Eligibility Specialist/Case Manager - Bishopville, SC

Care Lync•Bishopville, SC

4d•$55,000

About The Position

Care Lync is a social services agency providing Support Coordination and case management to adults with intellectual, developmental, and physical disabilities and Autism Spectrum Disorder who participate in the Department of Human Services Medicaid Waiver Program. Support Coordinators help adults navigate and obtain services that support independent living at home and in the community. The Eligibility Specialist/Case Manager performs case management activities for clients assigned to the consolidated care team. The role develops individualized care management plans, coordinates and brokers services to implement those plans, and monitors and evaluates clinical outcomes to help ensure services are professional, comprehensive, and cost-effective. The position also helps locate, coordinate, and monitor services and supports through development and implementation of an Individual Support Plan (ISP), and helps participants identify and communicate their requests and needs for housing, medical, social, vocational, and other community services. The role involves travel to participants as needed, estimated at 50%.

Requirements

Bachelor’s degree (BS/BA) in related coursework.
At least 3 years of related experience providing case management to individuals with intellectual disabilities, Autism Spectrum Disorders, or physical disabilities.
Experience with Microsoft Office and state-maintained databases.
Maintain proficiency in company-sponsored training and certifications.
Maintain CPR/First Aid certification and current state-related clearances.
Successfully complete and maintain training courses required or amended by program regulations.
Valid driver’s license, personal vehicle insurance coverage for liability, and current vehicle registration; copies must be maintained on file with Care Lync.

Responsibilities

Complete assessments to identify each participant’s needs and service-delivery preferences.
Develop a Person-Centered Service Plan for each participant and modify it at least annually or when a significant medical or social change occurs.
Ensure participants can choose providers by supplying information that enables fully informed decisions.
Ensure the Behavioral Support Plan and Crisis Plan, when the participant has a Behavior Specialist, are consistent with the ISP.
Immediately report participant abuse, neglect, or exploitation to a supervisor or director.
Coordinate with individuals and entities involved in participants’ physical or behavioral care, including other care coordinators, to support seamless coordination of physical, behavioral, and support services.
Research and develop alternative solutions to participants’ needs.
Maintain confidentiality regarding sensitive materials and individuals’ private health information.
Attend required training and recertification classes.
Confer regularly with supervisors and directors about factors including participants’ needs, abilities, learning levels, and physical limitations.
Travel to participants as needed; the posting specifies 50% travel.
Immediately inform a supervisor of changes to auto insurance, vehicle registration, or driver’s-license status.