Children's Long-Term Support - HSD Professional I-Lead Case Manager-QA

Position Summary and Job Duties

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The CLTS Lead Case Manager Supports and promotes the Mission, Vision and Guiding Principles of the Human Services Department and performs in a manner consistent with the HSD Professional Standards and "Commitment to My Co\-Workers." The Home and Community Based (HCBS) waiver program recognizes that many individuals at risk of being placed in these facilities can be cared for in their homes and communities, preserving their independence and keeping ties to family and friends. The major responsibilities of this position are case management for participants, collaboration with multiple systems, resource development. This Lead Support and Service Coordinator is also responsible for assisting in quality assurance with reviewing case files and helping with audit preparation. This position will also assist with gathering required documentation from providers and track and produce reports that will help improve case management practice.

35%\- Quality Assurance related to CLTS Case Management Requirements

• Review Avatar for critical documents needed for the case record, track and follow up on missing documentation to ensure compliance with the CLTS Program Requirements
• Prepare for Annual Audit and assist the re\-review and remediation process
• Verify Individual Service Plan (ISP) dates and follow up regarding missing ISP's
• Review Enrollment Timelines for Timeliness
• Conduct monthly quality assurance reviews on required documentation and paperwork and report findings to supervisors and manager
• Gather documents, review and assist the analyst team with provider concerns

30%\- Provide Case Management Services to children eligible for CLTS Waivers and CCOP

• Complete/Update Functional Screens, Monthly Collateral Contacts, Six Month Reviews, Recertification's, and required face to face contacts. Follow waiver manual guidelines.
• Assessments on internal cases for children in out of home placements
• Discharge Planning
• Report Critical Incidents
• Provide Advocacy and ongoing evaluation of service providers

15%\- Complete required Documentation

• Assure for Functional and Financial Eligibility to the programs
• Document Completed/Updated Functional Screens, Monthly Collateral Contacts, Six Month Reviews, Recertification's, and required face to face contacts.
• Document Incident Reports
• Document in Avatar all client related activity
• Completion of Third Party Administrator (TPA) authorizations

10%\- All other duties as assigned including special projects related to department and program

goals.

10%\- Answer phones and emails daily and return phone calls timely. Provide information,

assistance, outreach to families that contact the program for information.

Success Factors (KSA's)

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• Understanding of cultural competence and working with diverse populations Ability to communicate effectively both orally and in writing
• Ability to work and make decisions independently
• Ability to engage children, youth, and families with risk factors for a mental health crisis, out of home placement, and court system involvement
• Ability to work in a fast paced, changing environment
• Ability to prioritize work duties and successfully meet deadlines as assigned
• Ability to travel throughout the county on a daily basis at times with personal vehicle Ability to have a flexible work schedule
• Knowledge of the Home and Community Based Waiver Manual
• Knowledge of County wide resources for children, youth, and families at risk Knowledge of evidenced based practices with children, youth, and families Knowledge of a variety of disabilities
• Knowledge of court systems and legal processes related to families
• Knowledge and ability to document and manage data in Microsoft Word, Excel, and Avatar

Job Requirements, Education, Training \& Experience

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• Bachelor's Degree in counseling, social work, psychology, or human services related field Social Work Certification Preferred
• Experience with children, youth, and families involved in the child welfare, juvenile justice, mental health, physical disabilities, and/or developmental disabilities systems
• Demonstrates strong leadership skills and in\-depth knowledge of CLTS
• Must have a minimum of 12 months of CLTS experience and be in good standing with the agency Certified in the Children's Long Term Care Functional Screen and experience conducting Children's Functional Screens
• Must possess and maintain a current unrestricted (not due to corrective lenses) driver's license and auto insurance pursuant to the Rock County Administrative Policy and Procedure 5\.02 and 5\.27\.

Essential Job Functions (physical elements, equipment and working conditions)

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Equipment use:

Ability to use a computer, computer keyboard, copy machine, and fax machine

Ability to type notes daily and use computer programs such as Microsoft Word, Excel, and Avatar

Working Conditions:

Ability to work in multiple locations including the office, client's home, and a variety of community locations.

Valid Driver's License and insurance

Available to work a flexible schedule including work into the evenings when needed to meet client needs Potential Exposure to physically or verbally abusive clients

Physical Elements:

Ability to walk, stand, sit, and be active with children and youth