Case Manager - CDP

JOB TITLE: Case Manager

DEPARTMENT: CDP

REPORTS TO: Lead Case Manager

FLSA STATUS: Non-Exempt

GENERAL PURPOSE OF THE JOB:

The Case Manager (CM) holistically advocates for supports and program services. The CM is a key member of the individual's team meeting and is integral to the Person-Centered Plan (PCP) process. The CM requests and authorizes services through Maryland's Web-based database portal and assures supporting documentation is accurate, available, and reflective of service and supports on a daily basis.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

General

• Possesses a thorough understanding of The Developmental Disabilities Administration's (DDA) Guidelines for Service Authorization and Provider Billing Documentation.

• Advocates for services and assumes responsibility of monitoring and accepting funding as approved through the legacy PCIS2 billing and/or through Long Term Support Services (LTSS), as applicable.

• Gathers and updates supporting documentation to substantiate services.

• Maintains ongoing communication with program participants, advocating for changes in services as appropriate.

Specific

• Maintains a calendar of PCP preplanning dates, Pre-PCP, and PCP dates for people served and ensures timelines are met.

• Facilitates an agency-internal 120-day premeeting in preparation of the Pre-PCP and PCP Team Meeting.

• Participatory member of Pre-PCP and PCP meetings, advocating for the individual's expressed goals and outcomes.

• Reviews and ensures annual goals in the PCP meet the SMART goal criteria (specific, measurable, achievable, relevant, and timebound) while also verifying that the funding and service authorization requests are appropriate for each person and accurately reflected in LTSS.

• Supplies the Coordinator of Community Services (CCS) with a narrative and summary of services requested.

• Completes provider authorization review and acceptance in LTSS within the prescribed timelines.

• Ensures documentation accurately reflects the individuals' current status and other contributing factors for successful support, including supplemental documentation for people who exhibit exceptional maladaptive behaviors.

• Verifies and advocates for revision of documentation when needed for the HRST, SIS, and NPOC while advocating for additional assessments as appropriate.

• Conducts in-service staff training on DDA approved services, implementation of the PCP, staff qualifications, and service limitations.

• Monitors service notes on an ongoing basis, ensuring that notes accurately reflect service delivery as authorized.

• Attends/participates in meetings as requested by the CDP Director, or designee.

• Completes appropriate documentation and reporting of incidents according to the Policy on Reportable Incidents and Investigations.

• Completes 6-month PCP reviews.

• Requests interim meetings as appropriate.

• Completes ongoing record audits to assure compliance with established policy, assures correction to identified deficiencies

• Monitors and responds as necessary to any changes in an assigned client's baseline:(absences, hospitalizations, updated medical orders, etc.).

• Maintains database records in NCIA's internal database system, including up to date Face Sheets, and Emergency Contact Info.

• CM's check-in with people on their caseload on an ongoing basis, at least one time monthly.

• Performs other related duties as assigned by the CDP Director.

Qualifications

SUPERVISORY RESPONSIBILITIES: None

EDUCATION AND/OR EXPERIENCE:

• Bachelor's degree in Behavioral Sciences, Human Services, Developmental Disabilities or a related field, and one year relevant experience in providing services to developmentally disabled adults, or

• Associates Degree in Behavioral Sciences, Human Services, Developmental Disabilities or a related field and three years relevant experience in providing services to developmentally disabled adults, or

• Minimum of 5 years relevant experience in providing services to developmentally disabled adults.

LANGUAGE SKILLS:

Ability to read and comprehend simple instructions, short correspondence and memos, ability to write simple correspondence and the ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

MATHEMATICAL SKILLS:

Ability to add and subtract two-digit numbers and to multiply and divide with tens and one hundreds, the ability to perform these operations using units of American money and weight measurement, volume, and distance.

REASONING ABILITY:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

CERTIFICATES, LICENSES, REGISTRATIONS: None required.

OTHER SKILLS AND ABILITIES:

• Ability to interact positively with clients, co-workers, supervisors, NCIA and CDP management, DDA staff, and members of the community.

• Ability to assist in the development of appropriate goals/outcomes, ability to develop effective goal plans, skill in program implementation, monitoring and assessment.

• Ability to use Microsoft's Office Suite 2007 and up.

• Ability to write clearly and concisely (written communication).

• Ability to facilitate small meetings.

• Sound interpersonal skills (oral communication).

• Solid organizational skills.

• Time management skills.

• Multi-tasking ability.

• Ability to meet deadlines.

PHYSICAL DEMANDS:

• Walking significant distances.

• Running occasionally.

• Standing for a significant amount of time, up to two hours occasionally.

• Lifting or pushing 50 pounds occasionally and 20 pounds frequently.

• Frequent reaching, stooping, grasping, balancing, kneeling, and crouching.

• Ability to stay awake and attentive throughout entire shift.

• Sufficient visual acuity to observe general surroundings and activities of clients.

• Sufficient hearing ability to accurately perceive information at normally spoken word levels.

• Safely work in situations of exposure to blood borne pathogens which may require specialized protective equipment provided by the agency.

WORK ENVIRONMENT:

Both indoor and outdoor environments, with potential exposure to weather elements, such as rain, wind, or snow. Exposure to moderate to high volumes of noise including loud voices, office equipment, and cleaning devices such as vacuum cleaners and buffing machines.