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Job Details

 

Nonlicensed Recovery Manager - East (Full Time)

Location: Cleveland, Ohio Country: United States of America
 

Western Reserve Area Agency on Aging (WRAAA) is a private non-profit corporation, organized and designated by the State of Ohio to be the planning, coordinating and administrative agency for federal and state aging programs in Cuyahoga, Geauga, Lake, Lorain and Medina Counties. It is one of 12 Area Agencies on Aging (AAAs) in the state organized together with local service provider organizations and the Ohio Department of Aging (ODA) to form the state's public aging services network. The network works together to create opportunities for older Ohioan's to receive needed home and community services and supports; and to age successfully in their own homes and communities.

Rep orts to: Recovery Manager Supervisor

Job Duties:

Recovery Management includes coordinating all services received by an individual and assisting the individual in gaining access to needed Medicaid State Plan and 1915(i) services, as well as medical, social, educational, and other resources, regardless of funding source. Recovery Managers are responsible for monitoring the provision of services included the Person-Centered Plan to ensure that the individual's needs, preferences, health, and welfare are promoted.

  • Coordinates/leads development of the Person-Centered Plan using a person-centered planning approach which supports the individual in directing and making informed choices according to the individual's assessed needs, preferences, and personal goals, and considers health and safety risk factors;
  • Coordinates all services received by the individual including logistical support, advocacy and education to assist Individuals in navigating the healthcare system.
  • Provides supporting documentation to be considered by the independent entity in the review and approval process;
  • Identifies services/providers, brokers to obtain and integrate services, facilitates, and advocates to resolve issues that impede access to needed services;
  • Develops/pursues resources to support the individual's recovery goals including non-HCBS Medicaid, Medicare, and/or private insurance or other community resources;
  • Assists the individual in identifying and developing natural supports (family, friends, and other community members) and resources to promote the individual's recovery;
  • Informs individuals of fair hearing rights;
  • Assists the individual with fair hearing requests when needed and upon request;
  • Assists the individual with retaining HCBS and Medicaid eligibility;
  • Educates and informs individuals about services, the individual person-centered planning process, resources for recovery, rights, and responsibilities;
  • Actively coordinates with other people and/or entities essential to physical and/or behavioral services for the individual (including the individual's managed care plan or patient-centered medical home) to ensure that other services are integrated and support the individual's recovery goals, health, welfare, and wellness. The goal of active coordination is to ensure that there are no gaps in or duplication of services. Coordination includes activities that help individuals gain access to needed health (physical and behavioral health) services, manage their health conditions such as adhering to health regimens, scheduling and keeping medical appointments, obtaining and maintaining a primary medical provider and facilitating communication across providers.
  • Actively participates in the care planning process as a member of the trans-disciplinary team
  • Coordination of health services across systems, including but not limited to:
  1. Physician consults
  2. Serving as a communication conduit between the consumer and specialty medical and behavioral health providers
  3. Notification, with the individual's permission, of changes in medication regimens and health status
  4. Coaching to individuals to help them interact more effectively with providers
  • Monitors health, welfare, wellness, and safety through regular monthly contacts (calls and visits with the individual, paid and unpaid supports, and natural supports) wherever the individual lives, works, or has activities;
  • Responds to and assesses emergency situations and incidents and assures that appropriate actions are taken to protect the health, welfare, wellness, and safety of individuals;
  • Monitors Plan of Care services, which includes but is not limited to review of providers' service documentation, the individual's participation and satisfaction with services and evaluating appropriate utilization, quality of services, gaps in care. Through the ongoing monitoring process, if there is discovery of a significant change event (eg, inpatient hospital admission), the Recovery Manager will contact the individual by telephone by the end of the next calendar day. If there is confirmation of a significant change event, then a face to face visit must take place by the end of the third calendar day following the discovery.
  • Updates the assessment, as applicable, and the Person-Centered Plan, based on information discovered during ongoing monitoring, which must occur as expeditiously as the individual's needs warrant but no later than fourteen (14) calendar days from the date the change in need/status is identified. Revisions to the Person-Centered Plan should occur no less frequently than annually
  • Initiates Person-Centered Plan or trans-disciplinary team discussions and meetings when services are not achieving desired outcomes;
  • Advocates for continuity of services, system flexibility and integration, proper utilization of facilities and resources, accessibility, and individual rights; and
  • Participates in any activities related to quality oversight and provides reporting as required.
  • Assist the supervisor with completing required audits, case reviews, adverse level of care determinations and adverse outcome responses.
  • Respond to urgent/emergent needs for a case management visit if the assigned case manager is not available.
  • Maintain minimum proficiency in all requisite computer applications and software.
  • Maintain consumer confidentiality according to agency policy.
  • Report abuse, neglect, or exploitation of older adults as a mandated reporter as required by Ohio law.
  • Abide by the professional code of ethics established by licensure.
  • Participate in trainings, meetings, in-services and continuing education opportunities; also participates in Ohio Home Care Waiver trainings and meetings as requested by supervisor or manager.
  • Meet time frames for timely and accurate completion of documentation, including use of the Care Star IT system.
  • Ability and willingness to travel to community and consumer locations within out five county service areas (Cuyahoga, Lorain, Geauga, Lake and Medina counties).
  • Perform other duties as assigned by supervisor as needed to meet agency goals.
  • All staff has the responsibility and authority to propose ways to improve quality and to fully participate in quality improvement efforts.

