IDD Care Manager
Company: Vaya Health
Location: Burlington
Posted on: January 27, 2023
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Job Description:
LOCATION: Alamance County SALARY: Depending on qualifications &
experience of candidate. This position is non-exempt and is
eligible for overtime compensation. GENERAL STATEMENT OF JOB:This
position is eligible for remote work, but the employee must live in
or near the counties they serve. This Intellectual and
Developmental Disabilities (I/DD) Care Manager is responsible for
providing comprehensive care coordination and monitoring (treatment
planning case management) to individuals having a primary
Intellectual Developmental Disability, which may include a
secondary Mental Health or Substance Abuse need. This position
requires a dynamic, proactive approach to assessment, monitoring
and coordination of care, to ensure quality supports and consistent
adherence to waiver requirements. This is a mobile position with
work done in a variety of locations. The I/DD Care Manager spends a
considerable amount of time in the field and completes required
documentation/paperwork. Note: This position requires access to and
use of confidential healthcare information or protected health
information (PHI) as described in laws addressing patient
confidentiality, including, but not limited to, the federal HIPAA
law, the Confidentiality of Alcohol and Substance Abuse Patient
Records law, 42 CFR Part 2, and various state laws. As such, the
individual filling this position shall be required to be trained
regarding such laws and shall be required to observe those laws in
his/her capacity as an employee of Vaya Health. The individual
filling this position shall also sign a confidentiality statement
as an employee of Vaya Health. ESSENTIAL JOB FUNCTIONS:Assessment
and Planning:* Utilizes person centered planning methods/strategies
to gather information and to get to know the individuals
supported.* Provides education and support to individuals in
learning about and exercising rights.* Consistently completes
Discovery activities (information gathering and assessment) in
advance of planning meetings.* Ensures that individuals/legally
responsible persons are informed of services available, service
options available, (e.g. Individual/Family Direction for
Innovations participants), processes (e.g. requirements for
specific service), etc.* Provide information to individuals/legally
responsible persons regarding their choice in choosing service
providers, ensuring objectivity in the process.* Assists the
individual supported to direct the planning process/plan
development, to the extent desired by the individual.* Facilitates
and coordinates timely development of the Individual Support Plan,
crisis plan and Behavior Support Plan (as applicable).*
Participates as needed and necessary in crisis intervention and
planning. May include nights and weekend phone calls as well as
collaboration with Mobile Crisis teams as needed.* Actively
collaborates with individuals supported and members of the
treatment team to ensure development of an Individual Service Plan
that is comprehensive and reflects the individual's needs and
desired life goals.* Promotes use of natural/community resources
through the assessment/planning process.* Ensures that
assessments/plans are updated, as needed, whenever the individual's
life circumstances change. Support Monitoring/Coordination:*
Monitors to ensure quality care, health/safety of the individual,
as well as the continued appropriateness of services.* Ensures that
services are monitored (including direct observation of service
delivery) in all settings.* Makes announced/unannounced monitoring
visits, including nights/weekends as applicable.* Monitors services
for compliance with state standards, waiver requirements, and
Medicaid regulations, as applicable.* Promotes problem-solving and
goal-oriented partnership with individuals/legally responsible
persons, providers, etc. recognizes and reports critical
incidents.* Promotes satisfaction through ongoing communication and
timely follow-up on any concerns/issues. Documentation and Fiscal
Accountability:* Educates individuals/families on methodology for
budget development, total dollar value of the budget and mechanisms
available to modify the individual budget.* Verifies that services
are delivered as outlined in the Individual Support Plan and
addresses any deviations in service. Ensures that service
orders/doctor's orders are obtained, as applicable.* Work with
Eligibility and Enrollment Department to ensure verification of an
individual's continuing eligibility for Medicaid* Proactively
responds to an individual's planned movement outside the Vaya
geographic area to ensure changes in their Medicaid County of
eligibility are addressed prior to any loss of service.*
Coordinates Medicaid deductibles, as applicable, with the
individual/legally responsible person and provider(s).* Proactively
monitors own documentation to ensure that issues/errors are
resolved as quickly as possible.* Ensures accurate/timely
submission of Service Authorization Requests (SARS) for all Vaya
funded services/supports.* Ensures all clinical documentation (e.g.
goals, plans, progress notes, etc.) meet state, agency and Medicaid
requirements.* Maintains administrative record compliance/quality,
as demonstrated by > 95% compliance on Qualitative Record
Reviews/Chart Audits. Other duties as assigned.
QUALIFICATIONS & EDUCATION REQUIREMENTS:A Bachelor's degree in
Special Education, Psychology, Social Work or closely related Human
Services area and 2 years of post-degree professional experience.
Must qualify as a QP for Developmental Disabilities.
PHYSICAL REQUIREMENTS:
KNOWLEDGE, SKILL & ABILITIES:A demonstrated knowledge of the
assessment and treatment of developmental disabilities, with or
without co-occurring mental illness, is a necessity. Employee will
participate in and maintain Care Coordination and Vaya trainings as
required.This position requires exceptional interpersonal skills,
highly effective communication ability, and the propensity to make
prompt independent decisions based upon relevant facts and
established processes. Problem solving, negotiation and conflict
resolution skills are essential to balance the needs of both
internal and external customers.The employee must be detail
oriented, able to independently organize multiple tasks and
priorities, and to effectively manage and assigned caseload under
pressure of deadlines.Proficiency in Microsoft Office products
(such as Word, Excel, Outlook, etc.) and Vaya information system is
required. RESIDENCY REQUIREMENT:In accordance with the BH and I/DD
Tailored Plan requirements mandated by the NC Department of Health
and Human Services, certain Vaya Health positions are required to
be filled by individuals who reside in North Carolina, meaning
someone who establishes a legal domicile in North Carolina and pays
income tax in North Carolina, or resides within 40 miles of the
North Carolina border. New hires from outside of North Carolina
will have 60 days from the date of hire to meet this requirement,
if applicable to the position.This position is required to reside
in North Carolina or within 40 miles of the North Carolina
border.
DEADLINE FOR APPLICATION: Open Until Filled APPLY: Vaya Health
accepts online applications in our Career Center, please visit
http://www.vayahealth.com/careers-overview/ Ind.001
Vaya Health is an equal opportunity employer.
Keywords: Vaya Health, Burlington , IDD Care Manager, Executive , Burlington, North Carolina
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