Position Summary:
The case manager provides full case management services on designated cases with clients and family/caregiver(s). All duties are carried out in accordance with the established regulations, protocols, and agency policies and procedures.
Responsibilities:
Provide full case management services on designated cases with client and family/caregiver(s). Maintain regular contact with family/caregivers concerning the participant and the care they receive at home and at the center.
Conduct home visits as necessary.
Conduct a comprehensive psychosocial assessment (face to face) of new clients and annual reassessments of existing clients.
Upon receipt of a case, review the entire file and immediately focus on outlining what must be completed.
Ensure referrals are submitted on a timely basis and ensure appropriate follow up with successful completion.
Assist caregiver(s) in acquiring the services needed for participants (i.e. Respite services, counseling, and support groups). Assist caregiver(s) in acquiring the services needed for themselves.
Create individual Care Plans and update as required during regular multidisciplinary staffing
Prepare participant discharge plans.
Serve as an advocate and continuous point of contact for the client, family/caregiver(s) and other appropriate parties.
Coordinate and facilitate family/caregiver(s) support sessions.
Consult with other professionals involved in the treatment of the client in designated caseload.
Serve as a liaison between the center staff, participants, families and caregiver(s).
Maintain necessary records and reports; submit documentation in accordance with agency and contract requirements.
Maintain integrity of data system with current information at all times.
Supervise Data maintenance in CIRTS and ensure all documentation is completed timely.
Document changes in participant status in progress notes at a minimum every three months or more often as needed.
Maintain accurate updated information in participant’s files and database including but not limited to the face sheet.
Prepare monthly reports to monitor participant/caregiver outcomes and CIRTS and address any exceptions.
Send monthly satisfaction survey to all new participants.
Manage referrals from other agencies.
Build and maintain effective relationships with internal and external partners (i.e. Alliance for Aging, AHCA, Alzheimer’s Association, etc.).
Participate in monthly Utilization Review Committee.
Attend in-service training, supervision and meetings as required.
Aid in outreach and recruitment for Adult Day Services Program.
Conduct/attend presentations, festivals & community events, as needed, to help promote Program.
Prepare monthly reports on all outreach activities conducted and referrals received.
Work a flexible schedule to meet specific program needs; be accessible via appropriate communication means, and respond promptly.
Ensure the safety of all staff, volunteers, visitors and individuals receiving services at Easter Seals: Act in compliance with Medical and Non-Medical Emergency Procedures.
Accompany client to hospital with paramedics until family/caregiver(s) arrive at the hospital.
Specifically assist individuals in evacuating building during emergency situations to include but not limited to: fire drills and external disaster drills. Specific duties to be assigned by immediate supervisor.
Assume assigned responsibility for non-clinical duties during disaster and/or drills including but not limited to: safety of files/office areas, closure of doors.
Participate in continuous agency wide quality and performance improvement and comply with all Quality Improvement requirements.
Other related duties as necessary to ensure the smooth running and efficiency of Easter Seals South Florida as a whole.
Educational & Experiential Requirements:
Bachelor’s Degree in social work, psychology, sociology, nursing, gerontology, or related field required.
Certification in the DOEA 701B Assessment tool required.
A minimum of one year of experience working with adult disability population.
Must be bilingual (English/Spanish).
Have a valid driver’s license.
Excellent communication skills written and verbal; as well as interpersonal and organization skills.
Knowledge and skills of integrating patient care, case management services and learning experiences in an Adult Day Services/ Rehabilitation facility.
Commitment and ability to work closely with diverse populations.
Physical Demands:
Regular to frequent requirement, and as needed, to lift objects (up to 50 lbs.), including bending, stooping, stretching, walking, squatting, pushing, pulling, and kneeling for an extensive amount of time.
The work is in an adult day care setting. In order to conduct activities and interact with elders with Alzheimer in a meaningful way, some physical exertion such as the following physical demands are required: Noise level can be moderate to loud.
Detecting unsafe situations by sight or sound.
Moving quickly to intervene in unsafe situations.
Other:
Successful completion of background process which includes: Local background check, Level 2 clearance (FBI, FDLE), clear TB test, medical clearance, drug test and reference checks.
Adhere to the use of Universal Health & Safety Precautions as applicable