Case Manager

Purpose of Position- Provides Case Management to an assigned case load. Conducts eligibility determinations, develops and implements a Service Plan, provides information and resources, monitors quality of service delivery, coordinates care planning with clients, families, guardians and providers. Maintains regulatory compliance; this includes ensuring documentation is completed to maintain ongoing funding for services for clients on case load.

• Essential Duties/Responsibilities
• Responsible for the development and implementation of the service plan.
• Completes face-to-face assessments to determine eligibility of client for long term care upon enrollment and annually.
• Leads annual review and development of the service plan for clients.
• Ensures service plan documentation is completed and distributed.
• Facilitates communication throughout the year regarding service plan and related services and supports.
• Monitors services each quarter (at minimum one face-to-face) to ensure quality and alignment with service plan goals.
• Coordinates delivery of services and supports.
• Educates clients, families, and guardians on appropriate service options and assists in acquiring needed services/supports.
• Coordinates the delivery of services and supports.
• Assists clients and families in resolving complaints with service providers and benefit sources. This may include a formal appeals process.
• Completes enrollments and terminations as needed; includes ensuring that proper notice of eligibility and discharge is provided.
• Connects clients with resources for crisis intervention as needed.
• For eligible waivers, ensures informed consent is acquired for Human Rights Committee related circumstances in accordance with the HRC process and recommendations.
• Ensures all required documentation for ongoing funding and benefits is in accordance with applicable Federal and State regulations and A&I Avenues policies and procedures.
• Completion of timely, accurate, professional documentation within established timelines.
• Completes any necessary follow-up to critical incidents and investigative reports.
• Provide case coverage in times of system change or staffing shortages.