Social Worker/Case Manager

Chisago CountyNorth Branch, MN
$36 - $47Hybrid

About The Position

To provide case management services to the aging and disabled population of Chisago County. Case management professionals in this assignment attend to supporting the needs of the individual by constructing a service delivery plan that addresses environmental, social, safety, physical, and rehabilitative needs and supporting person centered planning.

Requirements

  • Minnesota Merit System Social Worker, Public Health Nurse, or Registered Nurse eligibility.
  • A bachelor’s degree from an accredited four-year college or university with a major in social work, psychology, sociology, or closely related field or
  • A bachelor’s degree from an accredited four-year college or university with a major in any field and one year of experience as a social worker in a public or private social services agency.
  • Demonstrated knowledge or ability to learn laws, rules, and guidelines related to Medicaid and Medicare programs and service delivery.
  • Ability to objectively evaluate the needs of an individual in non-judgmental advocacy role.
  • Demonstrates ability to perform basic math skills.
  • Demonstrates organizational and time management skills.
  • Must have the ability to maintain positive working relationships with the County Attorney’s office, County Administrator’s office, Health & Human Services administration, other county departments and community committees, and state offices governing miscellaneous programs.
  • Demonstrates adherence to and knowledge of Health Insurance Portability and Accountability Act (HIPPA) and Data Practices Privacy Rules in relation to specific work assignment.

Nice To Haves

  • One year of satisfactory paid performance in a Home and Community Based services setting preferred.
  • Public Health Nurse, with at least one year of home and community-based experience or
  • Registered Nurse, with at least two years of home and community-based experience

Responsibilities

  • Provide case management and care coordination services to aging and disabled persons as assigned.
  • Through care planning process, evaluates needs of persons who are aging or disabled.
  • Delivers ongoing case management to aging or disabled persons, using assessment tools and care plans.
  • Assures principles of Person-Centered Planning are followed in delivery of support services.
  • Develops a Support plan for recipients to include formal and informal support while identifying their choice and options or services and providers.
  • Assures consultation and coordination, and outreach with members of the recipient’s care team.
  • Assesses the need for and/or works with alternative decision makers for the recipient.
  • Monitors the recipient’s support plan and health and safety, through face-to-face contact, every six months or more frequently as needed or indicated by plan of care.
  • Re-evaluate support plans on an ongoing basis to modify support services as needed.
  • Maintains and submits appropriate and timely documentation as required to maximize reimbursement for case management services.
  • Serves in resource capacity to intake team.
  • Completes intake duties as assigned.
  • Performs assessment activities as assigned.
  • Completes and maintains MnCHOICES assessment certification.
  • Completes face to face reassessment screenings and consults with other team members as required by state statute.
  • Completes documentation as requires by state and agency.
  • Develops a Person –Centered assessment summary with the screening team, recipient, personal representatives, physician, and other members of the care team.
  • Provides consultation to individuals living in nursing homes whose status indicates potential to safely return to community.
  • Collaborates and coordinates with transitional service providers for eligible individuals.
  • Provides resource information and referrals to community members inquiring into long term care services for individuals whom are elderly or disabled.
  • Demonstrates knowledge and proficiency in the application of state and federal regulations as related to program eligibility and the delivery of services provided to the elderly and disabled population.
  • Participates in ongoing process planning to promote continuous quality improvement of programs and services offered via the Aging and Disabilities Division.
  • Demonstrates knowledge and application of principles of Person-Centered Planning.
  • Ensure federal, state and department training and certification requirements are met and remain current.
  • Daily adheres to county policies relating to labor and performance.
  • Coordinates with Health and Human Services and staff within other county departments providing services to recipients as appropriate.
  • Ensures case notes, care plans and service agreement entries are timely and complete.
  • Demonstrates knowledge and support of consumer directed services and supports programs and methodology and philosophy used to deliver these services.
  • Demonstrates knowledge of Data Practice Rules and regulations and compliance related to position and work performed.
  • Recognizes self as part of a larger Health and Human Services Department team.
  • Other Duties as assigned.
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