The Non-IDD Case Manager II will provide case management services to members receiving Long Term Services and Supports through Medicaid or State Funded programs. The case manager will monitor services, communicate with members and providers, and coordinate resources and requests as needed.
Requirements
- Responds to correspondence from the member, family or provider within two business days.
- Completes in-person eligibility and monitoring visits with the member at their residence.
- Schedules assigned assessments and service plans with the member and, if appropriate, care team in the timeframe required.
- Ensures certifications are submitted to the county to prevent eligibility breaks.
- Monitors and responds to incident reports and critical incident reports.
- Responsible for the management of an assigned caseload.
- Maintains professional and ethical behaviors in all interactions with members, care teams, and RMHS internal staff while meeting expectations and quality standards set by RMHS.
- Participates in training and staff development activities as assigned, including team meetings.
- Completes closures or terminations, as needed, ensures members understand the complaint and appeal process.
- Maintains confidentiality per HIPAA guidelines.
Benefits
- Employer paid medical options
- Dental and vision benefits
- Generous paid time off
- Life and disability insurance
- Tuition reimbursement
- Mileage reimbursement
- 403(B) with company match
- Employee assistance program
