ALF Case Manager - Lancaster

ALF Case Manager

The ALF Case Manager is responsible for the care coordination of clients for the ALWP clients under the Care Coordination Agency (CCA). Care coordination includes identifying, organizing, coordinating, and monitoring needs of an ALW client. The ALF Case Manager ascertains continued eligibility to the ALWP by conducting monthly and as needed follow-up visits for compliance and skilled need.

The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

1. Check Medi-Cal eligibility for each client monthly.
2. Schedule monthly visits with clients.
3. Speak to clients and find out if anything is needed, such as, DME's, appointments, etc. Ask about medication compliance and other general assessment questions.
4. Speak to staff:
   • Find out about any SIR's. IF so, make sure that our office has them.
   • Find out if anyone is out and does not have an SIR. If this is the case, tell staff there they must get an SIR in ASAP. You must make sure to follow up with facility staff on this and make sure our office gets an SIR copy.
   • If there are Medi-Cal issues then communicate this to client and facility staff and guide them how to resolve it (assuming they do not know how).
   • Ask staff about medications and check the log.
5. Make sure to update client information on company tracking system of visit dates and when note is uploaded in Devero.
6. All notes must be uploaded by the end of the next business day from when you saw the client.
7. Make sure you write in your note that you asked client and staff about med-compliance.
8. As per workflow process, when a client is out of a facility, the CCA has specific tracking responsibilities. You as a ALF Case manager are to keep track of when clients leave as you visit the facility.
9. Notify the ALF Coordinator when a client has left and returned to the facility.
10. When a Re-Assessment is done, the RN will communicate to you via email that it is done and that you need to make a copy of ISP and have client sign it. And give a copy to the facility. Then upload to Devero and Email your CCA that it is done. You need to have the client sign it within 7 business days.
11. Knowledge of Confidentiality, HIPAA and healthcare laws and regulations.
12. Maintains proper timekeeping.
13. Follows policies and procedures as per Employee Handbook.
14. Maintains all credentials up to date.
15. Reports Fraud and Abuse.
16. Knowledge of mandated reporting.
17. Conducts timely recording and/or documentation of client contact.
18. Attends Department meetings (in person, by phone or by web).
19. Attends all State mandated in service trainings.
20. Driving may be required to geographical areas that are covered by the company.
21. Significant amount of driving may be required throughout the Los Angeles, Fresno, San Diego, Riverside and San Bernardino County.
22. Performs other duties as assigned.

The following physical requirements are necessary for this position:

1. Stand, sit, talk, hear, and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis up to 40% of the time.
2. Reach, stoop, kneel and bend up to 20% of the time
3. Moderate amount of walking up to 15% of the time.
4. Moderate amount of driving up to 25% of the time.
5. Close vision requirements due to computer work on a frequent basis
6. Light to moderate lifting may be required up to 25lbs on a frequent basis.
7. Pushing and pulling up to 25lbs.