Essential Functions:

  • Monitoring the provision of services included in the Person-Centered Plan to ensure that individual's needs, preference, health and welfare are promoted.

Must have the following abilities to perform the essential duties:

  • Ability to effectively communicate with general public, both in person and by phone,
  • Ability to comprehend written material related to essential job functions,
  • Ability to accurately document facts related to essential job functions,
  • Ability to comprehend, recall, and apply facts related to essential job functions,
  • Ability to analyze, evaluate, and implement a reasonable course of action based on available information,
  • Ability to detect specific odors related to the assessment of a consumer's health/hygiene and the safety of the consumer's environment,
  • Ability to use and transport a laptop computer and case, therefore must be able to lift/carry a minimum of 20 pounds.
  • Ability to ambulate enough to access private homes/locations which may not be readily accessible.
  • Ability to travel to community and consumer locations within our five county service area (Cuyahoga, Geauga, Lake, Lorain and Medina counties), and
  • Ability to occasionally travel outside of our five county service area including but not limited to Columbus, Ohio.

Requirements:

  • A minimum of three years post degree experience working with individuals with severe and persistent mental illness (SPMI) and a minimum one year post degree experience working with individuals with a diagnosed chronic condition (DCC). Training in administering ANSA, person-centered planning, evaluating HCBS living arrangements, 42 CFR part 2 confidentiality of alcohol and drug abuse patient records, incident reporting and meets state conflict of interest standards.
  • Applicant must demonstrate the knowledge and skills necessary to provide the level care management/assessment appropriate to the scope of program responsibilities.
  • Applicant must be flexible to 24 hour coverage and access to database when necessary.
  • Experience with any of the following is desirable: pediatric patients, home care for pediatric patients, mental health patients, or physically disabled patients.
  • Applicant must possess a valid driver's license and proof of automobile insurance.
  • Must also pass a criminal background check and drug screen.
  • Must have basic computer skills, including Microsoft Office applications.

We look forward to hearing from you!

Western Reserve Area Agency on Aging (WRAAA) is committed to provide equal employment and advancement opportunities to all people. Employment decisions are made based on each person's performance, qualifications, and abilities. The Agency does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, sexual orientation, national origin, age, disability, veteran status or any other characteristic protected by law.


Posted Date: 19 Jun 2018 Reference: CB Employment Agency: Western Reserve Area Agency On Aging  Contact: HR & Recruiting Manager