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All Ways Caring Home Care
Case ManagerAll Ways Caring Home Care • Parkersburg, WV, US
Case Manager

Case Manager

All Ways Caring Home Care • Parkersburg, WV, US
30+ days ago
Job type
  • Full-time
Job description

The case manager is responsible for the follow-up with the person receiving ADW services to ensure that services are being provided as described in the Service Plan

Description:

  • Assures financial eligibility remains current
    Submits the MNER in accordance with policy
    Addresses changing needs of the person as reported
    Addresses changing needs determined by monthly contact
    Refers and procures any additional services or resources needed
    Coordinates with all current service providers to develop the six-month Service Plan and the Annual Service Plan (or more often as necessary)Be present at the six-month service plan meeting and the annual service plan meeting
    Provides the service plan to all applicable service providers including TMH Transition navigators that are providing services to the person
    Provides copies of all necessary document to the person receiving ADW services
    Annually submits a medical necessity evaluation request to the UMC
    Submits WV personal care request for dual services as needed
    Uploads documents into the UMC web portal
    Assists with filling grievances, complaints, fair hearing request
    Makes fraud and abuse/neglect referrals as needed
    Assists with obtaining legal representation when needed, such as medical power of attorney, health care surrogate, etc.
    Ensures services were provided in accordance with the service plan
    Evaluates social, environmental, services, risks, and support needs of the individual
    Develops and writes an individualized service plan which details all services that are to be provided including both formal and informal services that will assist the person to achieve optimum function
    Coordinates the delivery of care, eliminate fragmentation of services, and assure appropriate use of resources
    Proactively identifies problems and coordinate services that provide appropriate high-quality care to meet the individualized and often complex needs of the person
    Provides advocacy on behalf of the person to ensure continuity of services, system flexibility, integrated services, proper utilization of facilities and resources, and accessibility to services
    Ensures that a person’s wishes are preferences are reflected in development of service plan by working directly with the person and all service providers
    Assures that a person’s legal and human rights are protected
    Follows up on all service deliver concerns and document in WV IMS
    Completes and submits all required administrative and program reports as requested by either BMS or the QS

Qualifications:

  • Bachelor’s degree in the Human Service field
    Two years of experience with case management or related discipline
    Licensed in West Virginia as a Social Worker or Counselor
    Ability to operate standard computer and communications equipment
    Working knowledge and use of MS Word, Excel, and other software related to job functions
    Knowledge of agency intake/placement procedures and guidelines, necessary forms and standard intake procedures
    Ability to composing correspondence and basic office etiquette and procedures
    Ability to be flexible and meet deadlines
    Ability to handle multiple tasks in an orderly and timely manner
    Ability to coordinate and maintain client files and agency forms
    Wiling to travel as needed

Benefits

  • Medical insurance
  • 401k
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Case Manager • Parkersburg, WV, US

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