CCSP Care Navigator

DEPARTMENT

Health Programs Department

Reports to CCSP Program Manager

Exempt, Full-time- TBD schedule

Under direction, performs work of moderate difficulty by providing skilled casework services to selected caseloads or clients with special problems such as health disability or those at risk in nursing home placement; provides specialized casework services aimed at securing the clients overall wellbeing and maximum degree of functioning. Serves Large Geographic Areas, which may include one large county, and/or many small counties, which may involve extensive travel and performs related work as required.

Essential Functions

• Brokers the CCSP Services and implements the care plan
• Meets the standard of promptness for 10-day phone calls for new admissions
• Meets the standard of promptness for the 60-day comprehensive care plan in consultation with the client, client’s family, and service providers
• Arrange for non-CCSP community-based services as needed by client
• Monitors service delivery to individual clients to assure services are being provided as appropriate and effectively meets the client’s needs
• Continuously reviews, monitors, and updates the comprehensive care plan
• Document case activity and service information
• Participates in case conferences with the RN to discuss the plan of care as needed
• Communicates and coordinates with all agencies providing direct services to the clients
• Approves/disapproves provider’s request for increased services. Limited amount and frequency of service in order to assure that cost do not exceed limitations established by the department of Community Health and Medicaid
• Meets the standard of promptness for quarterly CCP reviews
• Reports suspected abuse to LTCO and ORS if client lives in a PHC. Reports to ALS provider if appropriate.
• Communicates with DFACS regarding MAO/PMAO eligibility
• Maintain Knowledge of the provider services for each CCSP Service
• Assist clients with appeals and attends hearings. As requested, provides data and client records required by hearing officer
• Attends network meetings, trainings and other meetings coordinated by the AAA/ADRC, Health programs Director, or DCH
• Adheres to all Section 1879 of the CCSP/SOURCE Manual
• Adheres to all HIPAA guidelines at all times to ensure Privacy of client records
• Other duties as assigned.

EDUCATION, EXPERIENCE AND SKILL REQUIREMENTS

• Bachelor’s degree in social work, Psychology, Sociology or related field or Registered Professional Nurse currently licensed to practice in the state of Georgia

• Two (2) years of experience in human services or health related field

• Ability to effectively coordinates and communicate with clients, services providers, general public, and other staff members
• Skills in establishing and sustaining interpersonal relationships
• Knowledge in human behavior, gerontology
• Skills in team building and group dynamics
• Knowledge and skill in social and health service intervention techniques and methodology
• Proficient in Windows 95/98, MS Word and ability to learn AIMS and CHAT

• Valid State Driver’s License

The physical and mental demands described are representative of those that must be met by an employee to successfully preform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job, on a case-by-case basis.

• Regularly required to use hands to write, use computer, operate a motor vehicle, use hand-held device and telephone, and manipulate documents.
• Regularly required to read documents and write neatly, legibly, and transcribe accurate information and numbers/values.
• Continually engages in activities that require talking and hearing
• Frequent:
  Standing, sitting, walking, bending, repetitive use of hands, simple grasping and fine hand manipulation, pushing, and pulling. Occasionally required to lift or reach above shoulder level, climb, twist, squat, kneel, crouch or crawl.
• Must be able to lift up to 11 pounds, and occasionally up to 25 pounds.
• Ability to respond…