Long Term Care Case Manager

Jefferson County•Eschen, IA

1d•Hybrid

About The Position

Jefferson County Human Services is seeking a Long-Term Care Case Manager responsible for the client-facing work of this division. Depending on the focus of their team, the Long-Term Care Case Manager will provide a variety of case management services to elderly and disabled adults along with children who are experiencing chronic and/or terminal illness. Case managers help determine functional client eligibility for a variety of Medicaid service plans. They also determine appropriate service plans based on the needs of individual clients, negotiate rates with Medicaid providers and other services, and follow up with providers for care and treatment options. Case managers are responsible for assisting clients with denied application options. The role is available in three programs: IDD (Intellectual and Developmental Disabilities) Program, Non-IDD Program (for physical disability, chronic illnesses, and aging), and SGF Intake Program (focused on initial enrollment, documentation, Most in Need assessment, training, and process improvement). Jefferson County Human Services works with community partners to help people build better, safer lives through various programs like early childhood education, adult and child protection, job training, food assistance, and Medicaid. The department provides excellent, individualized service and fosters a work environment that promotes development, strategic vision, and inclusion.

Requirements

Bachelor’s degree in a related field.
One (1) year of work-related experience.
Excellent individual, group and family counseling and crisis management skills.
Able to learn more than one complex computer system and is patient in the learning process.
Ability to problem-solve by using critical thinking and utilizing resources/researching to find solutions that are best for the family and the department.
High level organizational and time management skills and thrives with strict deadlines.
Strong customer service and interpersonal skills with the ability to adapt communication based on level of program knowledge of the audience.
Warm, empathetic, respectable personality.
Passionate about agency's mission and vision.
Criminal History and MVR Background Checks are required for every position.
Offer of employment is contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references.
A valid Colorado driver’s license is required for positions that drive on County Business in either a county or personal vehicle shall have a Colorado Driver’s license within 30-days of hire or beginning to serve as an intern or volunteer.

Nice To Haves

Bilingual in Spanish highly preferred
Knowledge of laws relating to children and families

Responsibilities

Determine client eligibility by gathering collateral information from hospital, nursing home, long-term skilled home health and home-based services.
Complete a face-to-face assessment of clients.
Attend court appeal hearings to defend denied applications.
Prepare all legal documents for the appeal hearing.
Work with various Medicaid programs (e.g., Home and Community Based Services (HCBS), Elderly, Blind, and Disabled, Mentally Ill, Persons Living with AIDS, Brain Injury, Children’s HCBS, Total Long-Term Care, Program of All Inclusive Care of the Elderly, Home Care Allowance, and Nursing Home programs).
Maintain client care plans by reassessing as necessary for the most cost-efficient service plan.
Adhere to state cost containment regulations.
Ensure family members are fully informed of options available.
Make referrals as necessary.
Consult with state agents.
Negotiate rates and plans with Medicaid providers and other providers.
Complete billing paperwork.
Other duties and responsibilities as assigned.