Human Services Case Manager (Case Manager)
Human Services-Seniors & People with Disabilities - Pendleton, OR

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DHS12-0606

The Department of Human Services (DHS) is about safety, health and independence for all Oregonians. We help Oregonians in their own communities achieve well-being and independence through opportunities that protect, empower, respect choice and preserve dignity. We protect children who are abused or neglected. We serve seniors, people with disabilities. We help low-income people along the road to self-sufficiency with health coverage, job preparation, childcare and other supports. Our services are delivered in the least restrictive setting and in partnership with communities. We are absolutely committed to ongoing innovation in the delivery of services, and we are committed to recruiting, developing and retaining dedicated employees.
This employment opportunity is with Aging and People with Disabilities, which is part of the Department of Human Services. There is one permanent full-time opening located in Pendleton (Southgate Pl). This position is represented by a union.

This recruitment announcement will be used to establish a list of qualified candidates to fill the current vacancy and may be used to fill future vacancies as they occur.

Please be aware that due to the economic downturn and subsequent state budget short-fall these positions may be required to take furloughs in the biennium 2011-2013.

Duties & Responsibilities:
Assess individual applicants and clients; develop, coordinate and arrange a variety of services for elderly and disabled adults or for medical patients about to be discharged from a hospital, which will assure the continuity of care needed to enable them to maintain or achieve maximum physical, social, and emotional independence or rehabilitation. Work in collaboration with Preadmissions Screening Specialist (PAS), Case Managers, and Transition Coordinators to facilitate and support Transition/Diversion efforts and other DHS initiatives that aim at diverting or transitioning institutionalized populations of people with complex medical and long-term care needs into community based settings with wrap around packages of services and supports. Perform position duties in a manner which promotes customer service and harmonious working relationships, including treating all persons courteously and respectfully. Engage in effective team participation through willingness to assist and support co-workers, supervisors, and other work-related associations. Develop good working relationships with division and agency staff and supervisors through active participation in accomplishing group projects and in identifying and resolving problems in a constructive manner. Demonstrate openness of constructive feedback and suggestions, in an effort to strengthen work performance. Contribute to a positive, respectful and productive work atmosphere. Regular attendance is required to meet the demands of this job and to provide necessary services. Case management – Has total responsibility, including necessary paperwork and case documentation to case manage a population of dependent elderly and disabled adults. The purpose of case management services is to develop the most appropriate, least restrictive placement or services for the applicant/client and to insure the agency’s mission, philosophy and goals of encouraging independence, dignity, choice and quality of life to every applicant/client with whom we come in contact. Typical Tasks Include:
Screens clients for medical, social and financial eligibility, using personal and telephone contact with clients, hospital discharge staff, physicians, family members and other involved parties to refer inquiries to appropriate staff.
Assesses client’s medical, physical, mental and social condition, which includes interviewing client, physician, family members and other knowledgeable people to determine client functioning level; assessment is done using laptops in the field and agency forms for documentation and requires computer input of findings.
Develops plan of care that meets clients needs and communicates to other involved parties, such as nursing facility, adult foster home, discharge planners, contract personnel, home health, etc. Participates in staffing/care plan meetings with appropriate involved agencies to insure needs are being met and to communicate changes in client condition.
Determines appropriate service placement and payment level by staffing with diversion/transition team coordination and referrals, potential providers, assisting client and/or other involved parties to make an informed choice regarding an appropriate living situation that meets client needs and maintains client in least restrictive environment that promotes the greatest degree of independence and dignity.
Narrates all case actions and information relating to service provision in the client’s case record, including computation of client liability, deductions and pay-in amounts, if appropriate. Completes necessary computer documents to insure providers receive accurate payment amounts and processes changes in a timely manner to insure accurate and expeditious payment.
Makes referrals to other appropriate community resources when needed or when client is not eligible for Aging and People with Disabilities (APD) programs, such as referral to Home Health or to Oregon Project Independence (OPI) program or other community resources.
Monitors ongoing client needs and provider services through regular contacts, either by home or office visits. Frequency of contacts will be in accordance with agency policy.
Advises providers of any available training opportunities and assists providers to be knowledgeable about clients’ care needs.
Screens for elder abuse, protective services, and licensing violations. Refers to appropriate personnel for full investigation when necessary. May initiate risk intervention strategies, such as arranging for appropriate services and/or living situations, or referral to other community agencies to meet client needs.
Remains current on changes in statutes, regulations, policies and procedures; attends training and meetings as requested; completes required statistical reports according to APD protocol, keeps Line Manager informed of problems and performance on the job, and observes all APD policy and procedures at unit, District and State levels.
Participates as requested in the development and training of APD staff and local community partners and providers, and cooperates, communicates and promotes good working relationships with other agencies and providers such as Adult Foster Homes, Assisted Living Facilities, Nursing Facilities, Mental Health, Home Health, Social Security, Area Agencies on Aging (AAA), Veteran’s Administration, Vocational Rehabilitation, Employment Dept., Home Care Workers, Contract Agencies and Personnel.
Uses a computerized application/eligibility program (ACCESS) to document eligibility information and conducts intake interviews on every type of program, thus must be familiar with eligibility and program guidelines for all Title XIX program, both medical only Supplemental Nutrition Assistance Program (SNAP) and service related. If information is incomplete, advises and issues notification to applicant regarding what information is needed to make an eligibility determination and gives time frames for submission of the information. Explains rules, regulations, procedures and responsibilities to applicant.
Assists applicant in securing necessary documentation through contacts with other agencies or by contacting collateral sources such as landlords, employers, or medical providers to verify information; may contact eligibility workers in other states to obtain or verify information.
Makes eligibility determinations for medical only, food stamps and/or service programs. Determines whether or not applicant is eligible for one or more of the assistance programs administered by the Agency. If applicant is ineligible, issues notice explaining reasons for ineligibility.
If eligible, computes amount of benefits, completes eligibility narrative using ACCESS computer program, documenting how eligibility decision was reached, including necessary computations, and processes all documents necessary to issue benefits.
Receives and reviews updated information from client that may affect ongoing eligibility, such as changes in household composition, income or resources. Acts on information received in a timely manner to verify continued eligibility, and processes changes to accurately reflect the client’s current situation and recalculate benefits if necessary. Observes indications of fraud and refers possible fraud cases to investigators or in situations where an overpayment of benefits occur, refers to overpayment recovery personnel.
Re-determines eligibility for all clients, based on program guidelines and time frames for eligibility; adjusts benefits amounts based on current information if needed; updates narrative to reflect current actions taken regarding cases and client situation using ACCESS narrative system.
Conducts Resource Assessments as a precursor to eligibility determination; counseling potential applicants as to Federal guidelines relating to Spousal Impoverishment; calculating the amount a couple must spend before Medicaid eligibility can be established; giving a signed copy of the Resource Assessment to the person(s) inquiring about Medicaid eligibility; and monitoring the expenditure of resources upon completion of the Resource assessment, if expenditure of funds is indicated. If no expenditure of excess resources is necessary, refers applicant to the appropriate worker to follow through on the application process.
Eligibility Determination may require the development of Income Cap Trusts; worker explains guidelines and criteria and assists applicant in obtaining the necessary legal assistance to facilitate this process.
In both medical and service eligibility an ability to process a high level of paperwork and to be proficient in a variety of computer applications is necessary to successful job performance. Other duties as assigned. WORKING CONDITIONS Driving daily conditions (snow, ice, long distance, mountain driving) throughout winter months. You must have a valid driver’s license and an acceptable driving record. If not, you must be able to provide an alternate method of transportation. Exposure to illness and disease through direct contact with clients. Occasional exposure to people who may be hostile or exhibit volatile behaviors or attitudes.

