Indiana Medicaid Waiver Case Manager

Job Summary

Inspire Case Management has the privilege of currently serving all 92 counties across central Indiana. Inspire Case Management is always looking for qualified individuals who have a passion for working with individuals with Intellectual Disabilities. We are hiring in Hendricks and Northwest Marion Counties.

Please visit our website at https://www.inspirecm.com/ for more information regarding what we do and to complete our application process.

Responsibilities and Duties

Case Managers assist participants in gaining access to needed waiver and other Medicaid State Plan services, as well as needed medical, social, educational and other services, regardless of the funding source for the services to which access is gained.

Additional Responsibilities and Duties:

• Developing, updating, and reviewing the PCISP using the person-centered planning process.
• Convening team meetings at least every 90 calendar days and as needed to discuss the PCISP and any other issues needing consideration in relation to the participant.
• Completion of a DDRS-approved risk assessment tool during service plan development, initially, annually, and when there is a change in the participant’s status.
• Monitoring of service delivery and utilization (via telephone calls, home visits, and team meetings) to ensure that services are being delivered in accordance with the PCISP.
• Completing and processing the annual level of care determination.
• Compiling case notes for each encounter with the participant.
• Conducting face-to-face contacts with the individual (and family members, as appropriate) at least once every 90 calendar days in the home of the waiver participant and as needed to ensure health and welfare and to address any reported problems or concerns.
• Completing and processing the 90-Day Checklist
• Developing initial, annual, and update Service Authorizations using the State-approved process.
• Disseminating information including all Notices of Action and forms to the participant and the Individual Support Team (IST) within five business days of the IST meeting.
• Completing, submitting, and following up on incident reports in a timely fashion using the State approved process, including notifying the family/guardian of the incident outcome, all of which must be verifiable by documented supervisory oversight and monitoring of the Case Management agency.
• Monitoring participants’ health and welfare.
• Monitoring participants’ satisfaction and service outcomes.
• Monitoring claims reimbursed through the approved Medicaid Management Information System (MMIS) and pertaining to waiver-funded services.
• Maintaining files in accordance with State standards.
• Cultivating and strengthening informal and natural supports for each participant.
• Identifying resources and negotiating the best solutions to meet identified needs.

Please visit our website at https://www.inspirecm.com/ for more information regarding what we do and to complete our application process.

Qualifications and Skills

Inspire Case Management requires at least 1 year of field experience working with individuals with Intellectual Disabilities and at least a bachelor’s degree from an accredited college or university in a related field. Inspire Case Managers must reside in Indiana and be able to travel locally. Please visit our website at https://www.inspirecm.com/ for more information regarding what we do and to complete our application process.

Benefits

Although Inspires headquarters is based out of the Indy area, we have the privilege of serving all 92 counties across central Indiana (with the hopes of expanding that as the need arises). Case Managers are hired geographically based off the need in particular areas. Case Managers work out of their home offices and travel locally. Flexible hours. Please visit our website at https://www.inspirecm.com/ for more information regarding what we do and to complete our online application process.

Job Types: Full-time, Part-time

Pay: $25,000.00 - $54,000.00 per year

Benefits:

• Flexible schedule
• Health savings account
• Life insurance

Work Location: On the road