Case Manager, Disability Services (Atlanta)

INSPIRITUS INC•Atlanta, GA

About The Position

The Case Manager is a designated Developmental Disabilities Professional and provides leadership in developing and supporting the service plans for individuals receiving services and ensuring Support Companion compliance with Host Home regulations. The Case Manager also provides comprehensive support services to intellectually disabled individuals placed in host homes in the community and conducts visits at least monthly to monitor the health and safety of the individual while ensuring compliance with regulatory standards. Our Disability and Health Services program integrates adults, adolescents, and children with disabilities into community settings as active participants.

Requirements

A bachelor’s degree in social work or at least a bachelor’s degree in human services field including but not limited to: sociology, special education, rehabilitation counseling, and psychology AND has one year of experience in providing human services to individuals with I/DD.
Has demonstrated skills in resource and capacity development and can work independently
Is knowledgeable of the various Region and Division units and critical personnel
Ability to forge a mutually respectful partnership with persons served and their families in which they are helped to gain the skills and confidence to address any issues and problems they face
Conviction about the capacity of people to grow and change
Ability to work in partnership with other team members
Ability to set limits and maintain the helping role of the practitioner and to intervene appropriately to meet the needs of the persons served or other family members
Must have the ability to communicate with all persons in a culturally competent manner.
Must be sensitive to the service population’s cultural and socioeconomic characteristics.
Must hold a valid Georgia Driver’s license, have personal auto insurance, and have a good driving record.
Must be available to work nights and weekends to fulfill on-call responsibilities.
Has demonstrated skills in maintaining digital records and proficiency in operating Microsoft Office 365 platform.

Nice To Haves

Established connections within the Developmental Disabilities community through either personal or employment-related experience.

Responsibilities

Conducts site visits monthly or more frequently as needed and completes the report at the time of the visit.
Reviews Support Companion documentation during home visits.
Attempts to correct any issues on-site during a visit.
Develops Corrective Action Plan for Support Companion to correct any outstanding issues.
Reports any unresolved problems relating to Support Companion documentation to site supervisor
Ensures Individual Service Plans to include all information so that services can be billed.
Ensures that the current Individual Service Plan goals are being tracked.
Confirms that budgets in Individual Service Plans are correct and billed based on Budgets and Documentation
Ensures that the Level of Care is current and signed by Region and participant
Ensures that The Region issues prior Authorizations to allow for billing
Reviewing that functional assessments are in place to support the formulation of the participant’s plan for delivery of all waiver services that include: The Health Risk Screening Tool; The Supports Intensity Scale; Functional Behavioral Evaluation; Others (E.g., Nursing, OT, PT, etc.) as needed or required.
Monitors the Case Management System provided by IDD Connect Portal regularly to address any issues pertaining to support coordination ratings
Provides support and training to correct all support coordination home ratings of coaching and above
Contacts Support Coordinator to request version changes to services provided to the participant
Conducts in-home or office-based Support Companion training as needed to ensure that sound person-specific supports are in place
Facilitates Participant transfers as needed and ensures that they are connected to the appropriate resources of their choice
Ensures all requirements, including rate changes and Support Companion training, occur before participants engaging in alternative care services.
Maintains a working knowledge base on Comprehensive Supports Waiver Program (COMP) manual and Department of Behavioral Health and Developmental Disabilities (DBHDD) provider manuals, Department of Community Health (DCH), Policystat, and Council on Accreditation standards
Ensures that all hospital discharges are reviewed by Inspiritus’ Registered Nurse (RN)
Complies with the various federal, state, or local laws that apply to and regulate their job responsibilities
Ensures all health and safety protocols are developed and meeting manual requirements
Assesses the satisfaction of individuals served
Ensures that current and all medications changes are appropriately documented on the participant’s Medication Administration Record and coincides with all relevant in home prescriptions (include risk/side effect training)
Ensures that all approved Support Companions comply with requirements identified in Extended Reach.
Conforms with and abides by all regulations, policies, work procedures, and instructions.
Participates in training, fundraising events, and other Inspiritus activities and initiatives such as performance and quality improvement.
Fully Utilizes Extended Reach (ER): Keeps all rate information up to date at all times Completes and maintains all case and home tasks (including past due reports/activities) found on ER Monitors and plans for the completion of upcoming tasks Reviews and uploads monthly documentation no later than the last day of the month, completes monthly case manager reports while utilizing electronic health record technology at the home visit. Reviews and submits medical reports within 24 hours of the appointment. Ensures that all annual documentation is completed and in the home before the start of the ISP Ensures completion and uploading of all home compliance documents Trains and assists Support Companions on using the Family Portal.
Oversees Contracted/Subcontracted Providers/Professionals by the Organization: Financial oversight and management of individual funds; Support Companion competency and training; and performance through the monitoring of case and home records Mechanisms that assure care is provided according to the plan of care for each individual served
Works on-call as scheduled: Responds immediately to all after-hours on-calls and reports any issues to the manager/supervisor.