The Care Manager provides services within the Care Management programs, including Health Home Care Comprehensive Care Management, HCBS Basic Plan Support, and State Paid Care Management services. The core responsibility of the Care Manager is to oversee and coordinate access to services for people with intellectual and developmental disabilities.
Requirements
- Deliver person-centered care management services in compliance with regulatory standards and in alignment with the agency’s quality management plan, policies, and standard operating procedures.
- Complete all required service documentation with stated timeframes.
- Maintain the member’s continued eligibility for care management through the completion of an annual Level of Care (Re)Determination, ensuring OPWDD eligibility is maintained, and enrolling in the Home and Community Based (HCBS) waiver.
- Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when a member is eligible.
- Ensure existing benefits and other entitlements are maintained.
- Coordinates and provides access to high quality healthcare services, inclusive of medical, behavioral health, specialized services.
- Use health information technology in the delivery of care management services, included but not limited to the use of the electronic health records and programs to facilitate telehealth services for members.
- Maintain a thorough and accurate electronic health record for all assigned members.
- Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy.
- Complete all required trainings within required timeframes.
- Travel throughout the designated service area to meet with members as needed in alignment with regulatory standards and to ensure identified needs are met.
- Identify and follow all incident reporting guidelines and procedures, ensuring the immediate safety of the member.
- Maintains confidentiality in accordance with HIPAA and privacy practices.
- Adheres to all policies and standard operating procedures for the delivery of comprehensive care management and ancillary functions of the Care Manager.
- Perform other duties, as assigned.
