Case Management Agency Program Specialist

Case Management Agency Program Specialist

Requirements

• Bachelor’s Degree or 5 years of experience in the field of Long-Term Services and Supports (LTSS), which includes Developmental Disabilities
• A combination of education and relevant experience appropriate to the requirements of the position
• 1 year experience working with Case Management Agency programs
• 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
• 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

Responsibilities

• Remains informed of and complies with the latest rules, regulations, and legislative issues that may impact the CMA and attends all appropriate local and state meetings, committees, workshops, and conferences
• Completes high-level case reviews on all newly approved case files being assigned to case managers to ensure program compliance
• Completes case reviews including content and system data entry to determine if accurate, timely case processing occurred based on program regulation and requirements
• Ensures due process is respected for people enrolled, including notification of rights, requirements for use of psychotropic medications, restrictive procedures, and safety control procedures, including the Human Rights Committee (HRC)
• Documents case review findings for review by supervisors
• Shadows case management staff completing the Level of Care Screen and other case management duties in accordance with state requirements and documents accordingly
• Provides timely and accurate case review feedback to the appropriate staff
• Acts as a resource or expert in assigned Case Management Agency services area, providing technical assistance, clarification, and support to other employees in the unit on program policies and procedures
• Conducts trainings to optimize employee learning and development using the most effective instructional methods
• Develops and facilitates the training program for new employees
• Develops, provides, and documents on-going training materials for existing staff members based on identified needs
• Maintains and updates all training tools, manuals, and presentations as CMA rules and guidelines are added, changed, or updated
• Documents training outcomes and provides feedback to supervisor identifying areas for improvement and tracking trends resulting in additional training needs
• Assists supervisor(s) with coordinating and tracking attendance at required trainings
• Provides training to other divisions and with community partners as needed
• Demonstrates what quality, person-centered, service delivery looks like including interactions, activities, and expectations
• Troubleshoots with staff and provides direction on resolution for complicated cases
• Works with CMA leadership to develop internal policies and procedures for the CMA
• Attends meetings, trainings, and conferences related to CMA programs and/or members served
• Assists case managers when intake referrals are high or there are uncovered caseloads
• May coordinate and/or convene annual Service Plan Meetings, Continued Stay Review/Level of Care Screening and Assessments, quarterly monitoring visits, program transitions, and interdisciplinary team meetings, as needed to assist case managers
• Assists members as needed with application and appeals, including Social Security and/or Medicaid benefits
• Helps resolve issues related to billing denials
• Assists other Program Specialists as needed
• May carry a caseload of complex, confidential and/or sensitive cases as assigned
• Coordinates all aspects of the intake referral and new case assignment process to ensure an accountable and efficient workflow process
• Communicates with referring parties as needed
• Assigns all approved cases and transfers to on-going case managers based on caseload and complexity to ensure equitable, efficient workflow
• Ensures Member Tracking List is up to date and accurate, including all client information, completes case status change requests from case managers, and monitors provider information is completed by case managers in the CMA Tracking List
• Assists Case Managers with their individual client tracking
• Maintains the provider resource lists utilized by case managers and provided to members
• 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
• Follows policies and procedures, the Weld County Code of Conduct and adheres to strict confidentiality guidelines and appropriate release of information outlined in both

Preferred Qualifications

• Experience working with a diverse population including individuals with disabilities of all ages, older adults, and individuals with behavioral mental health needs
• Experience working with or knowledge of community resources and other community-based services for the aging or individuals with disabilities
• Experience performing needs assessments and/or support planning for individuals
• Experience determining eligibility for program or supportive services
• Experience with training and/or quality assurance