Title XIX Medicaid Case Manager

DIVISION: Community Living Connections

LOCATION: Pullman - Community Living Connections

REPORTS TO: Supervisor, Administration Supervisor, Quality Assurance & Training

SUPERVISES: None

OPEN UNTIL FILLED

STATUS: Non-Exempt

HOURS: M-F 36 Hours Per Week

SALARY RANGE: 21.65-36.06 Per Hour

Summary

Case Managers are responsible for the development, implementation, and monitoring of Long-Term Care Services to Medicaid recipients, 18 and older. The primary goal of case management is to assist the care receiver develop a plan of care to enable them to reside in the setting of their choice, while meeting quality assurance measures in accordance with Medicaid and Health Care Authority regulations and policies. Case Managers administer the department’s Comprehensive Assessment, Reporting & Evaluation (CARE) assessment that determines functional eligibility, resulting in authorization of services that the care recipient may require.

Duties & Responsibilities

Include the following. Other duties periodically assigned by the Supervisor, Community
Living Connections (CLC) Division Director, and/or Assistant Director.

Case Management:

  • Conduct in-person/remote comprehensive assessments at least annually to determine in-home functional eligibility for Long Term Care Services for clients.
  • Provide case management services to include; service plan development, care plan implementation, and appropriate service plan termination.
  • Authorize services according to that plan and monitor that plan is being appropriately applied and meeting the client’s needs.
  • Manage/liaison client-related requests for additional resources or supports.
  • Maintain working knowledge of the department regulations and procedures involving all programs Rural Resources administers.
  • Provide client advocacy as well as consultation, program networking, familial support, and crisis intervention.

Administrative:

  • Remain current on state and federal policy, laws and regulations governing program and services.
  • Maintain systems and record keeping for the proper evaluation, control, and documentation of assigned operations.
  • Prepare reports and correspondence as required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Denotes Essential Functions

Education, Skills, and Abilities

A Bachelor’s degree in social services, human services, behavioral sciences, criminal
law/justice or an allied field and two to three years related experience.

REQUIRED CERTIFICATION AND LICENSES:
Valid driver’s license in state of residence.
Auto insurance in the amount required by the State of Washington.
Access to reliable transportation.
Acceptable completion of a criminal history background check.
Obtain tuberculosis (TB) vaccination within two weeks of employment.

BENEFITS

Rural Resources Community Action offers a competitive benefits package. Click here to read more.

Equal Opportunity Employer

Rural Resources Community Action provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.