Position Summary:
The case manager provides full case management services on designated cases with clients and family/caregiver(s). All duties are carried out in accordance with the established regulations, protocols, and agency policies and procedures.
Responsibilities:
-
Provide full case management services on designated cases with client and family/caregiver(s).
-
Maintain regular contact with family/caregivers concerning the participant and the care they receive at home and at the center.
-
Conduct home visits as necessary.
-
Conduct a comprehensive psychosocial assessment (face to face) of new clients and annual reassessments of existing clients.
-
Upon receipt of a case, review the entire file and immediately focus on outlining what must be completed.
-
Ensure referrals are submitted on a timely basis and ensure appropriate follow up with successful completion.
-
Assist caregiver(s) in acquiring the services needed for participants (i.e. Respite services, counseling, and support groups). Assist caregiver(s) in acquiring the services needed for themselves.
-
Create individual Care Plans and update as required during regular multidisciplinary staffing
-
Prepare participant discharge plans.
-
Serve as an advocate and continuous point of contact for the client, family/caregiver(s) and other appropriate parties.
-
Coordinate and facilitate family/caregiver(s) support sessions.
-
Consult with other professionals involved in the treatment of the client in designated caseload.
-
Serve as a liaison between the center staff, participants, families and caregiver(s).
-
Maintain necessary records and reports; submit documentation in accordance with agency and contract requirements.
-
Maintain integrity of data system with current information at all times.
-
Supervise Data maintenance in CIRTS and ensure all documentation is completed timely.
-
Document changes in participant status in progress notes at a minimum every three months or more often as needed.
-
Maintain accurate updated information in participant’s files and database including but not limited to the face sheet.
-
Prepare monthly reports to monitor participant/caregiver outcomes and CIRTS and address any exceptions.
-
Send monthly satisfaction survey to all new participants.
-
Manage referrals from other agencies.
-
Build and maintain effective relationships with internal and external partners (i.e. Alliance for Aging, AHCA, Alzheimer’s Association, etc.).
-
Participate in monthly Utilization Review Committee.
-
Attend in-service training, supervision and meetings as required.
-
Aid in outreach and recruitment for Adult Day Services Program.
-
Conduct/attend presentations, festivals & community events, as needed, to help promote Program.
-
Prepare monthly reports on all outreach activities conducted and referrals received.
-
Work a flexible schedule to meet specific program needs; be accessible via appropriate communication means, and respond promptly.
-
Ensure the safety of all staff, volunteers, visitors and individuals receiving services at Easter Seals:
-
Act in compliance with Medical and Non-Medical Emergency Procedures.
-
Accompany client to hospital with paramedics until family/caregiver(s) arrive at the hospital.
-
Specifically assist individuals in evacuating building during emergency situations to include but not limited to: fire drills and external disaster drills. Specific duties to be assigned by immediate supervisor.
-
Assume assigned responsibility for non-clinical duties during disaster and/or drills including but not limited to: safety of files/office areas, closure of doors.
-
Participate in continuous agency wide quality and performance improvement and comply with all Quality Improvement requirements.
-
Other related duties as necessary to ensure the smooth running and efficiency of Easter Seals South Florida as a whole.
Educational & Experiential Requirements:
- Bachelor’s Degree in social work, psychology, sociology, nursing, gerontology, or related field required.
-
Certification in the DOEA 701B Assessment tool required.
-
A minimum of one year of experience working with adult disability population.
-
Must be bilingual (English/Spanish).
-
Have a valid driver’s license.
-
Excellent communication skills written and verbal; as well as interpersonal and organization skills.
- Knowledge and skills of integrating patient care, case management services and learning experiences in an Adult Day Services/ Rehabilitation facility.
-
Commitment and ability to work closely with diverse populations.
Physical Demands:
-
Regular to frequent requirement, and as needed, to lift objects (up to 50 lbs.), including bending, stooping, stretching, walking, squatting, pushing, pulling, and kneeling for an extensive amount of time.
-
The work is in an adult day care setting. In order to conduct activities and interact with elders with Alzheimer in a meaningful way, some physical exertion such as the following physical demands are required:
-
Noise level can be moderate to loud.
-
Detecting unsafe situations by sight or sound.
-
Moving quickly to intervene in unsafe situations.
Other:
-
Successful completion of background process which includes: Local background check, Level 2 clearance (FBI, FDLE), clear TB test, medical clearance, drug test and reference checks.
-
Adhere to the use of Universal Health & Safety Precautions as applicable