Care Manager, Acquired Brain Injury (ABI) Waiver

Description Reporting Office: Eastern (North Franklin) Program: Acquired Brain Injury Waiver Program (ABI Waiver) Covering Region/Community: Eastern SUMMARY Provides care management services for the Acquired Brain Injury (ABI) Waiver, which arranges for non-medical home care services as part of an overall case plan to maintain adults with physical and/or mental disabilities, age 18-64 inclusive, or 65+ if grandfathered, in the community. Additionally, provides these services for a family with a supervising relative who is temporarily incapacitated, unable to manage the household, or has a disability. Performs all duties in a manner that fosters the achievement of the organization’s mission to identify choices and provide services to help people of all ages, abilities and incomes to live at home. KEY RESPONSIBILITIES Conducts comprehensive, systematic, person-centered assessments with individuals, including family or representative as requested, in the person’s preferred setting. Works with the individual to identify a full range of public and private programs/services available including self-directed options, exploring available supports, existing family and community supports. Works with the individual, legal representative (if applicable), family members and the interdisciplinary team to develop and implement a care plan which includes measurable goals, objectives and documentation of total service costs. Meets with the interdisciplinary team on a quarterly basis, or as needed as risks arise. Works with the individual to identify any barriers to expedite access to services and supports and develop and implement strategies to minimize or eliminate barriers. Assists individuals with applications for all identified programs, services and supports. Conducts person-centered telephonic and in-person interviews, as well as other activities necessary for reassessment, monitoring and adjustment of care plans. Monitors and reviews continued cost effectiveness, quality and appropriateness of care plan/service delivery and the contractual obligations. Evaluates levels of care and suggests changes in level as appropriate. Promptly completes all client documentation, applications, forms, and additional documentation as required. Orients, mentors and educates other team members, acting as a resource to other team members on the Acquired Brain Injury Waiver. Acts as a resident subject matter expert on acquired brain injury issues, as qualified. Participates in on-call services and acts as backup for emergency community coverage. Participates in quality improvement activities and attends in-services to increase knowledge and maintain licensure. Performs additional related duties as assigned. COMPETENCIES Assertiveness: Communicates position directly and honestly while demonstrating respect for others. Client Focus: Builds effective relationships with clients, identifies client expectations, tries to see issues from their point of view; offers practical solutions to problems. Decision Making Skills: Gathers and analyzes information, considers consequences, and arrives at a timely decision that meets organizational goals. Diversity: Fosters an environment of belonging and inclusion. Values cultural, ethnic, racial and gender diversity. Committed to equity. Ethics & Integrity: Makes decisions and conducts self-consistent with organization principles. Listening: Supports speakers and interprets their messages in such a way that effective communication takes place. Personal Accountability: Accepts responsibility for own actions, including failure. Embraces experiences as learning opportunities and not chances to blame. Problem Solving: Gathers and analyzes information, identifies goals, explores, and selects solutions, implements an action plan, and evaluates results. Time Management: Allocates time efficiently to the most important issues and knows what not to spend time on; completes work in a timely fashion. Requirements QUALIFICATIONS Education Master’s Degree in Social Work with a current Licensed Master Social Worker (LMSW) or a Licensed Clinical Social Worker (LCSW) license (in good standing), Master’s Degree in Human Services, Counseling, Counseling Psychology or Rehabilitation Counseling, or Bachelor’s Degree in Nursing Experience Must have a minimum of two years’ experience in health care or human services (including but not limited to community, hospital, institution or behavioral health). A Bachelor’s degree in nursing, health, social work, gerontology or a related field may be substituted for one year of experience. Experience working with people recovering from Brain Injury with co-occurring disorders. Knowledge of the physical, psychological, and social aspects of brain injury recovery and the resultant impact on the individual family. Knowledge of the spectrum of health, social, financial and advocacy services available to individuals with brain injury in the community. Knowledge and skill in interviewing and assessment (social and health) techniques. Experience with care management in complex situations, advocacy, negotiation skills and risk management with a strong professional tact. Ability to establish and maintain supportive relationships. Ability to comprehend, evaluate, negotiate and plan complex service reimbursements and plan for the costs of care options. Experience with computer programs, especially Microsoft Office. Other Reliable transportation, valid driver’s license and current automobile insurance. CCCI Job Code: 6192 Physical Requirements Physical Activity Approximate Percentage of Time Spent in this Activity Bending 5% Climbing (e.g. stairs) 5% Keyboarding 60% Kneeling 5% Lifting (indicate maximum weight to be lifted) 50lbs. Reaching 5% Sitting 55% Standing 20% Using Telephone 60% Walking 20% Work Environment Work is performed in various environments including office, client homes, hospitals, nursing homes and other locations. Employees can be exposed to adverse driving conditions and the varying conditions associated with a wide range of home situations. The physical requirements and description of the work environment are representative of what an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. #J-18808-Ljbffr