Case Manager

All Ways Caring HomeCare; Princeton (WV); On-site; USD 30,000 - 32,000; Full time

Job summary

All Ways Caring HomeCare in West Virginia is seeking a dedicated case manager to follow up with ADW service recipients and ensure services align with the Service Plan. You will verify eligibility and coordinate care across providers to support optimal functioning.

The role requires developing person-centered service plans, maintaining documentation, and advocating for clients while safeguarding rights and privacy. Some travel may be required.

Qualifications

• Bachelor's degree in human services or related field.
• Licensed WV Social Worker or Counselor is required.
• Minimum two years of case management experience.

Responsibilities

• Assures financial eligibility remains current.
• Submits the MNER in accordance with policy.
• Develops and writes an individualized service plan detailing services.
• Coordinates with service providers to develop six-month and annual plans.
• Advocates for the person to ensure continuity of services and rights.
• Follows up on service delivery and documents in WV IMS.

Skills

Strong organizational skills

Excellent communication

Team collaboration

Travel willingness

Education

Bachelor's degree in the Human Service field

Licensed in West Virginia as a Social Worker or Counselor

Tools

MS Word

Excel

Job description

Our Company

All Ways Caring HomeCare

Overview

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

External Job 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 OA

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

About our Line of Business

All Ways Caring HomeCaredelivers quality, compassionate, and individualized care and support that helps people in need of assistance stay at home – all while maximizing their dignity, privacy, and independence. Whether recovering from illness, injury, or surgery, living with a chronic disability, or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions, and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, older adult care management, Alzheimer's/dementia care, respite care, and other programs. For more information, please visit www.allwayscaring.com. Follow us on Facebook and LinkedIn.

Salary Range

USD $22.00 - $23.00 / Hour