Social Work Case Manager

3 weeks ago

Stockton, United States CareerBuilder Full time

Reporting To: Lead Case Manager, Director of Waiver Services
Work Type: Remote
POSITION SUMMARY
The Case Manager is responsible for the care coordination of clients for the ALWP clients under the Care Coordination Agency (CCA). Care coordination includes identifying, organizing, coordinating, and monitoring needs of an ALW client. The Case Manager ascertains continued eligibility to the ALWP by conducting monthly and as needed follow-up visits for compliance and skilled need.
QUALIFICATIONS
Bachelors Degree in either social work, psychology, counseling, rehabilitation, gerontology, or sociology, plus one year of related work experience.
Possesses current CPR certification.
Knowledge of The State of California Assisted Living Waiver Care Coordination Agency
Provider Handbook and RCFE Provider Handbook.
Experience in the field of education or training, quality assurance and management preferred.
Exercises excellent judgment and knowledge of current clinical practices, with demonstrated exemplary clinical, analytical, and documentation skills.
Good organizational skills. Is self-directed with the ability to work with little supervision.
Proficient in the use of computers, and electronic information systems. Ability to establish and maintain good communication and relationships with the office, field, and administrative personnel.
Familiarity with Title 22.
Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements.
ESSENTIAL DUTIES AND RESPONSIBILITIES

:
Check Medi-Cal eligibility for each client on a monthly basis
Schedule monthly visits with clients.
Speak to clients and find out if anything is needed; such as, DMEs, appointments, etc. Ask about medication compliance and other general assessment questions.
Speak to staff:

Find out about any SIRs. IF so, make sure that our office has them
Find out if anyone is out and does not have an SIR. If this is the case, tell staff there they must get an SIR in ASAP.
You must make sure to follow up with facility staff on this and make sure our office gets an SIR copy.
If there are Medi-Cal issues then communicate this to client and facility staff and guide them how to resolve it (assuming they do not know how)
Ask staff about medications and check the log
Make sure to update Google Doc on dates of visit and when note is uploaded in Devero.

All notes must be uploaded by the end of the next business day from when you saw the client.
Make sure you write in your note that you asked client and staff about med-compliance.
As per workflow process, when a client is out of a facility, the CCA has specific tracking responsibilities. You as a Case manager are to keep track of when clients leave as you visit the facility.
Notify the CCA Coordinator when a client has left and returned to the facility.
When a Re-Assessment is done the RN will communicate to you via email that it is done and that you need to make a copy of ISP and have client sign it. And give a copy to facility. Then upload to Devero and Email your CCA that it is done. You need to have client sign it within 7 business days.
Knowledge of Confidentiality, HIPAA and healthcare laws and regulations.
Follows policies and procedures as per Employee Handbook.
Maintains all credentials up-to-date.
Reports Fraud and Abuse.
Knowledge of mandated reporting.
Conducts timely recording and/or documentation of client contact.
Attends Department meetings (in person, by phone or by web).
Attends all State mandated in service trainings.
Significant amount of driving may be required throughout the Los Angeles, San Diego, Riverside and San Bernardino County.

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