TXIX Case Manager - SAILS

Rural Resources Community Action•Pullman, WA

7d•Hybrid

About The Position

The TXIX Case Manager provides federally regulated Medicaid case management services under Title XIX programs, in compliance with federal Medicaid rules, Washington Administrative Code (WAC), and agency policy. The role conducts comprehensive CARE assessments, authorizes long-term care services, issues Planned Action Notices (PANs), and ensures regulatory compliance. The Case Manager assesses client needs, develops and monitors service plans, makes appropriate referrals, and advocates for clients with other service providers. The position also assists with department operations as delegated, including reports, outreach, community events, and support groups. Knowledge of community resources and applicable laws and regulations is required. The position is based in Pullman, Washington, with hybrid status, and is expected to be performed within Washington State.

Requirements

Meet at least one of the Washington State Aging & Long-Term Support Administration's specified education and experience pathways for case managers. These include qualifying combinations of a high school diploma or equivalent, paid social-service experience, bilingual or bicultural experience, experience with specified DSHS information systems, college coursework or a degree, or a master's degree in combination with social-service experience.
One year of full-time-equivalent verifiable social-services internship or volunteer work may substitute for one year of paid social-service experience in care management and long-term support services to vulnerable populations; part-time hours may count if they total a full-time-equivalent year.
Individuals who functioned as Case Managers before August 28, 1991, may qualify under the stated provisions for a high school diploma or equivalent, four years of paid on-the-job social-service experience before that date, and completion of state-sponsored CORE training.
Valid driver's license in the state of residence.
Auto insurance in the amount required by the State of Washington.
Acceptable completion of a criminal history background check.
Ability to access and egress non-ADA facilities and homes.
Knowledge of Microsoft OneDrive, Outlook, Excel, and Adobe.
Knowledge of the dynamics of aging, grief, and death.
Knowledge of crisis intervention and counseling principles and practices.
Ability to prepare reports, correspondence, and documentation.
Ability to comprehend complex documents and concepts.
Ability and willingness to maintain customer confidentiality.
Ability to understand and apply applicable federal, state, and local policies, procedures, and regulations.
Ability to analyze and evaluate client needs and develop and implement corrective actions.
Ability to communicate effectively orally and in writing, including through public presentations.
Ability to establish and maintain effective working relationships with agency staff, gatekeepers, and the general public.
Ability to analyze complicated situations efficiently and effectively.
Regular, predictable attendance.
Ability to uphold the stress of traveling.

Responsibilities

Conduct initial interviews with clients and their families to assess eligibility for services.
Gather information from clients, families, and other agencies to prepare psychosocial assessments.
Facilitate group discussions and decision-making among professionals, program representatives, clients, families, and significant others to establish goals and create integrated intervention plans.
Monitor adherence to service plans and coordinate the accurate flow of information among participants.
Provide follow-up to identify unexpected service-delivery problems and troubleshoot on behalf of clients.
Provide support and information to clients and families during crises and conflicts with service providers.
Provide ongoing emotional support to clients and families as they cope with problems and use professional services.
Conduct CARE assessments, authorize long-term care services, issue Planned Action Notices, and ensure regulatory compliance.
Assess client needs, develop and monitor service plans, make referrals, and advocate for clients with service providers.
Assist with delegated department operations, including reports, outreach, community events, and support groups.