Case Management Agency (Cma) Case Manager

Compensation Range

$26.05 - $33.00

Job Description Summary

Performs initial screening and functional assessment for individuals referred to the Weld County Case Management Agency (CMA) for long-term services and supports provided by waiver and state general funds programs. Develops Person-Centered Individualized Support Plans (PCISP) for eligible individuals and assists the individual in determining appropriate programs for service. Provides ongoing, person-centered, case management services to residents of Weld County, and their families when applicable, to enhance quality of life and meet their long-term care needs in the least restrictive setting.

Job Description

Mission Statement: Engaging and partnering with the community to improve safety, health and well-being of individuals and families through the delivery of responsive and collaborative services.

Vision Statement: The people of Weld County are connected to the resources needed to thrive in the community and feel safe and empowered.

Values: Accountability

• Integrity

• Service

• Communication

• Innovation

Weld County Department of Human Services' greatest asset is our staff.

Performs initial screening and functional assessment for individuals referred to the Weld County Case Management Agency (CMA) for long-term services and supports provided by waiver and state general funds programs. Develops Person-Centered Individualized Support Plans (PCISP) for eligible individuals and assists the individual in determining appropriate programs for service. Provides ongoing, person-centered, case management services to residents of Weld County, and their families when applicable, to enhance quality of life and meet their long-term care needs in the least restrictive setting.

The Ideal Candidate for the Department of Human Services, (AAA) Home & Community Supports Division will be someone who possesses the following traits:

1.Self-motivated

2.Values collaboration with clients, staff and community partners

3.Highly organized

4.Strong attention to detail

5.Extremely dependable

Compliance (20%):

• Understands Home and Community Based Services (HCBS) waivers, non-HCBS programs, and State General Fund (SGF) Programs administered by the CMA.

• Manages all components of assigned HCBS waivers, non- HCBS programs and State General Fund (SGF) Programs administered by the CMA.

• Remains informed and complies with latest rules, regulations, and legislative issues that impact the Long-Term Care system, including requirements related to timelines, documentation, and training.

• Accurately establishes and maintains individuals' physical and digital files in accordance with CMA contract and program regulations including maintaining all standards related to the computerized case management system.

• Maintains all standards related to confidentiality and HIPAA regulations.

Intake and Assessment (20%):

• Completes initial screening of referred individuals to determine potential eligibility for long term care programs and/or referral to appropriate community services.

• Ensures the member/family is notified of rights, that discussion of priorities occurs, and that they are given choice of services based on documented needs and goals.

• Maintains a working knowledge of community resources and assistance programs.

• Provides information as requested about all potential services and the enrollment process, guiding, and prompting through each step as needed.

• Completes comprehensive functional assessments according to program regulations and mandatory time frames to determine eligibility for long term care programs.

Person Centered Support Planning and Service Provision (20%):

• Develops and implements a written person-centered plan of care which identifies specific services to meet each member's care needs as well as individual goals for those services and adjusts as needed.

• Authorizes all long-term home health services as well as non-skilled waiver program services ensuring appropriateness and necessity of services according to program regulations while conforming to State cost containment guidelines.

• Maintains communication with service providers as required by regulations to provide support and ensure services are implemented as planned and remain appropriate and necessary.

• Assists the member and/or family to locate and select service providers.

• Works with members, families, and community agencies to coordinate and facilitate services.

• Provides support to access all services requiring additional outside steps, including written assessment/recommendation from therapists, bids, and accompanying paperwork and monitoring.

• Works closely with community partners to maintain up to date and relevant information for referrals.

• Facilitates, writes, and monitors annual assessments and/or support plans.

• Adjusts services as necessary to continue to meet members' needs.

Case Management (20%):

• Applies case management principles to manage a diverse caseload of eligible members as required by regulations.

• Meets with members and their families in their home, hospital setting, or other appropriate settings as determined by State and Federal regulations.

• Maintains ongoing contact with members, via home visits, phone calls, and support plan meetings.

• Convenes individualized support team meetings as needed or requested to address specific issues.

• Participates in Human Rights Committee presentations and community meetings as needed.

• Attends meetings, trainings, and conferences related to CMA programs administered and members served.

• Participates in the appeal hearing process.

• Attends and testifies at court proceedings when applicable.

Advocacy (10%):

• Advocates for the best interest of the member.

• Mediates with members, families and providers during conflict situations and assists with problem solving to identify the best solutions to meet members' long term supportive needs including potential, future needs that may arise.

• Participate in CMA and community planning and education as requested.

Professionalism and Teamwork (5%):

• Participates in a positive and value-added manner with both internal and external professional partners.

• Stays informed by participating as appropriate in all team, unit, and division meetings, attends or views recordings for department updates and reads county wide messaging.

• Participates as a team member of the department establishing and maintaining a high degree of cooperation with coworkers.

• Display a willingness to collaborate and problem solve.

• Understands how one's day to day work significantly impacts the team's success.

• Accepts responsibility for own actions and follows through on commitments.

Other Duties as Assigned (5%):

• Follows policies and procedures, the Weld County Code of Conduct and adheres to strict confidentiality guidelines and appropriate release of information outlined in both.

• Other duties may be assigned. Any one position may not include all duties listed, nor do the listed examples include all duties which may be found in positions of this class.

Required Qualifications

• A bachelor's degree

or

Five (5) years of experience in the field of Long-Term Services and Supports (LTSS), which includes Developmental Disabilities

or

A combination of education and relevant experience appropriate to the requirements of the position. Relevant experience is defined as: (a) Experience in one of the following areas: long-term care services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or non-profit administration, or health/medical services, including working directly with persons with physical, intellectual, or developmental disabilities, mental illness, or other vulnerable populations as appropriate to the position being filled; and (b) Completed coursework and/or experience related to the type of administrative duties performed by case managers may qualify for up to two (2) years of required relevant experience.

• Candidate must pass WCDHS background checks prior to employment start date, including a Colorado Adult Protective Services (CAPS) check and will continue to be monitored throughout employment.

• Candidate must possess a driver's license and adequate Liability Insurance by the employment start date and maintain a valid license for the duration of employment.

• Candidate must provide own transportation and be willing to travel throughout Weld County.

• Candidate must possess the ability to learn and apply new computer skills on a regular basis.

• Candidate must possess knowledge of computer programs such as Microsoft Windows and Word, Excel, and Outlook.

• Candidate must possess the ability to read and comprehend instructions, correspondence and department policies and procedures.

• Candidate must possess the ability to write correspondence.

• Candidate must possess the ability to effectively communicate with diverse populations in a variety of settings.

• Candidate must possess the ability to apply math concepts and calculations in the work environment.

• Candidate must possess the ability to apply common sense to problem solve in a work environment.

• Candidate must possess the ability to adapt to fast paced, high volume and ever-changing work environment and be able to handle high stress situations.

This position is non-exempt from the minimum wage and overtime requirements of the Fair Labor Standards Act.

As an applicant for this position, you should be aware of Senate Bill 19-085, the Equal Pay for Equal Work Act. The act requires employers to announce the pay range for job openings. This range encompasses the nine pay steps available should you receive the position and demonstrate satisfactory performance over time.

Weld County provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.