Case Manager

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Full Time Care Coordination Middlebury, VT, US

Summary of position

Case Management position coordinates the ’s application, referral, support planning, and monitoring processes in compliance with all applicable policies and procedures, including but not limited to all current and thereafter amended federal, state, and local standards, guidelines, and regulations.
Hybrid position with required travel throughout Addison County in Vermont. Must reside within 60 miles/minutes of Addison County, VT.

Essential Functions

• The Case Manager responsibilities include but is not limited to the following:
  • Comply with all rules, regulations, policies and procedures of the agency and Vermont’s HCBS Eligibility and Enrollment Processes.
  • Have experience with the Department’s state statutes, state rules, definitions, program requirements, program specific services, variances and exceptions.
  • Engaging in assessment and planning activities for the individual’s services which includes but it not limited to:
    • Assist and support the individual to understand the goals and activities of the individual-centered planning process, including assessment.
    • Facilitate and schedule participation in individual-centered planning and assessment as needed.
    • Complete Needs Assessment Annual Review Protocol once a year with the individual and their team.
    • Assist the individual in discovery and exploration discussions, identifying preferences, strengths, goals and dreams, and needs in preparation for individual-centered planning process.
    • Facilitate the completion of the DS Budget and Service Planning Context Document.
    • Facilitate the completion of any additional assessments and gathering of documentation as needed, and ensure this information is available for the individual-centered planning process.
    • Assist the individual to invite people of their choice (excluding legally prohibited individuals) to participate in the Individual Services Agreement (ISA) planning meetings to occur at times and in locations selected by and convenient for the individual.
    • Work with the individual to develop agenda(s) and follow up notes for individual-centered planning meetings and ensure this information is distributed to members of the support team as approved by the individual.
    • Support the individual to lead, and provide assistance as needed, throughout the individual- centered planning process.
    • Assist the individual and their support team in identifying any needed modifications to the rights and freedoms afforded by the federal Medicaid HCBS requirements based on a documented health and safety need, and ensure that any such modifications are appropriately agreed upon by the individual and their guardian (if they have one) and documented in the ISA/BIP, including a plan for data collection and review of the modification.
    • Review and updating of the individual-centered service ISA and related documents (including assessments), at minimum annually, with the individual.
    • Provide the individual with information on self-direction opportunities, including the potential benefits, responsibilities and risks associated with self-directing services, during the planning process and upon request.
    • Provide information to the individual on complaints, grievance and appeals rights, explain what these processes entail, and offer referrals to third-party assisters (such as Vermont Legal Aid and Disability Rights Vermont) when needed or upon request.
    • Provide accessible information in the preferred method and language of the individual about individual rights and responsibilities annually and upon request.
    • Coordinate…