Waiver Case Manager

JOB DESCRIPTION
WAIVER CASEMANAGER

GENERAL STATEMENT:

While this position specifies responsibilities, requirements and duties in certain operational areas, this person is an employee at will of Independent Living Services and will be expected to respond to such requests not specifically contained herein.  This person must maintain the attitude that he/she works for the total organization, and as such, exhibit proper cooperation, enthusiasm and interest in all areas deemed necessary for the continuing success of ILS programs.  Knowledge of the ILS Policy and Personnel Manuals is required.

JOB SUMMARY:

Case management services include responsibility for guidance and support in all life activities.  These activities include locating, coordinating and monitoring:   a.)  all proposed waiver services;  b.)  other State Plan services;   c.)  needed medical, social, educational and other publicly funded services (regardless of funding source); and   d.)  Informal community supports needed by eligible persons and their families.  The intent of case management services is to enable persons to receive a full range of appropriate services in a planned, coordinated efficient and effective manner.

JOB DUTIES AND RESPONSIBILITIES:

General duties and guiding principles:

  • Focus first on the person being served, and understand that my role in direct supports will require flexibility, creativity, and commitment.
  • Know and respect the values of the people I support and facilitate their expression of choices related to those values.
  • Provide advocacy when the individual’s preferences, needs, or talents are neglected or overlooked.
  • Encourage growth and recognize the autonomy of the individuals receiving services while also being attentive reducing their risk of harm.
  • Develop relationships with the individuals I support that are respectful, based on mutual trust, and that maintains professional boundaries.
  • Address challenging behaviors proactively and respectfully, using methods outlined in the ILS Employee Handbook, and follow any behavior management plans in effect for specific individuals.
  • Help individuals I support understand and express their rights and responsibilities.
  • Recognize that each individual I provide services to has potential for lifelong learning and growth.
  • Assist the individuals I support to understand their options and the possible consequences of their options as they relate to their physical and emotional health and well being.
    Be conscious of my own values and how they influence my professional decisions.
  • Maintain competency in my profession through continued learning and attending and being an active participant in staff meetings and trainings.
  • Assume responsibility and accountability for my actions and decisions.
  • Recognize the importance of modeling valued behaviors to co-workers, individuals receiving services, and the community at large.
  • Practice responsible work habits.
  • Being on time for work
  • Completing all necessary documentation to assure compliance with all state and federal regulations.  These may include, but are not limited to:  daily data sheets and clinic notes, attendance logs, time records, incident reports, behavior reports, accident reports, seizure reports, etc.
  • Maintaining strict confidentiality for all consumer information, and facility operations

 

Waiver Case Management consists of the following advocacy activities:

  • Arranging for the provision of services and additional supports
  • Monitoring and review of services
  • Facilitating crisis intervention
  • Guidance and support for consumers, families, and staff
  • Case planning
  • Needs assessment and referral for resources
  • Follow-along to assure quality of care and case reviews which focus on the person’s progress in meeting goals and objectives established through the case plan.
  • Providing assistance relative to the obtaining of waiver Medicaid eligibility and ICF/MR level of care eligibility determination.
  • Assuring the integrity of all case management Medicaid waiver billing in that the service delivered must have DDS prior authorization and meet required waiver service definitions and must be delivered before billing can occur.
  • Assuring submission of timely (advance) and comprehensive behavior/assessment reports, continued plans of care, revisions as needs change and information and documents required for ICF/MR level of care and waiver Medicaid eligibility determination.

 

QUALIFICATIONS:

College Degree in Related Field Preferred

Three – Five Years experience working in Case Management or Direct Care Preferred

Ability to operate a vehicle and possess a valid AR driver’s license in good standing

Proof of vehicle liability insurance

Ability to observe and record behavioral data

Ability to communicate clearly with staff and consumers through use of telephone and other verbal means

Must possess good listening skills

Ability to lift at a minimum of 25 pounds

TB skin test or chest x-ray

Knowledge of independent living skills

Supervisory and training skills

Ability to evaluate and determine consumer’s strengths and weaknesses

 

BENEFITS:

See Employee Handbook – Section 201 – 201A.  Benefits eligibility is based on category classification and hours worked per week.

NOTE: Part-time employees working less than 30 hours weekly do not qualify for benefits.