Qualifications & Desired Attributes:
Your application materials, including your answers to the 'Supplemental Questions' will be reviewed to determine if you meet the minimum qualifications and how you meet the desired attributes for the position to which you have applied. Your answers to the supplemental questions must be reflected in your application.

MINIMUM QUALIFICATIONS

A Bachelor's degree in a Behavioral Science, Social Science, or a closely related field;

OR

A Bachelor's degree in any field and one year of human services related experience (i.e., work providing assistance to individuals and groups with issues such as economically disadvantaged, employment, abuse and neglect, substance abuse, aging, disabilities, prevention, health, cultural competencies, inadequate housing);

OR

An Associate's degree in a Behavioral Science, Social Science or a closely related field AND two years of human services related experience (i.e., work providing assistance to individuals and groups with issues such as economically disadvantaged, employment, abuse and neglect, substance abuse, aging, disabilities, prevention, health, cultural competencies, inadequate housing);

OR

Three years of human services related experience (i.e., work providing assistance to individuals and groups with issues such as economically disadvantaged, employment, abuse and neglect, substance abuse, aging, disabilities, prevention, health, cultural competencies, inadequate housing).

DESIRED ATTRIBUTES

Experience providing case management services for clients who are elderly or disabled for a service/program related to human services. Experience assessing clients care needs and developing appropriate care plans. Experience using an electronic case management assessment tool(s). Experience determining eligibility for Medicaid, Supplemental Nutrition Assistance Program or other federal or state assistance program. Experience interviewing collateral contacts (such as physicians, nursing staff, family members, etc) to obtain data for a human or social services program. Experience interviewing to obtain data for a human or social services program.
Only the candidates whose experience most closely match the qualifications and desired attributes of this position will be invited to an interview.

Additional Information:
IMPORTANT NOTICE – Email Addresses Now Required

The state of Oregon is now requiring all applications have a valid email address.

If you do not currently have an email address and do not know where to go to get one please refer to our Applicant E-Recruit FAQ's web page. Click on the link below to go directly to question #14 to view several internet providers where you can get a free e-mail account. The state of Oregon does not endorse any particular provider.

Applicant E-Recruit FAQ's
If you are offered employment, the offer will be contingent upon the outcome of an abuse check, criminal records check and driving records check, and the information shall be shared with the DHS, Office of Human Resources (OHR). Any criminal or founded abuse history will be reviewed and could result in the withdrawal of the offer or termination of employment.
DHS will communicate with all applicants via e-mail.

If you need assistance to participate in the application process, you are encouraged to call 503-945-5698 (voice) or 503-945-6214 (TTY) between 8:00 a.m. and 5:00 p.m. (Pacific Time) Monday through Friday.

If you need assistance with adding attachments to your profile or to a specific job posting please go to Adding and Removing Attachments to a Profile and Job Posting for further instructions. This quick help guide can also be found on the State Jobs Page by clicking in the Applicant E-Recruit FAQ's then click on Applicant Profile Maintenance.

PLEASE CONSIDER JOINING US!

The Oregon Department of Human Services is committed to affirmative action, equal employment opportunity and workplace diversity.

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