Case Manager II

ROCKY MOUNTAIN HUMAN SERVICES•Denver, CO

1d•$22 - $25•Hybrid

About The Position

Case managers serve as the main contact for members receiving Long Term Services and Supports through Medicaid or State Funded programs. The case manager provides specialized, initial and ongoing case management by monitoring services, having communication with members and providers, and coordinating resources and requests as needed. Case managers serve as the experts in eligibility assessments, service plans, and prior authorization requests (PARs). There are four departments available for Case Managers: Intake, Non IDD, IDD, and Children's. The Family Support Services Program (FSSP) Case Manager provides individualized supports and services for families who are caring for a child between the ages of 3-18 who have intellectual and developmental disabilities or delays who are enrolled in the FSSP program.

Requirements

Communicates professionally and empathetically both verbally and in writing.
Knowledge, understanding and competency about members who have disabilities and members who are elderly.
Maintains confidentiality per HIPAA guidelines.
Ability to manage your own schedule and work hours to effectively complete tasks assigned.
Ability to manage multiple priorities and work in a fast-paced environment.
Ability to speak calmly and help de-escalate members who may be upset by showing care and compassion.
Ability to solve problems and concerns as they arise.
Ability to attend in-person meetings with members at their residence.
Knowledge of basic computer skills and ability to navigate client management systems.
Ability to represent RMHS’s mission, vision, and values.
A bachelor’s degree; or Five (5) years of relevant experience in the field of LTSS, which includes Developmental Disabilities; or Some combination of education and relevant experience appropriate to the requirements of the position.
Driving Category B: Employees who may drive RMHS or personal vehicles for business purposes. Category B employees may transport other employees but will not transport RMHS clients.
Valid driver’s license
Proof of motor vehicle insurance
Personal vehicle in good operating condition for use during work, including transporting individuals
No major violations in the past three years.
No more than two moving violations in the past three years.
Ability to meet and maintain agency driving requirements and operate agency vehicles.
Drivers must upload proof of ongoing auto insurance every 6 months into Paycom/Relias.

Nice To Haves

Previous case management experience
Degree in social work, psychology, sociology or other human services
Spanish Speaking

Responsibilities

Responds to correspondence from the member, family or provider within two business days.
Completes required in-person assessments at the members residence.
Completes required in-person deliverables such as (but not limited to) monitoring's with the member and care team when appropriate.
Ensures all eligibility requirements and approved prior to authorizing services.
Schedule assigned assessments and service plans with the member and care team in the timeframe required.
Ensure certifications are submitted to the county to process long-term care applications.
Monitor case status of long-term care application for programs after assessment is completed.
Collaborate with physicians, healthcare professionals and program approved service agencies to obtain required documentation for case processing according to regulations.
Assist members and their care teams to find appropriate service providers and/or necessary resources.
Complete all necessary paperwork according to rules and regulations within.
Responds to the complex needs of members and represents RMHS in team meetings to determine services and supports needed to meet the member’s needs.
Monitors and responds to incident reports and critical incident reports.
Responsible for the management of an assigned caseload to include meeting all deadlines and requirements.
Participate in training and staff development activities as assigned, including team meetings.
Work independently in a remote environment as well as in office as required and requested depending on the business needs.
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.