Case Management Agency Case Aide

Case Management Agency Case Aide

Requirements

• High School Diploma/GED
• 2 years full-time business or clerical experience in an office environment that includes extensive customer service in a team atmosphere
• Candidate must possess the ability to learn and apply new computer skills on a regular basis
• Candidate must possess knowledge of computer programs such as Microsoft Windows and Word, Excel, and Outlook
• Candidate must possess the ability to read and comprehend instructions, correspondence and department policies and procedures
• Candidate must possess the ability to write correspondence
• Candidate must possess the ability to effectively communicate with diverse populations in a variety of settings
• Candidate must possess the ability to apply math concepts and calculations in the work environment
• Candidate must possess the ability to apply common sense to problem solve in a work environment
• Candidate must possess the ability to adapt to fast paced, high volume and ever-changing work environment and be able to handle high stress situations
• Candidate must demonstrate the ability to show initiative, meet timelines, organize work, manage time, and manage multiple priorities
• Candidate must pass WCDHS background checks prior to employment start date, including a Colorado Adult Protective Services (CAPS) check and will continue to be monitored throughout employment
• Candidate must possess a driver’s license and adequate Liability Insurance by the employment start date and maintain a valid license for the duration of employment
• Candidate must provide own transportation and be willing to travel throughout Weld County

Responsibilities

• Performs a variety of basic clerical duties that include data entry, imaging, mail distribution and copying
• Assembles and distributes informational packets, forms, and medical information requests
• Pickups or delivers documents or forms or other routine duties using own vehicle within Weld County
• Assists with meeting preparation to ensure adequate seating, technology provision and materials available
• Answers incoming calls and efficiently and accurately identifies the caller’s need. Directs caller to the proper department employee in a customer focused manner
• Monitors various meetings and committees to ensure case managers and/or providers are not double booked
• Understands CMA program rules and regulations and provides information to individuals requiring qualification information and/or documentation
• Asks questions to discern all relevant facts and gather as much information as possible to prepare member file
• Creates files for all verified and certified members
• Compiles, tracks, and distributes enrollment paperwork
• Accepts referrals of potential members by phone, in-person, or other forms of communication
• Enters all member information into tracking system for case assignment
• Supports individuals and families with application process to ensure the application is received and reviewed for eligibility determination
• Assists in resolving eligibility issues
• When all member information including financial information has been received, may assign case to appropriate Case Manager according to unit guideline and case volume
• Assists with developing and distributing approval/denial letters to members, families, and guardians
• Assists with transition of members appropriately between case managers and CMA programs
• Send various medical information documents to physicians; track receipt of completed documentation; follow up with physician’s office until received
• Assists the Case Managers with requesting, collecting, and/or distributing documentation needed for a multitude of tasks across the various waiver and/or State General Fund programs
• Tracks data, using internal tracking system and notifies appropriate staff of any updates within required timeframes
• Develops a comprehensive system that tracks eligibility redetermination (RRR) dates and notifies Case Manager of the need for completion of the renewal paperwork by member or legal representative
• Uses computerized tracking system to follow-up with Medicaid technician if financial information has not been received
• Receives referrals for services from Case Managers and distributes to providers in accordance with procedural requirements
• Effectively utilizes State prescribed computer system(s)
• Enters all case activity into computerized State data base
• Documents all member contact, information requests, and follow-up activity in appropriate data base
• Tracks incident reports being reviewed to assist with procedural and timeline compliance
• Compares services and units to those authorized in the Service Plan and notifies Case Manager of any discrepancies
• Distributes bus passes to members whose service plan allocate this service
• Develops and uses reports that may be helpful in continuity of care across programs
• Acts as a liaison between the member, CMA, and both internal and external community partners regarding Medicaid Long Term Care programs
• Conduct and track annual satisfaction surveys for all members and families in Family Support Services Program (FSSP) and State Supported Living Services (SLS)
• Sends allocation letters and monthly verification of use to service providers
• Tracks service activity and verification and refers any nonuse to appropriate Case Manager
• Updates provider lists with current information
• Review monthly progress notes from providers and update system with start dates of new services when applicable
• Participates in a positive and value-added manner with both internal and external professional partners
• Stays informed by participating as appropriate in all team, unit, and division meetings, attends or views recordings for department updates and reads county wide messaging
• Participates as a team member of the department establishing and maintaining a high degree of cooperation with coworkers
• Display a willingness to collaborate and problem solve
• Understands how one’s day to day work significantly impacts the team’s success
• Accepts responsibility for own actions and follows through on commitments

Preferred Qualifications

• Ability to keyboard at 35 words per minute
• Knowledge of community resources and other community-based services for the aging or individuals with disabilities