CAP Case Manager​/Onslow & Duplin Counties

Position: CAP Case Manager/ FT / Onslow & Duplin Counties
* ** Coordination of Services:**  + Link beneficiaries and their families to necessary services, equipment, and supplies to support care in the home.  + Collaborate with community resources, healthcare providers, and other agencies to ensure comprehensive care delivery.  + Initiate appropriate referrals and utilize community resources for planning and service coordination.
* ** Monitoring and Follow-Up:**  + Provide ongoing monitoring of services through monthly phone calls and home visits, documenting observations, and beneficiary progress.  + Evaluate the effectiveness of care plans and services, recommending or implementing changes as needed to achieve desired outcomes.  + Maintain accurate, up-to-date case management documentation within the system, ensuring compliance with state and agency guidelines.
* ** Counseling and Support:**  + Provide emotional support and basic counseling to beneficiaries and their families to strengthen their support systems.  + Assist families in navigating challenges, including long-term palliative care, behavioral issues, and medical needs.
* ** Documentation and Compliance:**  + Assist in obtaining documentation from medical staff to confirm the need for specific CAP services.  + Maintain medical records for each beneficiary, ensuring documentation of current status, service changes, and referrals.  + Ensure compliance with 10A NCAC 27G.0202 and other regulatory guidelines.  + Complete all required records per agency policy and the State CAP manual, including discharge summaries when CAP services are completed.  

+ Review and ensure proper billing codes and compliance for case management, in-home aide documentation, paid live-in caregiver, re-certifications, and supply billing.  + Participate in NC Medicaid-certified training programs and ensure program compliance within 90 days of employment.
* ** Collaboration and Advocacy:**  + Work closely with RNs and interdisciplinary team members to ensure a comprehensive approach to beneficiary care.  + Participate in case discussions and provide input to ensure quality care and service delivery.  + Advocate for program participants and their families to secure necessary resources and services.  + Serve as a liaison between beneficiaries, families, and external providers to address care needs effectively.  

+ Provide training and support to families to empower them in managing their child’s care.
* All other duties as assigned.

- ** Continuing Education and Professional Development:*
* * Complete all state-mandated training and agency-required continuing education annually.  
* Stay current on CAP guidelines, best practices, and new developments to enhance service delivery.  
* Ensure timely updates to the CAP Business system and other documentation systems as required.
* Strong understanding of Medicaid programs and compliance requirements.
* Excellent communication and interpersonal skills to work effectively with families and multidisciplinary teams.
* Ability to manage multiple priorities and maintain detailed records.
* Experience working with medically fragile children or in pediatric healthcare settings and physically disabled adults with complex care needs.
* Bachelor’s degree in social work from an accredited school of social work.
* Minimum of one year of directly related community experience, preferably case management, in the health or medical field (homecare, long-term care, or personal care).
* Completion of an NC Medicaid-certified training program within 90 calendar days of employment.
* Bachelor’s degree in a human services or equivalent field from an accredited college or university.
* Minimum of two years of community experience, preferably case management, in the health or medical field (homecare, long-term care, or personal care).
* Completion of an NC Medicaid-certified training program within 90 calendar days of employment.
* Bachelor’s degree in a non-human services field with two or more years of related community experience, preferably case management, in the health or medical field (homecare, long-term care, or personal care).
* Completion of an NC Medicaid-certified training program within 90 calendar days…