ADS Medicaid Case Manager - Bellevue
Job Details
Bellevue - Bellevue, WA
Full Time
$45,845.00 - $49,840.00 Salary/year
Nonprofit - Social Services
Description

Lifelong is a non-profit community health organization that provides practical support services and advocating for those whose lives are affected by chronic health conditions. The Aging and Disability (ADS) program is program that provides support and Medicaid Case Management to enable clients to reside in the residence of their choice and maximize their independence and quality of life.

 

DEFINITION:

ADS Case Management provides an array of client-centered services and supports for vulnerable adults which promotes the efficient use of resources, emphasizes the least restrictive interventions and builds on the individual's and their family's strengths. This program is based in Bellevue and serves clients in east King County. This is a full-time, non-exempt, union, regular position.

 

CORE RESPONSIBILITIES:

 

Client Service

Perform assessments with clients in their residence to determine service needs and program eligibility annually. Develop a plan of care with each client, authorize services according to that plan, and authorize the client’s choice of qualified provider. Monitor the plan through periodic telephone contacts and home visits, to ensure the plan is being appropriately implemented and the services provided are meeting the client’s needs. Educate clients, family members, support systems and other service providers that a comprehensive plan of care has been implemented. Provide client-centered services, evaluating informal and community supports, with an overarching goal of preventing unnecessary institutionalization. Ensure the highest quality service delivery in a culturally appropriate manner by maintaining quality and customer service standards and expectations. Work with vendors and clients to respond to complaints, enquiries, and questions. Maintain secure and confidential client information

 

Service Termination Planning

Inform clients that services are based on their current needs and can change if their needs change. Make necessary referrals (if needed) to transition the client to other services, provide adequate notice via a Planned Action Notice (PAN) and close services in the necessary timeframe.

 

Communication

Maintain effective, timely, and thorough communication in all direction to ensure co-workers, partners, community stakeholders, clients, funders, and management are well-informed and knowledgeable of the status of the client issues and any program and related issues or projects. Keep clients and case managers apprised of adjustments and changes in the program.

 

Research and Analysis

Engage critical thinking skills to conduct thorough and comprehensive analysis and research. Analyze data and information to ensure correct, thorough, and appropriate action is taken to respond to client application and/or vendor accounts. Conduct thorough research and complete investigations in matters related to fiscal and financial anomalies in the program.

 

Client advocacy

Serve as client advocate. As necessary and appropriate, provide guidance for client self-advocacy, make referrals to advocacy or case management services, or advocate for clients.

 

 

 

 

 

 

ORGANIZATIONAL CORE RESPONSIBILITIES:

  1. Attend and participate in team and all-staff meetings.
  2. Participate in Lifelong Team Building trainings and events.
  3. Remain active in the recruitment and appreciation of volunteers.
  4. Participate in Lifelong’s Employee Performance Management Process. .
  5. Demonstrate ability to work effectively and productively with others (including supervisors, colleagues, volunteers and clients).
  6. Regular and reliable attendance, with regular and reliable hours as defined by your supervisor.
  7. Knowledgeable about the progression and treatment of HIV/AIDS.
  8. Demonstrate ability to work with people of diverse socio-economic backgrounds, ethnicities, beliefs, sexual orientation and lifestyle.
  9. Maintain confidentiality of financial, donor and client records.
Qualifications
  • Bachelor’s degree in a Social Work, or related field of study. Master’s degree preferred.
  • Two or more years of relevant experience.
  • Two years of experience must be direct social service or advocacy work, including assessing client needs and/or determining client benefit eligibility.
  • Experience working with government entitlement programs, e.g. Medicaid, Medicare, and Title XIX.
  • Able to organize, prioritize multiple projects and meet deadlines in a time-sensitive environment.
  • Detail oriented with a high level of accuracy.
  • Possess an understanding of professional boundaries.
  • Demonstrated skills and strong working knowledge of Microsoft Office suite of applications, including Excel, Access and Word.
  • Ability to communicate clearly and professionally in both verbal and written form.
  • Proven ability to work independently and in a collaborative team environment.
  • Demonstrated ability to work effectively under stressful conditions.

 

This position requires Case Managers to conduct home visits and fieldwork. All qualified candidates must possess a valid drivers’ license and have access to a vehicle each work day. Mileage will be paid at the current Internal Revenue Service rate when staff is assigned to conduct business in their own vehicle.

 

 

Candidates for employment at Lifelong should be aware that this is a unique work environment in which topics of sexuality and sexual orientation are an integral part of our everyday prevention and care work and are often discussed openly. Individuals who are uncomfortable with such topics, discussions and the occasional related graphic representations may choose not to work at Lifelong.

 

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