CAP Case Manager/ FT / Onslow & Duplin Counties

* **Coordination of Services:** + Link beneficiaries and their families to necessary services, equipment, and supplies to support care in the home. + Collaborate with community resources, healthcare providers, and other agencies to ensure comprehensive care delivery. + Initiate appropriate referrals and utilize community resources for planning and service coordination.* **Monitoring and Follow-Up:** + Provide ongoing monitoring of services through monthly phone calls and home visits, documenting observations, and beneficiary progress. + Evaluate the effectiveness of care plans and services, recommending or implementing changes as needed to achieve desired outcomes. + Maintain accurate, up-to-date case management documentation within the system, ensuring compliance with state and agency guidelines.* **Counseling and Support:** + Provide emotional support and basic counseling to beneficiaries and their families to strengthen their support systems. + Assist families in navigating challenges, including long-term palliative care, behavioral issues, and medical needs.* **Documentation and Compliance:** + Assist in obtaining documentation from medical staff to confirm the need for specific CAP services. + Maintain medical records for each beneficiary, ensuring documentation of current status, service changes, and referrals. + Ensure compliance with 10A NCAC 27G.0202 and other regulatory guidelines. + Complete all required records per agency policy and the State CAP manual, including discharge summaries when CAP services are completed. + Review and ensure proper billing codes and compliance for case management, in-home aide documentation, paid live-in caregiver, re-certifications, and supply billing. + Participate in NC Medicaid-certified training programs and ensure program compliance within 90 days of employment.* **Collaboration and Advocacy:** + Work closely with RNs and interdisciplinary team members to ensure a comprehensive approach to beneficiary care. + Participate in case discussions and provide input to ensure quality care and service delivery. + Advocate for program participants and their families to secure necessary resources and services. + Serve as a liaison between beneficiaries, families, and external providers to address care needs effectively. + Provide training and support to families to empower them in managing their child’s care.* All other duties as assigned.- **Continuing Education and Professional Development:** * Complete all state-mandated training and agency-required continuing education annually. * Stay current on CAP guidelines, best practices, and new developments to enhance service delivery. * Ensure timely updates to the CAP Business system and other documentation systems as required.* Strong understanding of Medicaid programs and compliance requirements.* Excellent communication and interpersonal skills to work effectively with families and multidisciplinary teams.* Ability to manage multiple priorities and maintain detailed records.* Experience working with medically fragile children or in pediatric healthcare settings and physically disabled adults with complex care needs.* Bachelor’s degree in social work from an accredited school of social work.* Minimum of one year of directly related community experience, preferably case management, in the health or medical field (homecare, long-term care, or personal care).* Completion of an NC Medicaid-certified training program within 90 calendar days of employment.* Bachelor’s degree in a human services or equivalent field from an accredited college or university.* Minimum of two years of community experience, preferably case management, in the health or medical field (homecare, long-term care, or personal care).* Completion of an NC Medicaid-certified training program within 90 calendar days of employment.* Bachelor’s degree in a non-human services field with two or more years of related community experience, preferably case management, in the health or medical field (homecare, long-term care, or personal care).* Completion of an NC Medicaid-certified training program within 90 calendar days of employment.* Current North Carolina Registered Nurse (RN) license with a two-year or four-year degree.* At least one year of case management experience in homecare, long-term care, or personal care.* Completion of an NC Medicaid-certified training program within 90 calendar days of employment.* **Note:** An individual with a bachelor’s degree or who holds a nursing license as described above, without the number of years of experience, may be designated as an apprentice and shall be hired to act in the role of case manager. The supervisor of the case management shall provide direct supervision and approve all CAP/C workflow documentation and tasks.* Complete criminal background* Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)* Drug testing* Education verification and other credentialing based on position requirements.* Proof of employment history or references (if required)* Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.At RHA Health Services, the people we serve and support are at the very center of everything we do. Throughout Georgia, New Jersey, North Carolina, Pennsylvania, and Tennessee, we provide high-quality care to individuals with intellectual/developmental disabilities. In North Carolina and Pennsylvania, we also provide behavioral health services to support people with mental health and substance use needs and provide services for those who are Deaf and Hard of Hearing.Since 1989, we have partnered with and celebrated people achieving their personal goals, building meaningful connections, experiencing positive outcomes in health and wellness, and more. If you share our passion, there is a place for you at RHA Health Services.From inpatient care to community-based services, from in-home support to facilities of all sizes, RHA offers a range of settings where you can apply your unique skillset. Many of our employees also experience opportunities for career growth and continued education. RHA is accredited by the Commission on Accreditation of Rehabilitation Facilities and the Council on Quality and Leadership, and we are committed to providing the highest quality of care.At RHA, we believe we all deserve the chance to live our best possible lives. We want you to join our team of compassionate professionals. To learn more, visit or email us at View email address on click.appcast.io Health Services – Where Compassion Meets Career. #J-18808-Ljbffr