Job Overview: The role of the Care Manager is to deliver the 6 core services in a person-centered manner in order to meet the needs of the individual, the OPWDD valued outcomes, the objectives of the People First Transformation, and the State requirements.

Location: This position is remote, but does require in-person visits. Candidates will need to be able to travel to do these visits via car or public transportation. Caseload to be located in or near identified counties.

Essential Responsibilities:

Provide comprehensive, person-centered Care Management services focusing on the 6 core services:

• Comprehensive Care Management
• Complete a Comprehensive Assessment for each individual that identifies medical, mental health, chemical dependency, developmental disability, and social service need
• Develop a Life Plan with the individual; include family, collaterals, and service providers in fulfillment of the Life Plan; parties should agree with the goals, interventions, and timeframes
• Conduct face-to-face visits as required

• Care Coordination and Health Promotion
• Engage the individual in the adherence to treatment recommendations, monitor and evaluate individual’s needs; coordinate all aspects of the individual’s care; develop relationship between the care planning team
• Review and update the Life Plan with the care planning team; initiate changes in care
• Ensure timely access to appointments for individuals to medical/behavioral health care services; link individuals with resources

• Comprehensive Transitional Care
• Assist the individual to transition between levels of care, or after critical events, such as: hospital, school, rehabilitation facility, etc., follow up in a timely manner post discharge, support individual during crisis events
• Use Health Information Technology to facilitate collaboration among all providers

• Individual and Family Support
• Communicate and share information with individuals and their family/representative, ensure that the Life Plan reflects the individual’s and their family/representative’s preferences
• Utilize peer supports, support groups to increase family/representative’s awareness

• Referral to community and social support services
• Identify available resources and actively manage referrals, engagement, and follow-up
• Ensure that the Life Plan includes community-based and other social support services that respond to the individual’s needs and preferences and contribute to achieve the individual’s goals

• Use of HIT link services
• Meet the HIT standards in the delivery of core services and the Life Plan, as described in the manual
• Maintain written documentation of service delivery and individuals’ information on the Medisket portal while practicing all HIPAA and Privacy regulations

Additional Responsibilities:

• Monitoring/Assisting individuals with maintaining benefits (Food Stamps, Medicaid, and SSI)
• Support individuals with P&P related to schooling, and any relevant issues
• Report any incident of abuse, neglect, or maltreatment immediately

Specific Knowledge, Skills, and Abilities:

• Excellent interpersonal skills
• Advanced ability to effectively communicate in both verbal and written manner
• Computer software skills
• Ability to organize, schedule, and utilize time well
• Capability to analyze situations accurately and take effective action

Required Education, Experience, and Licenses:

• A Bachelor’s degree with two years of relevant experience, OR
• A License as a Registered Nurse with two years or relevant experience, which can include any employment experience and is not limited to case management/service coordination duties, OR
• A Master’s degree with one year of relevant experience
• MSC Service Coordinators prior to July 1, 2018 are “grandfathered” to facilitate continuity of care

This job description is not all inclusive and the employee may be asked to assume additional responsibilities as the need arises.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

COVID-19 considerations:
We are currently operating in a remote environment.

Education:

• Bachelor's (Preferred)

Work Location: One location