Case Manager Senior

EXAMPLES OF DUTIES:

• Maintain an ongoing caseload to determine eligibility and accuracy of benefits; process and maintain case records and monthly reporting forms; compute overpayments and respond to client inquiries.
• Interview Medicaid and food stamp applicants, recipient's relatives, guardians, and their representatives to determine and document initial and ongoing eligibility and financial needs in accordance to Federal and State guidelines; provide eligibility re-determination when financial or medical status changes occur; screen for unmet needs such as health care and social services.
• Complete required documentation and benefit-generating actions; follow up with collateral contacts to obtain required information; assess forms for accuracy; document income, resources, and client situation on forms.
• Provide housing referrals, stable housing plans, and medical transportation to clients; make internal referrals for ongoing case management and community services.  
• Provide ongoing support to clients and their families; serve as advocate for clients with managed health care plans; assist client with hearings requests and attend as a witness or unit representative.
• Respond to crisis situations involving clients by making referrals to Mental Health, Crisis Line, Adult Protective Services, Senior Law Clinic, Service Intake, and other services; collaborate with internal staff to provide or arrange medical, financial, and social services for individuals with complex psycho-social or medical problems requiring ongoing assistance.
• In addition to the above duties, the Case Manager 2 will: perform complex case management duties, including assessing, evaluating, and documenting eligibility for full spectrum Federal and State program services and benefits; provide referrals to resources when applicant becomes ineligible for Medicaid programs; conduct a comprehensive needs assessment with consumer, their family, guardian, and collateral contacts to develop an accurate portrayal of client's strengths, needs, choices, and risks; develop service plans with appropriate levels of service and risk mitigation; coordinate care planning, engage in problem resolution, and facilitate referrals with agencies and individuals such as doctors, attorneys, guardians, and community partners; ensure that the service plan fully addresses assessed care needs such as behavioral support services, home health care, emergency response systems, and others; monitor and adjust the client's long-term care services; engage in transition and diversion activities or referrals for consumers in acute or nursing facility settings; coordinate discharge and relocation plans for a safe transition to a community-based care setting; participate on committees, work groups, and in identifying needed policy and systems issues and potential improvements.
• In addition to the above duties, the Case Manager Senior will: perform highly complex case management duties; apply complex rules and perform financial calculations to determine eligibility; provide clients with information to make informed choices; explain complexities of service system and present the full range of service options based on client’s assessed needs; gather needed documentation to support the eligibility process and decisions; determine eligibility for service programs based upon comprehensive assessments.
• Perform other duties as assigned.

LEVEL AND TYPE OF WORK AND/OR SUPERVISION:

Case Manager 1

• Entry level
• Paraprofessional
• Perform the full range of duties, working independently, applying well-developed subject knowledge, and exercising judgment and initiative.
• Receive occasional instruction or assistance as new or unusual situations arise.
• Fully aware of the operating procedures and policies within the work unit.
• Work is reviewed based on compliance, appropriateness, and effectiveness in meeting goals and deadlines.
• Receive general supervision from manager or staff.

Case Manager 2

• Journey level
• Professional
• Perform the full range of duties, working independently, applying well-developed subject knowledge, and exercising judgment and initiative.
• Receive occasional instruction or assistance as new or unusual situations arise.
• Fully aware of the operating procedures and policies within the work unit.
• Work is reviewed based on compliance, appropriateness, and effectiveness in meeting goals and deadlines.
• Receive general supervision from manager or staff.

Case Manager Senior

• Advanced level
• Professional
• Perform the most difficult assignments requiring a higher level of responsibility, applying advanced subject knowledge, and exercising significant independent judgment and initiative.
• Receive work assignments in terms of objectives, priorities, and deadlines.
• Work is reviewed for technical accuracy, compliance to program objectives, and overall results.
• Receive direction from manager or staff.              
• May exercise functional and technical supervision over staff.

MINIMUM QUALIFICATIONS GUIDELINES:

Any combination of experience and training that would likely provide the required knowledge, skills, and abilities is qualifying. Requirements are determined at the time of recruitment based on responsibilities of the individual position and business needs of the department.

Case Manager 1

Training and experience for entry level, paraprofessional classifications are typically equivalent to an associate's degree and up to one (1) year of experience that demonstrates the ability to perform the duties of the position. (Equivalency 2-3 years of qualifying training and/or experience).

Case Manager 2

Training and experience for this journey level, professional classification is typically equivalent to an associate's degree and one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position. (Equivalency 3-6 years of qualifying training and/or experience).

Case Manager Senior

Training and experience for this advanced level, professional classification is typically equivalent to an associate's degree and three (3) to six (6) years of experience that demonstrates the ability to perform the duties of the position. (Equivalency 5-8 years of qualifying training and/or experience).

Depending upon assignment, candidates may be required to pass a criminal background check, have a valid driver license, and/or additional training, licenses, or certificates.