IDD Care Manager
Company: Vaya Health
Posted on: November 22, 2021
LOCATION: Caldwell County, NC and McDowell County, NC /
RemoteSALARY: Depending on qualifications & experience of
candidate. This position is non-exempt and is eligible for overtime
compensation.GENERAL STATEMENT OF JOB:This Intellectual and
Developmental Disabilities (I/DD) Care Manager is responsible for
providing comprehensive care coordination and monitoring (treatment
planning case management) to individuals having a primary
Intellectual Developmental Disability, which may include a
secondary Mental Health or Substance Abuse need. This position
requires a dynamic, proactive approach to assessment, monitoring
and coordination of care, to ensure quality supports and consistent
adherence to waiver requirements. This is a mobile position with
work done in a variety of locations. The I/DD Care Manager spends a
considerable amount of time in the field and completes required
documentation/paperwork.Note: This position requires access to and
use of confidential healthcare information or protected health
information (PHI) as described in laws addressing patient
confidentiality, including, but not limited to, the federal HIPAA
law, the Confidentiality of Alcohol and Substance Abuse Patient
Records law, 42 CFR Part 2, and various state laws. As such, the
individual filling this position shall be required to be trained
regarding such laws and shall be required to observe those laws in
his/her capacity as an employee of Vaya Health. The individual
filling this position shall also sign a confidentiality statement
as an employee of Vaya Health.ESSENTIAL JOB FUNCTIONS:Assessment
- Utilizes person centered planning methods/strategies to gather
information and to get to know the individuals supported.
- Provides education and support to individuals in learning about
and exercising rights.
- Consistently completes Discovery activities (information
gathering and assessment) in advance of planning meetings.
- Ensures that individuals/legally responsible persons are
informed of services available, service options available, (e.g.
Individual/Family Direction for Innovations participants),
processes (e.g. requirements for specific service), etc.
- Provide information to individuals/legally responsible persons
regarding their choice in choosing service providers, ensuring
objectivity in the process.
- Assists the individual supported to direct the planning
process/plan development, to the extent desired by the
- Facilitates and coordinates timely development of the
Individual Support Plan, crisis plan and Behavior Support Plan (as
- Participates as needed and necessary in crisis intervention and
planning. May include nights and weekend phone calls as well as
collaboration with Mobile Crisis teams as needed.
- Actively collaborates with individuals supported and members of
the treatment team to ensure development of an Individual Service
Plan that is comprehensive and reflects the individual's needs and
desired life goals.
- Promotes use of natural/community resources through the
- Ensures that assessments/plans are updated, as needed, whenever
the individual's life circumstances change.Support
- Monitors to ensure quality care, health/safety of the
individual, as well as the continued appropriateness of
- Ensures that services are monitored (including direct
observation of service delivery) in all settings.
- Makes announced/unannounced monitoring visits, including
nights/weekends as applicable.
- Monitors services for compliance with state standards, waiver
requirements, and Medicaid regulations, as applicable.
- Promotes problem-solving and goal-oriented partnership with
individuals/legally responsible persons, providers, etc. recognizes
and reports critical incidents.
- Promotes satisfaction through ongoing communication and timely
follow-up on any concerns/issues.Documentation and Fiscal
- Educates individuals/families on methodology for budget
development, total dollar value of the budget and mechanisms
available to modify the individual budget.
- Verifies that services are delivered as outlined in the
Individual Support Plan and addresses any deviations in service.
Ensures that service orders/doctor's orders are obtained, as
- Work with Eligibility and Enrollment Department to ensure
verification of an individual's continuing eligibility for
- Proactively responds to an individual's planned movement
outside the Vaya geographic area to ensure changes in their
Medicaid County of eligibility are addressed prior to any loss of
- Coordinates Medicaid deductibles, as applicable, with the
individual/legally responsible person and provider(s).
- Proactively monitors own documentation to ensure that
issues/errors are resolved as quickly as possible.
- Ensures accurate/timely submission of Service Authorization
Requests (SARS) for all Vaya funded services/supports.
- Ensures all clinical documentation (e.g. goals, plans, progress
notes, etc.) meet state, agency and Medicaid requirements.
- Maintains administrative record compliance/quality, as
demonstrated by > 95% compliance on Qualitative Record
Reviews/Chart Audits.Other duties as assigned.QUALIFICATIONS &
EDUCATION REQUIREMENTS:A Bachelor's degree in Special Education,
Psychology, Social Work or closely related Human Services area and
2 years of post-degree professional experience. Must qualify as a
QP for Developmental Disabilities.PHYSICAL REQUIREMENTS:This
position must have the ability to establish appropriate and
respectful relationships/partnerships with organizational
personnel. Ability to work with a multidisciplinary team approach.
Ability to assume a helping role and to intervene appropriately to
meet the needs of providers, consumers or families served. Works
within the established ethical guidelines developed for the
profession.KNOWLEDGE, SKILL & ABILITIES:A demonstrated knowledge of
the assessment and treatment of developmental disabilities, with or
without co-occurring mental illness, is a necessity. Employee will
participate in and maintain Care Coordination and Vaya trainings as
required.This position requires exceptional interpersonal skills,
highly effective communication ability, and the propensity to make
prompt independent decisions based upon relevant facts and
established processes. Problem solving, negotiation and conflict
resolution skills are essential to balance the needs of both
internal and external customers.The employee must be detail
oriented, able to independently organize multiple tasks and
priorities, and to effectively manage and assigned caseload under
pressure of deadlines.Proficiency in Microsoft Office products
(such as Word, Excel, Outlook, etc.) and Vaya information system is
required.DEADLINE FOR APPLICATION: Open Until FilledAPPLY: Vaya
Health accepts online applications in our Career Center, please
visit http://www.vayahealth.com/careers-overview/ Ind.001Vaya
Health is an equal opportunity employer.
Keywords: Vaya Health, Gastonia , IDD Care Manager, Executive , Lenoir, North Carolina
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