LTSS Ongoing Case Manager

A&I Avenues is looking for a Case Manager to join our growing team. Case Managers provide Case Management to an assigned case load. They conduct eligibility determinations, develop and implement Service Plans, and provide information and resources to clients. Case Managers monitor quality of service delivery, and coordinate care planning with clients, families, guardians and providers Bilingual Case Managers maintain regulatory compliance; including ensuring documentation is completed to maintain ongoing funding for services for clients on case load.

Essential Duties/Responsibilities

• Responsible for the development and implementation of the service plan.
• Completes face-to-face assessments to determine eligibility of client for long term care upon enrollment and annually.
• Leads annual review and development of the service plan for clients.
• Ensures service plan documentation is completed and distributed.
• Facilitates communication throughout the year regarding service plan and related services and supports.
• Monitors services each quarter (at minimum one face-to-face) to ensure quality and alignment with service plan goals.
• Coordinates delivery of services and supports.
• Educates clients, families, and guardians on appropriate service options and assists in acquiring needed services/supports.
• Coordinates the delivery of services and supports.
• Assists clients and families in resolving complaints with service providers and benefit sources. This may include a formal appeals process.
• Completes enrollments and terminations as needed; includes ensuring that proper notice of eligibility and discharge is provided.
• Connects clients with resources for crisis intervention as needed.
• For eligible waivers, ensures informed consent is acquired for Human Rights Committee related circumstances in accordance with the HRC process and recommendations.
• Ensures all required documentation for ongoing funding and benefits is in accordance with applicable Federal and State regulations and A&I Avenues policies and procedures.
• Completion of timely, accurate, professional documentation within established timelines.
• Completes any necessary follow-up to critical incidents and investigative reports.