Long Term Care Case Manager

Jefferson County • Eschen, IA

4d • 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. We are hiring Long Term Care Case managers for the following programs: IDD (Intellectual and Developmental Disabilities) Program – The teams in this program are responsible for the long-term case management for clients with Intellectual and Developmental Disabilities and their families. Non-IDD Program – The teams in this program are responsible for the long-term case management for clients experiencing needs related to physical disability, chronic illnesses, and aging. SGF Intake Program- The teams in this program will be focused on the initial enrollment, documentation of case management and monitoring activities, Most in Need assessment, and other issues related to entering clients in the State benefits program. Aspects of this program will also be focused on training and process improvement for the entire agency. About Human Services: Through early childhood education, adult and child protection, job training, food assistance, Medicaid, and other programs, Jefferson County Human Services has an additional five internal Divisions that work with hundreds of community partners to help people build better, safer lives. Human Services provides excellent, individualized service throughout the community with their talented, passionate professionals who empower people and communities to thrive. Jeffco offers a work environment that strives to promote the development, strategic vision and scope for work and inclusion practices to strengthen and advance shared departmental goals and alignment with the county strategic plan. SCHEDULE: Jefferson County operates primarily on a 4 day, 10-hour work week, Monday-Thursday. The Human Services Department works either on a 4 day, 10-hour work week; or on a 5 day, 8-hour work week. This position is hybrid, with remote work and in-office work as determined by team and agency needs.

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.

Benefits

• dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement
• flexible schedules
• remote work options

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level