ADS Case Manager
About The Position
Lifelong is a community health organization on a mission to make health and food accessible. We remove barriers to health with relentless compassion so that no one faces illness and injustice alone. We lead with heart. Our respect for people drives our mission. For 40 years, Lifelong has fought health inequities so that everyone has the opportunity to thrive. Our comprehensive services include food and nutrition, healthcare navigation, aging and disability support, and connection to housing and other vital resources. Position Overview: Are you passionate about health equity? Do you have extensive case management experience and want to play an important role for improving health outcomes in your community? Has your social services experience been rooted in cultural sensitivity and relationship building? If you are passionate about helping individuals in need and advocating for resources so they can live their best lives, then this may be a great opportunity for your next step in your career! Case Managers are critical positions of our organization, working directly with individual clients to conduct electronic comprehensive client in-person assessments, complete follow-up site visits, and develop individual service plans designed to improve the quality of life for all clients served - older adults and adults with disabilities. Aging and Disability Services (ADS) is a case management program and does not provide direct mental health or other medical counseling. The ADS program is contracted by DSHS to provide long-term case management to medically complex Medicaid clients in the East King County area. Case management includes a comprehensive in-home assessment, service planning, and follow-up to ensure our clients’ needs are met. The individuals we serve are often unable to access services on their own and have no one in their support system to help them understand and navigate how to obtain the services they need. Our clients are Medicaid beneficiaries that present with multiple medical and social needs. Through the ADS program, we can help these individuals access better care and improve their health outcomes. This position would be a combination of office work, field work, and working from home, with a minimum of one day a week in office. This is a regular, full time, non-exempt, union position with a wage scale of $27.60/hr - $42.63/hr. Placement on the wage scale is determined by years of relevant experience, with the high end of the wage scale representing extensive, long-term careers in the social services industry.
Requirements
- Relevant professional experience providing social services to people experiencing high barriers to care.
- Valid driver’s license and reliable transportation for on-site visits to clients, attend meetings, and attending trainings.
- Must meet one of the below education & experience combinations:
- Master’s degree + social service experience
- Bachelor’s in social services or behavioral/health sciences + 1 year of related experience
- Any Bachelor’s degree + 2 years of related experience
- High school diploma/GED + bilingual + 3 years of related experience
- High school diploma/GED + 4 years of related experience
- Associate’s degree or college coursework + 2 years of experience with DSHS systems (e.g., CARE, Barcode)
Responsibilities
- Conduct comprehensive assessments in client’s home; gather and review medical information to include but not limited to diagnoses, medical conditions, medications, treatment(s), psych/social information, and assistance with activities of daily living (ADLs).
- Work with clients who are experiencing chronic, complex medical, and/or behavioral health issues.
- Manage approximately 75-90 client caseload; develop care plans and document client activities, contacts, and ensure accuracy of client record. Monitor cases on a continuous basis and work with interpreters as needed. Current hiring efforts are aimed at collaborating to reduce caseloads.
- Review financial eligibility, evaluate client assessment data with healthcare professionals, mental health providers, nursing staff, and others. Include professional staff in the development of the plan of care and modifying the plan as needed.
- Connect clients and caregivers to needed services, e.g., substance use treatment, mental health, and medical care.
- Assist with and/or arranging equipment or transportation.
- Advocate with agencies or persons to help clients receive appropriate benefits or services.
- Assist clients with recruiting, contracting, and termination of their individual personal providers and/or home care agency. Monitor individual provider and home care agency provider performance.
- Authorize and adjust payment for client-approved Medicaid-funded services or terminate in the State of Washington electronic records such as Comprehensive Assessment Reporting Evaluation (CARE) and ProviderOne.
- Assist clients enrolled in the DSHS New Freedom program with their budgets, spending plans, and payment authorizations with use of the web portal.
- Assist with placements in nursing, assisted living, and adult family homes, etc., assessments and/or termination planning. Close case management services when indicated.
- Provide witness testimony during client and independent provider client appeal process.
- Maintain work standards to ensure compliance with DSHS Quality Assurance and Health Insurance Portability and Accountability Act (HIPAA) expectations.
Benefits
- Comprehensive medical, dental, and vision benefits
- Generous vacation (3 weeks your first year), sick leave, and 2 personal days a year
- 401(k) match
- Flexible spending accounts
- Life insurance options
- Long term disability
- Mass transit subsidy
- 15 paid holidays per year
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
101-250 employees
