Case Manager

Description

Brain Injury Services (BIS) seeks a full-time Brain Injury Case Manager to serve our clients. We are seeking case managers with a strong background in case management and at least 2 years of experience
. Preferences will be given to candidates who have experience navigating Medicaid referrals, submitting service authorizations, monitoring billing, and collaborating with Managed Care Organizations (MCOs) in the Targeted Case Management (TCM) services for BIS clients.

Prince William County and surrounding areas

Under the supervision of the Senior Manager of Case Management Services, the Case Manager provides community-based case management to adults and children with acquired brain injury and their families in the Northern Virginia region. The adult brain injury program includes long-term case management services and public awareness. These services are provided using a community-based case management model.

This position requires a professional level of intervention with complex cases. The Case Manager position assumes the ability to work independently and exercise autonomy. The Department Manager may designate other duties. This position is guided by the mission of this organization to support individuals with brain injuries and their families in reaching their maximal level of functioning within their communities using a person-centered approach.

• Adhere to professional standards, federal and local requirements, and MCO regulations to serve and protect the agency.
• Obtain information and make referrals for appropriate services, including TCM-related referrals and general referrals to community services.
• Do a comprehensive intake evaluation, including completing all documentation designated in the Policy and Procedure Manual, and obtaining all necessary medical records from outside sources to ensure a thorough review and service eligibility.
• Complete all required paperwork for Medicaid TCM services, including service authorizations, assessments, evaluation, review, billing, and reporting.
• Complete a thorough client assessment, which includes the client’s strengths and weaknesses, family and community support systems, a Needs assessment that covers all areas described in the Adult Brain Injury Case Management Policy and Procedure Manual, and the assessment of existing resources presently utilized by the client and gaps in service’s requiring intervention within 45 days of opening a case.
• Obtains appropriate releases, understands the laws regarding confidentiality, and upholds these laws.
• Provide education and awareness to the public on prevention, identifying children and adolescents with brain injury, and the support needed to transition students back to school successfully, and children back into their home community.
• Travel and provide services in clients' homes and communities. This includes participating in the discharge planning teams, when possible, at children’s facilities and rehabilitation centers nearby (e.g., Cumberland Hospital in New Kent, Kluge Children’s Rehab Center in Charlottesville, NRH’s Pediatric Program in Washington, Kennedy-Krieger Institute in Baltimore).
• Determine when the maximal level of functioning has been achieved and outside services, such as life skills training/tutoring, need to fade.
• Completes all paperwork as described in the Policy and Procedure Manual and always maintains charts orderly.
• Establish a solid therapeutic relationship with clients, their families, and their community providers.
• Supports clients in developing their own goals and plans based on the needs assessment and utilizing various planning tools. Completes an Individualized Service Plan and provides a written copy to the client.
• Review the ISP every 90 and adhere to the MCO’s rules and regulations about service review. Clients’ signatures are required to ensure the client’s consent and participation in services.
• Identify, coordinate, and monitor goal-directed community services to meet the client’s needs and desired activities as outlined in their plans.
• Maintain in-person and/or virtual…