EPD Waiver Case Manager (Contractor)

Job Description

Job Description

ABOUT THE COMPANY

Prestige Healthcare Resources, Inc. is a health care company. Prestige currently provides services to over 1,500 patients in two different states and plans to scale to provide care to over 10,000 patients in five different states over the next 3-5 years. One of PHRI’s major focus areas advocates and implements an “integrated care” model approach to underserved populations undergoing behavioral health related issues. Other focus areas include, “transforming our community mind-set to self-reliance” and “refocusing health care delivery model to outcome based through a value-based approach.” This is an excellent opportunity to join a transformational company with a big heart of restoring hope back to the underserved community and a strong opportunity for growth.

POSITION SUMMARY

Under the direct supervision of the Director of Case Management, the Elderly and Physically Disabled (EPD) Waiver Program Case Manager ensures that Medicaid beneficiaries in need of long-term care services and supports (LTCSS) have opportunities to engage in community, life, control personal resources, while receiving services in the community to the same degree as people who do not receive Medicaid funded services. Independent judgment is required to plan, prioritize, and organize diversified workload, recommends changes in office practices or procedures.

ESSENTIAL FUNCTIONS

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The Case Manager is responsible for conducting a comprehensive intake assessment of the person referred for services.
• The Case Manager is responsible for assessment, planning, linkage, monitoring, and advocacy relative to the unique needs of the person. This maintaining and coordinating all public benefits and services.
• The Case Manager supports the person in developing a written comprehensive person-centered individual service plan that reflects the person’s strengths, interests, preferences, community, and family supports. Personal goals, financial resources and assessed needs.
• Based on this plan, the Case Manager develops a Person-Centered Service Plan (PCSP) and assists the person in accessing the services identified in the PCSP in the most integrated community setting appropriate to his/her needs and desires.
• The Case Manager provides ongoing monitoring of the person’s use of the services and supports detailed in the PSCP.
• The Case Manager advocates on the person’s behalf with the service network.
• The Case Manager ensures that the person stays connected to all public benefits which he/she is eligible.
• Provide Case Management services to no more than 45 individuals, based on the acuity of the persons receiving services and the level of support needed.
• Required to be available 24 hours to respond to inquiries and crisis situations.
• Organizes and prioritizes large volumes of information and calls.
• Perform all duties described, and others as required, using the mission of the organization.

REQUIRED EDUCATION AND EXPERIENCE

• Bachelors’ Degree is required, Masters’ Degree preferred.
• Must be able to apply professional level of knowledge of federal and state assistance programs for
• MH/MR/DD populations. Must be knowledgeable in case management principles, procedures, and
• practices.
• Must complete Core Training and other required trainings by DC Department of Health Care Finance.
• demonstrate ongoing commitment to developing and enhancing professional skills through
• participation in agency staff meeting and outside training opportunities.
• Knowledge of the District of Columbia’s Home and Community Based Medicaid Waiver for Elderly and Persons with Physical Disabilities preferred.
• Have effective written, oral communication and time management skills.
• Proficient with Microsoft Office and Excel; ability to learn new technology.

Additional Eligibility Qualifications

• Must self-attest to meeting the District of Columbia’s conflict-free standards using the Department of
• Health Care Finance Conflict-Free Case Management Self-Attestation Form.
• Must have a Masters’ Degree and one year of experience with the population and a current District of
• Columbia license in the following professions- Social Work, Psychology, Counseling, Rehabilitation,
• Nursing, Gerontology, or Sociology. Or must have a Bachelors’ degree and a current District of
• Columbia license in Nursing and two (2) years of experience with the population.
• Must be a licensed driver and have own transportation with valid insurance.
• Must be free of active TB as confirmed by an annual PPD skin test and/or Chest X-ray.

POSITION TYPE AND EXPECTED HOURS OF WORK

• Must be able to work a flex schedule, be on-call; weekends, evenings and respond to crisis situations.

AAP/EEO STATEMENT

It’s the policy of Prestige Healthcare Resources, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic formation, marital status, status about public assistance, veteran status, or any characteristic protected by federal, state, or local law. In addition, Prestige Healthcare Resources, Inc. will provide reasonable accommodations for qualified individuals with disabilities.