accredited college or university in human services related field (preferably in social work) and at least 2 years of professional experience in the human services field. Knowledge of Medicaid programs and experience working with elderly and disabled people preferred.
-OR-
Master’s Degree in Social Work.
Licensed Clinical Social Worker (LCSW) preferred.
Company Description
Medicaid Waiver is a program designed to allow elderly or disabled individuals who are at risk of nursing home placement to remain in their home as long as possible.
Medicaid Waiver is a program of the Alabama Department of Senior Services (ADSS) and the Alabama Medicaid Agency and administered by the Regional Planning Commission of Greater Birmingham.
Medicaid Waiver is a program designed to allow elderly or disabled individuals who are at risk of nursing home placement to remain in their home as long as possible. Medicaid Waiver is a program of the Alabama Department of Senior Services (ADSS) and the Alabama Medicaid Agency and administered by the Regional Planning Commission of Greater Birmingham.