Senior and Disability Services - Case Manager

Senior and Disability Services - Case Manager

Join to apply for the Senior and Disability Services - Case Manager role at Oregon Cascades West Council of Governments
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Work is performed primarily in an office environment utilizing a personal computer, laptop, telephone, and a variety of office equipment. Frequent travel to consumers’ homes and other health care facilities is required. Field work requires transportation and using a laptop computer. May risk exposure to people with irrational/hostile behavior and/or contagious diseases. May risk contact with domestic animals while making consumer visits.

Occasional travel to various meetings and trainings is also required.

• Essential Duty 1:
  Waivered Case Management (40%)
  • Conduct initial, annual, and ongoing risk assessments and risk mitigation reviews.
  • Monitor ongoing cases and adjust service plans as needed.
  • Provide backup support to other social workers and unit staff as directed.
  • Ship relocation planning for nursing facility clients and/or clients requesting transfer.
  • Assist consumers in requesting and obtaining K-State Plan Ancillary Services and/or Special Needs eligibility.
  • Provide crisis response and intervention.
  • Make referrals to community resources.
  • Assist consumers through service provision issues and problem solving.
• Essential Duty 2:
  Service Assessments (35%)
  • Complete initial service assessment eligibility and ongoing annual service reviews in accordance with Oregon Administrative Rules.
  • Interview consumers in their own home or care setting to gather personal, social, and medical history information.
  • Conduct assessment of medical/psycho/social needs for persons needing home and community-based services.
  • Complete Consumer Assessment & Planning System document and/or State Plan Personal Care Assessment.
  • Determine if services are to be provided by Medicaid and complete service eligibility paperwork.
  • Review and assist consumers requesting and monitoring Extended Waivered Eligibility.
• Essential Duty 3:
  Service Planning (15%)
  • Develop service plan to meet service and care needs.
  • Coordinate with hospitals, other health care providers, family, friends, and significant others.
  • Establish specific care plans including hours for home care and personal care services.
  • Arrange for contractor or consumer-employed provider to provide services.
  • Arrange for Long-term Care Community Nurse or individual RN to assess personal care plans.
  • Arrange for Behavioral Support Services and Emergency Response Services.
  • Monitor ongoing cases and adjust plans as needed.
  • Provide resource referral for family caregivers.
  • Update all affiliated service planning systems and ensure all service plan forms are issued and returned per policy.
• Essential Duty 4:
  Provider Billing/Payment Resolution (5%)
  • Provide all related information and paperwork regarding rates and expectations.
  • Complete all paperwork associated with payment authorization process.
  • Troubleshoot payment issues for resolution and monitor payment systems for accuracy.
  • Direct provider questions to appropriate resources.
• Essential Duty 5:
  Maintain Consumer Files (5%)
  • Complete all paperwork related to long term services and supports Medicaid programs.
  • Update consumer file systems and forward forms to appropriate file retention records.

• Attend unit meetings, staffing and training as directed.
• Perform other related duties as assigned by supervisor.
• Assist in Oregon Administrative Hearings requests.
• Participate with internal and external quality assurance audits and reviews.
• Provide team members with assistance with case management questions and concerns.
  
  Perform and follow mandatory reporting requirements.

• A bachelor’s degree in a behavioral science, social science, or a closely related field; or
• A bachelor’s degree in any field and one year of human services related experience; or
• An associate’s degree in a behavioral science, social science, or a closely related field and two years of human services related experience; or
• Three years of human services related experience.

• Knowledge of the elderly and/or people with disabilities and familiarity…