CAP Case Manager

Healthkeeperz•Elizabeth City, NC

4h•Hybrid

About The Position

To provide advanced social work services for the Community Alternatives Program for Disabled Adults and Children and assistance in locating, coordinating, monitoring, and assisting in determining eligibility for social, medical, financial, and other services to meet the needs of the Community Alternative Program patients.

Requirements

Working knowledge of basic social work principles, techniques, and practices and their application to specific casework, group work and community problems
Knowledge of governmental and private organizations and resources in the community
Strong organizational, communication, listening, and assessment skills
Ability to travel as needed to other office locations
Bachelor’s degree in social work from an accredited school of social work and one (1) year of directly related community experience in the health or medical field directly related to home care, long-term care, or personal care and the completion of an NC Medicaid certified training program within 90 calendar days of employment
OR Bachelor’s degree in a human services or equivalent field from an accredited college or university with two or more years of community experience in the health or medical field directly related to home care, long-term care, or personal care and the completion of an NC Medicaid certified training program within 90 calendar days
OR Bachelor’s degree in a non-human services field from an accredited college or university with two or more years of community experience in the health or medical field directly related to home care, long-term care, or personal care and the completion of an NC Medicaid certified training program within 90 calendar days
OR Nurse who holds a current North Carolina license with two (2) year or four (4) year degrees and one (1) year case management in home care, long-term care, personal care, or related work experience and the completion of an NC Medicaid-certified training program within 90 calendar days
OR An individual with a bachelor’s degree or who holds a nursing license as described above, without the number of years of experience, may be designated as an apprentice or a trainee and shall be hired to act in the role of case manager. The supervisor of the case manager shall provide direct supervision and approve all waiver workflow documentation and tasks.

Nice To Haves

Preferably case management experience in the health or medical field directly related to home care, long-term care, or personal care

Responsibilities

Assess which patients need social intervention and referral
Conducts the initial pre-screening and initial assessment of the patient and family
Evaluates needs and resources of the patient/family and need for other community services
Develops social work portion of the plan of care to ensure the health, safety, and well-being of patients
Reviews and updates the plan of care at least every twelve months or as the patient status requires
Assists the patient/family in understanding the plan of care and making informed choices
Utilizes appropriate community resources planning as well as initiates appropriate referrals
Provides counseling and emotional support to strengthen patient/family support system
Collaborates with the disciplines within the agency to ensure a comprehensive approach to patient care
Provides continuous evaluation and monitoring of services through documentation and consultation
Participates in appropriate interagency conferences
Serves as a liaison between patients and provider agencies
Performs on-going systematic patient assessment through monthly telephone calls and home visits and documents according to policy
Evaluates and documents effectiveness of care based on observable responses of patient, recommending or instituting changes needed to attain identified patient outcomes
Provides monthly case management for assigned patients
Completes all required records per agency policy and the State CAP manual
Documents pertinent changes in patient’s condition during contacts with patients, family, and other provider agencies
Completes a discharge summary when CAP services are completed. This summary should review services provided, patient’s response and status at discharge
Maintains medical record for each patient with current documentation of patient status, service changes and referrals
Maintain Case Management documentation within the E-CAP system, review In-Home Aide documentation, review re-certifications, and supply billing for proper billing codes and compliance according to CAP guidelines
Completes requirements for continuing education per year as established by agency policies and procedures
Completes State mandated training as required; Completes E-CAP updates as required
With the Community Alternatives Program Director, develops and achieves professional goals and revises accordingly to reflect the dynamic nature of the unit. Evaluates the goals annually
Completes mandatory organization education as per policy