Case Manager, Disability Services

Summary
 

The Case Manager is a designated Developmental Disabilities Professional and provides leadership in the development and support of the service plans for individuals receiving services and ensures Support Companion compliance with Host Home regulations. The Case Manager also provides comprehensive support services to intellectually disabled individuals placed in host homes in the community and conducts visits at least monthly to monitor the health and safety of the individual while ensuring compliance with regulatory standards. Our Disability and Health Services program is designed to integrate adults, adolescents and children with disabilities into community settings as active participants.      

Essential Functions

1. Conducts site visits monthly, or more frequently as needed, and completes the report at the time of the visit
   1. Reviews Support Companion documentation during home visits.
   2. Attempts to correct any issues on site during visit
   3. Develops Corrective Action Plan for Support Companion to correct any outstanding issues
   4. Reports any unresolved problems relating to Support Companion documentation to Assistant Director  
2. Ensures Individual Service Plans include all information so that services can be billed
   1. Ensures that the current Individual Service Plan goals are being tracked.
3. Confirms that budgets in Individual Service Plans are correct and billed based on Budgets and Documentation
4. Ensures that the Level of Care is current and signed by Region and participant
5. Ensures that Prior Authorizations are issued by the Region to allow for billing
6. Reviewing that functional assessments are in place to support formulation of the participant’s plan for delivery of all waiver services that include:

1. The Health Risk Screening Tool;
2. The Supports Intensity Scale;
3. Functional Behavioral Evaluation;
4. Others (E.g., Nursing, OT, PT etc.) as needed or required.

1. Monitors the Case Management System provided by IDD Connect Portal regularly to address any issues pertaining to support coordination ratings
2. Provides support and training to correct all support coordination home ratings of coaching and above
3. Contacts Support Coordinator to request version changes to services provided to the participant
4. Conducts in home or office-based Support Companion trainings as needed to ensure that sound person specific supports are in place
5. Facilitates Participant transfers as needed and ensures that they are connected to the appropriate resources of their choice
6. Ensures all requirements, including rate changes and Support Companion training occurs prior to participant’s engaging in alternative care services.
7. Maintains a working knowledge base on Comprehensive Supports Waiver Program (COMP) manual and Department of Behavioral Health and Developmental Disabilities (DBHDD) provider manuals, Department of Community Health (DCH), Policystat and Council on Accreditation standards
8. Ensures that all hospital discharges are reviewed by Inspiritus’ Registered Nurse (RN)
9. Complies with the various federal, state or local laws that apply to and regulate their job responsibilities
10. Ensures all health and safety protocols are developed and meeting manual requirements
11. Assesses the satisfaction of individuals served
12. Ensures that current and all medications changes are properly documented on the participant’s Medication Administration Record and coincides with all relevant in home prescriptions (include risk/side effect training)
13. Ensures that all approved Support Companions are in compliance with requirements identified in Extended Reach
14. Conforms with and abides by all regulations, policies, work procedures and instructions
15. Participates in training, fundraising events and other Inspiritus activities and initiatives such as performance and quality improvement

Fully Utilizes Extended Reach (ER):

1. Keeps all rate information up to date at all times
2. Completes and maintains all case and home tasks (including past due reports/activities) found on ER
3. Monitors and plans for the completion of upcoming tasks
4. Reviews and uploads monthly documentation no later than the last day of the month, completes monthly case manager reports while at the home visit utilizing electronic health record technology
5. Reviews and submits medical reports within 24 hours of the appointment.
6. Ensures that all annual documentation is completed and in the home prior to the start of the ISP
7. Ensures completion and uploading of all home compliance documents
8. Trains and assists Support Companions on using the Family Portal

Oversees Contracted/Subcontracted Providers/Professionals by the Organization:

1. Engages in cross training activities focused around completing and maintaining all      

Home tasks (including past due reports/activities) found on ER.

31. Financial oversight and management of individual funds;

32. Support Companion competency and training; and performance through the  

     monitoring of case and home records

33. Mechanisms that assure care is provided according to the plan of care for each  

      individual served