Libertana · 3 weeks ago
CCA Case Manager
Libertana is a Care Coordination Agency seeking a Case Manager responsible for the care coordination of clients under the ALW and CalAIM services. The role involves identifying, organizing, coordinating, and monitoring the needs of clients, as well as ensuring continued eligibility through regular follow-ups and compliance checks.
Elder CareFranchiseHealth Care
Responsibilities
Check Medi-Cal eligibility for each client monthly
Schedule monthly visits with clients
Speak to clients and find out if anything is needed, such as, DME’s, appointments, etc. Ask about medication compliance and other general assessment questions
Speak to staff:
Find out about any SIR’s. IF so, make sure that our office has them
Find out if anyone is out and does not have an SIR. If this is the case, tell staff there they must get an SIR in ASAP. You must make sure to follow up with facility staff on this and make sure our office gets an SIR copy
If there are Medi-Cal issues then communicate this to client and facility staff and guide them how to resolve it (assuming they do not know how)
Ask staff about medications and check the log
Make sure to update client information on company tracking system of visit dates and when note is uploaded in Devero
All notes must be uploaded by the end of the next business day from when you saw the client
Make sure you write in your note that you asked client and staff about med-compliance
As per workflow process, when a client is out of a facility, the CCA has specific tracking responsibilities. You as a Case manager are to keep track of when clients leave as you visit the facility
Notify the CCA Coordinator when a client has left and returned to the facility
When a Re-Assessment is done, the RN will communicate to you via email that it is done and that you need to make a copy of ISP and have client sign it. And give a copy to the facility. Then upload to Devero and Email your CCA that it is done. You need to have the client sign it within 7 business days
Knowledge of Confidentiality, HIPAA and healthcare laws and regulations
Maintains proper timekeeping
Follows policies and procedures as per Employee Handbook
Maintains all credentials up to date
Reports Fraud and Abuse
Knowledge of mandated reporting
Conducts timely recording and/or documentation of client contact
Attends Department meetings (in person, by phone or by web)
Attends all State mandated in service trainings
Driving may be required to geographical areas that are covered by the company
Significant amount of driving may be required throughout the Los Angeles, Fresno, San Diego, Riverside and San Bernardino County
Performs other duties as assigned
Qualification
Required
Bachelor's Degree in either social work, psychology, counseling, rehabilitation, gerontology, or sociology, plus one year of related work experience
Possesses current CPR certification
Exercises excellent judgment and knowledge of current clinical practices, with demonstrated exemplary clinical, analytical, and documentation skills
Good organizational skills
Is self-directed with the ability to work with little supervision
Proficient in the use of computers, and electronic information systems
Ability to establish and maintain good communication and relationships with the office, field, and administrative personnel
Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements
Knowledge of Confidentiality, HIPAA and healthcare laws and regulations
Maintains proper timekeeping
Follows policies and procedures as per Employee Handbook
Maintains all credentials up to date
Reports Fraud and Abuse
Knowledge of mandated reporting
Conducts timely recording and/or documentation of client contact
Attends Department meetings (in person, by phone or by web)
Attends all State mandated in service trainings
Driving may be required to geographical areas that are covered by the company
Significant amount of driving may be required throughout the Los Angeles, Fresno, San Diego, Riverside and San Bernardino County
Preferred
Knowledge of The State of California Assisted Living Waiver Care Coordination Agency
Experience in the field of education or training, quality assurance and management
Familiarity with Title 22