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Case Manager - Winchester Virginia

Company: Grafton Integrated Health Network
Location: Winchester, Virginia
Posted On: 05/05/2024

CASE MANAGER

GENERAL STATEMENT OF JOB

The Case Manager provides the link between Grafton and external customers including families, placing agencies and the community. At Grafton, all clients have an individual plan (children and adolescents - a Plan of Care and usually an IEP; adults - Person-Centered Plan), which includes the central documents that describe treatment. In general, the Case Manager serves as an advocate for the client and his/her family and ensure coordination of services provided by Grafton during a client's stay, as well as coordination of services needed upon discharge. The Case Manager is responsible for the oversight of the implementation of individual plans for all clients on the case load. The Case Manager works collaboratively with internal and external customers to ensure a smooth admission to Grafton, to establish criteria that will promote transition to the next most appropriate level of care, to develop the individual plan, to ensure authorization from the funding agency for the services and level of care needed, and to ensure that the client makes steady progress toward achieving the goals and the discharge or transition criteria, as stated in the Plan, within the designated time period. Case Manager collaborates with internal and external stakeholders to create and implement a transition plan that will prepare the client for successful discharge or transition to the next appropriate level of care, identifying and securing needed resources. Reports to the Case Manager Supervisor/Case Management Administrator.

SPECIFIC DUTIES AND RESPONSIBILITIES

ESSENTIAL JOB FUNCTIONS

  • Facilitates pre-enrollment tasks to prepare for a client's enrollment.
  • Facilitates the admission intake process.
  • Case Managers develop the Treatment team/Medication Meeting schedule
  • Facilitates multidisciplinary team meetings to monitor client progress and updates the Plan of Care.
  • Meets and adheres to all timelines as required for funding (i.e. Medicaid EPSDT/Waiver, Private Insurance and Single Case Agreements)
  • Coordinates and facilitates the new IEP (students) or PCP (adults) and revisions to those documents.
  • Ensures documentation for each Client's Record is accurate and properly maintained.
  • Managing the Transition and Discharge Process
  • Facilitates discharge from Grafton.
  • Facilitates transfer to another Grafton program or level of service provided by Grafton.
  • Prepares for and attends FAPT/PCP meetings.
  • Manages 9 week / quarterly report process.
  • Responds to stakeholder complaints regarding all aspects of treatment and care for client. ADDITIONAL JOB FUNCTIONS
    • Ability to provide Direct Care and/or supervision of clients is required
    • Ability to participate in limited the On-Call rotation
    • Managing hospitalizations both medical and acute
    • Ability to conduct preplacement interviews MINIMUM TRAINING AND EXPERIENCE
      • Master's degree in social work, psychology or counseling; or,
      • Bachelor's degree in social work or psychology with at least one year of documented field experience; or,
      • Bachelor's degree with at least three years experience working with children in a residential facility. ADDITIONAL REQUIREMENTS
        • Knowledge of CSA/Medicaid/Private funding processes.
        • Knowledge of services accessible to special needs/mental health population
        • Previous case management or like experience SPECIAL REQUIREMENTS
          • Requires a valid driver's license.
          • Flexible hours COMPENSATION
            • Based upon experience and credentials EMPLOYEE BENEFITS
              • Medical, dental and vision
              • Flexible Spending & Health Savings Accounts
              • 401(k), including an employer match
              • Generous Paid Time Off plan
              • Education Assistance
              • Life Insurance
              • Employee Assistance Program (EAP)
              • Short-term disability (STD)
              • Long-term disability (LTD)
              • As Grafton is a 501(c)(3) non-profit, you may be eligible for federal student loan forgiveness

                Grafton is an equal employment opportunity employer and tobacco-free workplace.

                #PROFGrafton More...

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