Community Case Manager

Description

Nature of Work: The Community Case Manager (CCM) is responsible for seeking and maintaining services for all individuals assigned to their caseload. All services will be directly linked to a person-driven needs model. The CCM is required to facilitate effective relationships with all individuals receiving services, promoting empowerment, community inclusion, and health and safety. The CCM will develop positive relationships with provider agencies and guardians while assisting all parties in identifying support strategies that can guide the individuals receiving services to reach their goals. The CCM will be responsible for developing and ensuring adherence to the Person-Centered Plan. 

Essential Functions:

Consumer Support

• Maintain a caseload of eighteen to twenty-five (18-25), not to exceed 35:1, adhering to all standards as outlined in the Case Management manual.
• In the event of a case manager vacancy, be able to maintain services to all people served through an increased caseload and temporary reassignment of cases, not to exceed the 35:1 ratio. 
• Develop and maintain relationships with the person receiving services, their family/friends, and other agencies/support providers which allow for necessary observation and assessment of needs.
• Maintain the rights of persons serviced and advocate for the needs of the person.
• Ensure that their case management activities are directly linked to a person-driven needs-based model with the PCP acting as the primary vehicle to this model. 
• Create and monitor the Person-Centered Plans with adherence to accepted treatment principles, practices, and techniques.
• Work with individuals and their families to elicit services as needed, promoting choices in employment, living, and social decisions. 
• Promote health and safety in the services provided to all people served and follow outlined Quality Management processes. 
• Serve as a representative payee for individuals receiving SS/SSI payments to manage and administer the person’s finances, when determined necessary. 
• Interpret and apply Federal and State Regulations governing programs such as Social Security Disability and Medicaid Waiver programs to provide quality services. 
• Plan testimony and testify at legal hearings, when needed. 
• Maintain appropriate quality management procedures that adhere to all state and agency requirements. 
• Ensure compliance and adhere to all standards set forth by DHHS and MaineCare regulations including the Case Management Manual, 14-197 Chapter 10 Certification Requirements, and 10-144 MaineCare Benefits Manual Section 13 Targeted Case Management Services.

Safety

• Ensure the implementation of plans with a focus on the health and safety of people served through GMS.
• Promote safe work practices among all employees.

Documentation

• Complete all documentation as required to provide high-quality services, complete billing, and maintain waiver classification.
• Document all communication (i.e. personal contact, emails, letters, phone calls, etc.), screening summaries, evaluations, and observations as they occur. 

Leadership

• Attend conferences, workshops, and seminars to improve professional skills to benefit the Agency, the people served, and staff.
• Represent GMS in the community, serves as a member on relevant 
• committees, work groups, job/service fairs, etc.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time. 

Requirements

Physical Requirements:

• Stand; sit; walk; use hands and fingers; handle; reach with arms and hands; stoop; kneel; crouch; crawl; talk or hear; taste or smell. 
• Prolonged periods of sitting at a desk while working on a computer or attending meetings.
• The ability to use a computer keyboard and mouse and other office equipment.
• The ability to read detailed reports, spreadsheets, and data on a computer screen.
• Occasional lifting of objects, up to 20 pounds.

Qualifications:

• Bachelor's degree from an accredited four (4) year institution of higher learning with a specialization in psychology, mental health and human services, behavioral health, behavioral sciences, social work, human development, special education, counseling, rehabilitation, sociology, nursing, or a closely related field, 

OR

• Master’s Degree in social work, education, psychology, counseling, nursing or closely related field from an accredited graduate school,

OR

• Bachelor’s Degree from an accredited four (4) year institution of higher learning in an unrelated field and at least one (1) year of full-time equivalent relevant human services experience

OR

• Have been employed on 8/1/2009 as a case manager providing services under the former subsections of Section 13. A person so employed will be considered qualified for the purposes of this section.

AND

• Possess professional values and ethics; model confidentiality practices as stated in federal, state, and GMS policies.
• Possess basic computer skills and a working knowledge of Microsoft Word programs. Experience with Microsoft office products preferred. 
• Possess a valid Maine state driver’s license.
• Possess good verbal and written communication skills.
• Ability to obtain and maintain all required certifications and trainings.
• Ability to pass required background checks, to include: Adult/Child Protective Services; criminal history; OIG Exclusion list; National Sex Offender Registry; Bureau of Motor Vehicles record; and Maine CNA Registry.