Case Manager

14 hours ago

Morgantown, United States West Virginia Employer Full time

Qualifications Ability to perform Essential Duties as outlined below. BA/BS in Human Service Field or a BA/BS in a non-human service field with one year experience in I/DD Ability to comply with all of company Policies and procedures. Ability to comply with Clients Rights. Ability to comply with company and Division departmental safety procedures. Ability to read, write and speak the English language. Valid Drivers License Current CPR/First Aid Certificate or ability to be trained. ESSENTIAL DUTIES: Use clear communication skills, including people first language with clients and other professionals. Assist the person and/or legal representative with re-determination of financial eligibility as required at the DHHR office in the county where the person lives. Begin the discharge process and provide linkage to services appropriate to the level of need when a person is found to be ineligible for IDDW Services during annual eligibility or financial redetermination. Provide oral and written information about the IDDW provider agencys rights and grievance procedures for persons served by the agency or provide linkage to other agencies rights and grievance procedures. Assist with procurement of all services that are appropriate and necessary for each person within and beyond the scope of the IDDW Program including annual medical and other evaluations as applicable to the person. Act as an advocate for the person. The IDDW Program must not be substituted for entitlement programs funded under other Federal public laws such as Special Education under P.L.99-457 or 101-476 and rehabilitation services as stipulated under Section 110 of the Rehabilitation Act of 1973. (Public schools can currently bill for specific medical services under their own Medicaid provider numbers). Therefore, it is necessary for the Case Manager to advocate with these systems to obtain the required and appropriate services. Provide education, linkage and referral to community resources, Promote a valuable and meaningful social role for the person in the community while recognizing the persons unique cultural and personal value system. Interface with the UMC on behalf of the person in regard to the assessment process, purchase of services and budget process. Activities may include linkage, negotiation of services, submission of information, coordination of choice of appropriate assessment respondents on behalf of the person, education and coordination of the most appropriate assessment setting that best meets the persons needs. Communicate with other service providers on the IDT to allow for continuity of services and payment of services. Coordinate necessary evaluations to be utilized as a basis of need and recommendation for services in the development of the IPP. Notify IDT persons at least 30 days in advance of meeting. Support the person as necessary to convene and conduct IDT meetings. Documenting that all services, both paid and unpaid, from any and all programs also be documented on the IPP. Providing schedules of all programs used by the person to ensure that times and tasks do not overlap or duplicate. Coordinate the development of IPPs at least annually. The IPP must be reviewed and approved by the IDT at least every 90 days unless otherwise specified in the plan, but shall not exceed 180 days. Access the necessary resources detailed in the IPP, make referrals to qualified service providers and resources, and monitor that service providers implement the instructional, behavioral and service objectives of the IPP. Disseminate copies of all IPPs to the IDT persons and Participant-Directed service Option providers (if applicable) within 14 days of the IDT meeting. Upload the ISP, the Demographic/cover sheet and signature page into the UMCs web portal within 14 days of the IDT meeting. NOTE: No services will be prior authorized until the current IPP is loaded into the web portal. Upload into the UMCs web portal any additional documentation requested by BMS or the UMC.

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