Receives general supervision from the Program Manager.
Exercises indirect supervision over other Case Managers and clerical employees.
Provide instruction and training to new employees on conducting assessments, developing care plans, prior authorizations, and other documents; accessing and utilizing program regulations; following state and County procedures for obtaining and funding services for clients, monitoring service delivery, utilizing the state automated system for long term care, and documenting contacts and case activity.
Review case records for accuracy in meeting state and County regulations, timelines, and procedures.
Provide lead accountability for other employees within work unit, which may include scheduling, assigning and reviewing work, and providing input into hiring and performance evaluation processes.
Act as a resource or expert in long term care services program area, providing technical assistance and support to other employees in the unit.
May maintain a caseload of complex, confidential, and/or sensitive clients.
Enter and update case/client information to maintain computer database records.
Assist lower-level case managers in correcting errors, managing complex cases, and developing strategies for meeting compliance standards. May fill in for lower-level staff on their workloads during extended absences or at times of higher workloads.
Respond to and assist in resolving inquiries, complaints, and requests for information from clients, state, and collateral departments or agencies; provide information regarding long term care services; research various sources for additional information; refer clients and public to related services and programs for financial, social, educational, residence, or other resources.
Identify training issues based on case record reviews, develop and present training for the unit on problematic or new regulations or procedures.
Provide input into the performance evaluation process by tracking data and compiling and preparing reports based on case record reviews.
May assume supervisor duties for on a temporary basis and as assigned.
Prepare and present program information to community agencies to educate them on the program processes and requirements.
Develop and maintain professional contacts with other County departments, staff, and collateral agencies to make appropriate referrals and coordinate services and information flow.
Attend seminars, conferences, workshops, classes, lectures, etc., as appropriate, to enhance and maintain knowledge of trends and developments in field; review professional journals, attend association and professional meetings, and otherwise maintain contacts with professionals to facilitate exchange of information.
Perform other duties as appropriate or necessary for performance of the job.