- Performs comprehensive assessments in the participants home or health care facility to assess need for community services. Determines eligibility for CCP, accurately administers and scores Mini Mental Status Exam (MMSE) and Determination of Need (DON) and collects needed financial information.
- Creates a care plan to meet the needs of the participant and caregiver. Demonstrates ability to authorize CCP services and coordinate referrals to other benefits/services available to the participant.
- Completes Choices for Care assessments for Nursing Home or Supportive Living Facility placement
- Demonstrates knowledge of the various types of assessments, billing codes and documentation required.
- Accurately completes Medicaid applications when indicated.
- Advocates, intervenes and follows-up in a timely manner to ensure services remain in place and are appropriate to the changing needs of the participant. Documents and completes follow-up on critical events. Updates care plan and completes redeterminations as needed.
- Meets established timelines for assessments and critical event follow-up.
- Rotates weekend on-call duties as required by IDOA for weekend assessments.
- Completes paperwork timely and accurately. Responds to participant/family inquires and phone calls in a timely manner.
- Participates in departmental and all-agency staff meetings; offers constructive input to the group.
- Completes annual educational requirements for IDOA and Mercyhealth.
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Care Coordinator - Rockford, United States - Mercy Health
Description
Overview:
Works under the program rules and guidelines of the Illinois Department on Aging (IDOA) Community Care Program (CCP) as the Care Coordination Unit (CCU) for Boone & Winnebago Counties. Conducts comprehensive needs assessments in the participants home or health care facility. Determines eligibility for CCP. Develops a care plan to meet the participants and caregivers needs and assists in gaining access to and receiving needed services. Must be able to work and communicate effectively with participants who have cognitive and/or physical impairments as well as people from a variety of social, economic and cultural backgrounds. Must be able to travel to/from the office and participant homes/facilities. Ability to work with a wide variety of agencies within the community to meet needs.
Responsibilities:
ESSENTIAL DUTIES AND RESPONSIBILITIES
CULTURE OF EXCELLENCE BEHAVIOR EXPECTATIONS
To perform the job successfully, an individual should demonstrate the following behavior expectations:
Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.
Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.
Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.
Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.
EDUCATION & EXPERIENCE
Case Manager minimum qualifications shall be a minimum of 1 year experience in needs assessment and care planning, and:
RN or a BSN, or have a BA/BS degree in social science, social work or related field
One year of program experience (defined as assessment, provision, and/or authorization of formal services), may replace one year of college education up to and including four years of experience replacing a baccalaureate degree; or
LPN with one year of program experience which is defined as assessment of and provision of formal services and/or authorizing service provision.
CERTIFICATION/LICENSURE
Approved CPR or BLS certification required within 90 days
Successfully complete IL Department on Aging Care Coordinator Certification
Maintain a valid drivers license and reliable transportation with proof of vehicle insurance when requested.
Have and maintain an acceptable driving record per Mercys HR-01 Fleet Safety policy.
ADDITIONAL REQUIREMENTS
Passing the Drivers License Check and/or Credit Check (for those positions requiring).
Passing the WI Caregiver Background Check and/or IL Health Care Workers Background Check.
OTHER SKILLS AND ABILITIES
Basic PC/Laptop skills
Knowledge of Microsoft Office, Internet Explorer, Google Chrome
Excellent customer service skills
Effective verbal & written communication
Organized, able to multi-task in a fast-paced environment
Able to sit, stand and walk intermittently
Ability to lift/carry laptop and paperwork to/from office and homes/facilities
Must be able to navigate various entrances to homes/apartments/facilities
WORK ENVIRONMENT
The noise level in the work environment is usually moderate.
Occupational Exposure: Category A - All partners in the specified job classification have occupational exposure.
AGE OF PATIENTS SERVED
Adult (18 years 64 years)
Geriatric (65 years and older)
INFORMATION ACCESS
Partner may access patient care information needed to perform their job duties.
WORK CONTACT GROUP
Partners, physicians, patients/family, visitors, vendors
SPECIAL PHYSICAL DEMANDS
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.
While performing the duties of this Job, the employee is frequently required to talk, hear or sit; use hands to finger, handle, or feel; reach with hands and arms. The employee is occasionally required to stand, walk, climb or balance; stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
