Case Manager, Personal Choices

Job Overview
Since 1968, the Top of Alabama Regional Council of Governments (TARCOG) has united municipal, county, and state governments and federal agencies to work as a single team focused solely on improving the region that now includes more than 713,000 residents.

We identify and address common regional issues, opportunities, and challenges of northeast Alabama’s municipalities and counties, including DeKalb, Jackson, Limestone, Madison, and Marshall.

TARCOG is seeking dynamic Case Managers, Personal Choices to join our team. We are looking for individuals who share our core values of service, initiative, accountability, and transparent communication.

Responsible for implementation of the Medicaid Waiver Home and Community-based Services Program within the TARCOG area following specific requirements as set out in Medicaid Waiver guidelines. Examples of duties include assessments of new clients, yearly redeterminations of current clients, home visits to monitor services provided by contractors and determine additional needs of client, verification of monthly billing submitted by contractors, and completion of daily service logs.

SUPERVISORY CONTROLS: Receives general instructions from the Medicaid Waiver Program Manager. Supervisor sets limitations, quality and quantity expected, deadlines and priorities; employee uses initiative in carrying out assignments; and work is checked for technical accuracy.

RESPONSIBILITIES AND DUTIES:

• Establishes referral sources by disseminating information to organizations, agencies, and individuals. Receives and responds to verbal and written referrals of eligible Medicaid recipients in order to obtain information on potential Medicaid clients and to provide information to referral sources.
• Conducts Assessment Tools in five counties as assigned by the Medicare Waiver Supervisor to enroll participants in the Personal Choices Program. Submits completed forms to the appropriate state agency and follows up on status of same in order to fill the number of slots allowed by the Alabama Medicaid Agency in a timely manner.
• Advises and directs participants on financial matters in accordance with policies and procedures set by ADSS. Ongoing contact with participants to make sure they stay within their monthly Personal Choices budget.
• Authorizes contractors to initiate services after receiving notification of approval from Alabama Medicaid Agency, completing assessment forms and forwarding appropriate copies of assessments, care plans, and service authorization forms to the respective contractors. Visits contractors’ offices and exchanges information with appropriate personnel to ensure that the contractors are operating as outlined in guidelines.
• Develops, monitors, and revises client’s Care Plans in coordination with client/caregiver to fit the needs of the client. Conducts monthly visits to clients’ homes and evaluates the services being provided by the Medicaid Waiver Program to ensure the services are appropriate, adequate and of acceptable quality. Prepares case notes of visits and evaluations for documentation to be placed in case files.
• Checks monthly billings submitted by contractors for services rendered to clients in order to determine that the billing is accurate and the claims are in conformity with the clients’ Care Plans. Monitors the cost effectiveness of Waiver services for each client.
• Submits documents and reporting to ADSS as required.
• Submits required paperwork to the financial management service in a timely manner.
• Conducts yearly redetermination assessments on clients as outlined in Medicaid Waiver guidelines and completes HCBS forms in order to meet requirements prescribed by the Alabama Medicaid Agency.
• Places all documents as prescribed by TARCOG and the Alabama Medicaid Agency in appropriate folders in order to maintain a permanent case record for each approved client.
• Composes and maintains the following reports as necessary: HCBS Program Case Management Activity Record, Case Managers Daily Time Logs, and Respite Hour Logs.
• Exchanges information with Medicaid Waiver clerical staff through written and verbal communication in order to assign work and follow up on tasks.
• Conducts Quality Performance Review of Peer files on a monthly basis.
• Performs administrative functions as directed by the Medicaid Waiver Program Manager.

The assignment of duties is not limited by the content of the job description.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Knowledge of social work programs and processes.
• Knowledge of community resources and support network available to clientele served.
• Ability to communicate orally and in writing to exchange information with co-workers, clients, service agencies, state agency personnel, etc.
• Ability to relate to the elderly and their unique problems.
• Knowledge and ability to write and print legibly.
• Knowledge and ability to operate office equipment including telephone, copy machine, fax machine, computer, and calculator.
• Knowledge and ability to do basic arithmetic. Ability to create and manage budgets.
• Ability to read and interpret guidelines and regulations and apply them to the job.
• Completion of initial case manager’s training within three (3) months of employment. Completion of service coordination core training within one (1) month after initial training is received.
• Bachelor’s Degree from an accredited four-year college or university in Social Work; must hold a valid license issued by the Alabama State Board of Social Work Examiners; or a Bachelor’s Degree in Behavioral Sciences, Psychology, or Geriatric Studies with a minimum of three (3) years of work experience in home health or Aging programs; or a Bachelor’s Degree with a minimum of four (4) years of work experience in home health or Aging programs.
• Must possess, or obtain within three (3) months of employment, an Alabama Notary Public commission.
• A valid driver’s license and a good driving record.

TARCOG is an Equal Opportunity Employer.

Pay: $20.71 - $22.78 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Work Location: In person