SEP Case Manager

Remote Flexible - US, Full-time

Do you want to help others in our community lead healthy and fulfilling lives? We are seeking a compassionate individual with exceptional organizational and communication skills to join our team of case managers. Full-time position with excellent benefits, FLEXIBLE schedule and work from home options. Starting rate of $20.81 per hour. EOE 

 
Title:  SEP Case Manager Durango 
 
Reports To: SEP Program Director 
 
FLSA:  Hourly/Non-exempt Full-time 
 
Job Description: SEP Case Managers may carry a caseload of up to 100 adults.   Job duties include providing and coordinating the delivery of case management services, including performing intakes, screenings and referrals; determining eligibility for Medicaid Waiver and program services; facilitation of Service Plans; ongoing evaluation and assessment; monitoring to ensure services are provided in accordance with the Service Plan, in a cost effective manner and in a manner that supports the health, safety and well-being of individuals in services; overseeing the rights of individuals with disabilities and acting as the local agent for the public interest.  Standardized and specific training in disability and aging services, Colorado Medicaid and Case Management duties are required.  Computer proficiency must be demonstrated to comply with State of Colorado requirements for documentation by Case Managers. 
 
Responsibilities: 
Serve the public interest in ensuring that all case management services are provided in accordance with Colorado Department of Health Care Policy and Financing (HCPF) and Colorado Department of Human Services (CDHS) Rules and Regulations.
Demonstrate knowledge of local resources and refer individuals and families to third-party and community resources as appropriate.
Coordinate services with other human services providers and/or judicial system representatives.
Facilitate and document care planning process, including preauthorization of services.
Monitor services established in the Service Plan to ensure that services meet the intent, scope, frequency and duration documented.
Assess risk factors, assist with preparing risk mitigation plans and oversee resources for community living.
Review case concerns and report cases for investigations.
Assure the timely submission of required documentation.
Cooperate fully with monitoring by HCPF and the Federal Centers for Medicare and Medicaid Services (CMS) and other governmental or private entities assigned to confirm program quality.
Oversee files for all individuals in services and enter, update and maintain client information in state and local systems.
Comply with all local agency Policies and Procedures.
Utilize professional judgment to assess individuals’ functional eligibility for Medicaid Waiver services (ULTC 100.2) and support needs for Waiver services (SIS). 
Provide due process and appeal rights to individuals, guardians and authorized representatives as appropriate.
Provide own transportation as needed to visit client homes and off-site program locations.
Provide accurate information on job tasks for billing purposes.
Assist with administrative support functions as needed.
Interact in a professional and compassionate manner with all persons in services, families, providers and community members.
Demonstrate comprehensive understanding of disability and aging rights and advocacy.
Demonstrate good written and verbal communication skills.
Work to create a positive, team-focused working environment with co-workers.
Fulfill other duties as assigned by supervisor.
Any and all reasonable duties as assigned.

Core Competencies:

·        Compassion

·        Dealing with Paradox

·        Listening

·        Motivating Others

·        Organizational Agility

·        Patience

·        Time Management

·        Understanding Others

Knowledge and Abilities:
 
Customer services principles and practices 
Ability to prioritize and use technology to increase efficiency
Ability to access situation quickly and take appropriate and ethical action
Health Insurance Portability and Accountability Act 
Ability to commute for business, when needed. If driving, must possess a drivers’ license in the state they reside and current auto insurance
Satisfactory completion of all background checks and references, including Motor Vehicle Record is required*** 

Qualifications: Must hold a bachelor’s degree in a human behavioral science (such as human services, nursing, social work, psychology, etc.) or related field of study.  Must comply with all State of Colorado standards for SEP Case Management.

Physical Demands of the Job: These essential tasks may be performed with or without accommodations or assistive technology. Employees in this position may spend significant hours on the computer writing and entering information into a variety of information systems. Employees in this position use laptop computers and may also have documents and files that they will need to transport within and outside the office. The employee must be able to read text on the computer and paper documents. Communicating with others via email, letters and telephone is required. This position frequently requires employee to attend meetings, training, and other community activities within Southwest Colorado. This position requires the employee to perform visits in client homes and make visual inspections of environmental conditions. 
  
Compensation: $20.81 per hour