Case Manager
6 days ago
Join our team at the National Center on Institutions and Alternatives Inc. as a Case Manager, where you will play a vital role in advocating for supports and program services for individuals with developmental disabilities.
Job SummaryThe Case Manager is a key member of the individual's team, responsible for holistically advocating for supports and program services. This role requires a thorough understanding of The Developmental Disabilities Administration's (DDA) Guidelines for Service Authorization and Provider Billing Documentation.
Key Responsibilities- Advocate for services and assume responsibility of monitoring and accepting funding as approved through the legacy PCIS2 billing and/or through Long Term Support Services (LTSS), as applicable.
- Gather and update supporting documentation to substantiate services.
- Maintain ongoing communication with program participants, advocating for changes in services as appropriate.
- Facilitate an agency-internal 120-day premeeting in preparation of the Pre-PCP and PCP Team Meeting.
- Participate in Pre-PCP and PCP meetings, advocating for the individual's expressed goals and outcomes.
- Review and ensure annual goals in the PCP meet the SMART goal criteria (specific, measurable, achievable, relevant, and timebound) while also verifying that the funding and service authorization requests are appropriate for each person and accurately reflected in LTSS.
- Supply the Coordinator of Community Services (CCS) with a narrative and summary of services requested.
- Complete provider authorization review and acceptance in LTSS within the prescribed timelines.
- Ensure documentation accurately reflects the individuals' current status and other contributing factors for successful support, including supplemental documentation for people who exhibit exceptional maladaptive behaviors.
- Verify and advocate for revision of documentation when needed for the HRST, SIS, and NPOC while advocating for additional assessments as appropriate.
- Conduct in-service staff training on DDA approved services, implementation of the PCP, staff qualifications, and service limitations.
- Monitor service notes on an ongoing basis, ensuring that notes accurately reflect service delivery as authorized.
- Attend/participate in meetings as requested by the CDP Director, or designee.
- Complete appropriate documentation and reporting of incidents according to the Policy on Reportable Incidents and Investigations.
- Complete 6-month PCP reviews.
- Request interim meetings as appropriate.
- Complete ongoing record audits to assure compliance with established policy, assure correction to identified deficiencies.
- Monitor and respond as necessary to any changes in an assigned client's baseline.
- Maintain database records in NCIA's internal database system, including up to date Face Sheets, and Emergency Contact Info.
- Check-in with people on their caseload on an ongoing basis, at least one time monthly.
- Perform other related duties as assigned by the CDP Director.
Bachelor's degree in Behavioral Sciences, Human Services, Developmental Disabilities or a related field, and one year relevant experience in providing services to developmentally disabled adults, or Associates Degree in Behavioral Sciences, Human Services, Developmental Disabilities or a related field and three years relevant experience in providing services to developmentally disabled adults, or Minimum of 5 years relevant experience in providing services to developmentally disabled adults.
Ability to read and comprehend simple instructions, short correspondence and memos, ability to write simple correspondence and the ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to add and subtract two-digit numbers and to multiply and divide with tens and one hundreds, the ability to perform these operations using units of American money and weight measurement, volume, and distance.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to interact positively with clients, co-workers, supervisors, NCIA and CDP management, DDA staff, and members of the community.
Ability to assist in the development of appropriate goals/outcomes, ability to develop effective goal plans, skill in program implementation, monitoring and assessment.
Ability to use Microsoft's Office Suite 2007 and up.
Ability to write clearly and concisely (written communication).
Ability to facilitate small meetings.
Solid organizational skills.
Time management skills.
Multi-tasking ability.
Ability to meet deadlines.
Sufficient visual acuity to observe general surroundings and activities of clients.
Sufficient hearing ability to accurately perceive information at normally spoken word levels.
Safely work in situations of exposure to blood borne pathogens which may require specialized protective equipment provided by the agency.
Work EnvironmentBoth indoor and outdoor environments, with potential exposure to weather elements, such as rain, wind, or snow.
Exposure to moderate to high volumes of noise including loud voices, office equipment, and cleaning devices such as vacuum cleaners and buffing machines.
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