HCBA OCM Case Manager - San Jose

JOB DESCRIPTION Position: HCBA OCM Case Manager Reporting To: HCBA Lead MSW, HCBA Program Manager Work Type: Remote Pay Range: $50,000-$78,000 PER YR Department: HCBA 700 POSITION SUMMARY: The HCBA Open Case Management (OCM) Case Manager is the case manager who oversees the social and emotional needs of the client and their families. The case manager ensures all necessary documentation and eligibility are met so that the client can have the support needed that is discussed in the Plan of Treatment (POT). QUALIFICATIONS: Masters of Social Work preferred BSW or Bachelor’s in a related field required. Experience in a health care setting preferred. Active driver’s license. Excellent verbal and written communication skills. Proficiency in the use of computers. Detail oriented and organized. Proven ability to work in a faced paced environment. Ability to meet assigned deadlines. ESSENTIAL DUTIES AND RESPONSIBILITIES: The following is a representation of the major responsibilities and duties of this position. The Agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions. Case Manager is assigned a caseload of which they are the “case manager” part of the Case Management Team (CMT) for each client. The Case Manager must ensure proper tracking, charting, progress notes and case records for each enrolled client within time guidelines and is completed according to Agency policy and procedure. Document patient intervention and response to intervention accurately, using established guidelines. The Case Manager must ensure proper timekeeping and scheduling as discussed with their supervisor. The Case Manager must work collaboratively with the RN on their Case Management Team. The Case Manager must report all signs of abuse or neglect to DHCS and the Ombudsman (if abuse or neglect occurs in a facility) or DHCS and APS (if abuse or neglect occurs in Physical home). The Case Manager provides the applicant with the necessary documentation including Freedom of Choice, HIPAA regulations, and consent forms prior to beginning any case management work. The Case Manager ensures that their clients have active Medi-cal eligibility each month. Medi-cal eligibility needs to be confirmed in the first few days of each month for each client. The Case Manager must schedule client visits as needed by inputting them into the appropriate calendars. The Case Manager must attempt to complete most visit records by the end of the second week of the month. The Case Manager follows-up or visits depending on the needs of each client. The Case Manager must document a case note on any casework they do for a client within 24 hours of the work being done. Case notes must be clear and concise with objective information. Contact information must be documented in MedCompass and NetSmart. The Case Manager will complete Acuity Assessments (Biopsychosocial) and any other assessment that is needed and complete documentation within required timeframes. The Case Manager works with the participants, their legal representatives, circles of support, and/or primary care physicians and providers to ensure their safety, services, and goals are met. Develop goals associated with the participant’s assessed needs, individual circumstances, and preferences. Mitigate risk and minimize disruption in services. Recognize when services identified in the POT are available through friends, family, and/or publicly funded programs and provide referrals when necessary. Implement the POT, which includes identifying service providers and community resources to help assure the timely, effective, and efficient mobilization and allocation of the services. Identify (and organize training, if necessary), backup caregivers who are willing and able to provide unpaid support if/when waiver service providers do not arrive when scheduled. Provide information, education, counseling, and advocacy to, and on behalf of, participants. Provide support in accessing waiver support services including home modifications, and personal care services. The Case Manager assists patients and families to utilize family and community agencies. Establishing a care coordination schedule based on the needs and acuity of the participant as determined by their initial service needs assessment and subsequent reassessments. Respects the patient's and family's rights and property as defined by the federal and state laws. Always maintains and conserves confidentiality of patient and agency information conforming with HIPAA regulations. Driving may be required to geographical areas that are covered by the company. Regularly attends and participates in scheduled case conferences, staff meetings and Agency in-services. Attends all State mandated in-service training. Familiarity with Title 22. Participates in appropriate continuing education as may be requested and/or required by your immediate supervisor. Participates in professional continuing education and maintains an active license in the State of California (if applicable) Conforms to all agency policies and procedures. Maintains a comfortable work environment for all employees. Provides proof of a master’s degree or bachelor’s degree for Social Worker (MSW, or related field if bachelor’s) and provides Agency of such. Maintains license and provides Agency of such. The Case Manager must clock in and out daily. The Case Manager must ensure that a communication from a supervisor is responded to within 24 Hours. Performs other duties that may be assigned. PHYSICAL REQUIREMENTS: Stand, sit, talk, hear, reach, stoop, kneel and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis (up to 75% of the time). Close vision requirements due to computer work. Light to moderate lifting may be required (Up to 25lbs). Some driving/traveling may be required up to 25% of the time.