CCA Case Manager

Job Description

Position: Case Manager

Pay Range: $24.00 - $30.00 PER HR

Reporting To: Lead Case Manager, CCA Manager

Work Type: Remote/Field

The Case Manager is responsible for the care coordination of clients for the ALW and CalAIM services under the Care Coordination Agency (CCA). Care coordination includes identifying, organizing, coordinating, and monitoring the needs of an ALW or CalAIM client. The Case Manager ascertains continued eligibility to the ALWP by conducting monthly and as needed follow-up visits for compliance and skilled need.

• Bachelor’s Degree in either social work, psychology, counseling, rehabilitation, gerontology, or sociology, plus one year of related work experience.
• Possesses current CPR certification.
• Knowledge of The State of California Assisted Living Waiver Care Coordination Agency preferred.
• Experience in the field of education or training, quality assurance and management preferred.
• Exercises excellent judgment and knowledge of current clinical practices, with demonstrated exemplary clinical, analytical, and documentation skills.
• Good organizational skills.
• Is self‑directed with the ability to work with little supervision.
• Proficient in the use of computers, and electronic information systems.
• Ability to establish and maintain good communication and relationships with the office, field, and administrative personnel.
• Familiarity with Title 22 preferred.
• Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements.

The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

• Check Medi-Cal eligibility for each client monthly.
• Schedule monthly visits with clients.
• Speak to clients and find out if anything is needed, such as DME’s, appointments, etc. Ask about medication compliance and other general assessment questions.
• Speak to staff.
• Find out about any SIR’s. If so, make sure that our office has them.
• Find out if anyone is out and does not have an SIR. If this is the case, tell staff they must get an SIR ASAP. You must follow up with facility staff and ensure our office receives an SIR copy.
• If there are Medi-Cal issues, communicate this to client and facility staff and guide them on how to resolve it (assuming they do not know how).
• Ask staff about medications and check the log.
• Update client information on the company tracking system of visit dates and note uploads in Devero.
• Upload all notes by the end of the next business day from when you saw the client.
• Document that you asked client and staff about medication compliance.
• Track client movements out of and back into facilities, keeping the CCA Coordinator informed.
• When a Re‑Assessment is done, the RN will email you. Prepare a copy of the ISP, obtain the client’s signature within 7 business days, provide a copy to the facility, upload to Devero, and email the CCA Coordinator.
• Maintain knowledge of confidentiality, HIPAA, and healthcare laws and regulations.
• Maintain proper timekeeping.
• Follow policies and procedures as stated in the Employee Handbook.
• Maintain all credentials up to date.
• Report fraud and abuse.
• Maintain knowledge of mandated reporting.
• Conduct timely recording and/or documentation of client contact.
• Attend department meetings (in person, by phone or by web).
• Attend all state‑mandated in‑service trainings.
• Driving may be required to geographical areas covered by the company.
• Significant amount of driving may be required throughout Los Angeles, Fresno, San Diego, Riverside, and San Bernardino counties.
• Perform other duties as assigned.