IDD Case Manager

Seneca Health Services is a Certified Community Behavioral Health Center in wild, wonderful West Virginia. We provide responsible, accessible, and progressive behavioral health services. We have a wide range of professionals who are passionate about helping our clients through substance use or mental health treatment. With four outpatient clinics and an intensive treatment location in Greenbrier, Nicholas, Pocahontas and Webster Counties, we serve a wide population. Our services include Crisis Services, Substance Use Disorder Assistance, Mental Health Services, and Intellectual Disabilities Support.

We are committed to supporting the well-being of our team members by offering comprehensive and innovative compensation and benefits package that prioritizes work-life balance. Some of our offerings include flexible schedules, remote work options (when possible), retirement, generous paid time off, lifestyle spending account, professional development, tuition assistance and loan repayment – all designed to promote both physical and mental health. We believe that a healthy, happy workforce is key to success, and we strive to create a supportive environment that allows our staff to thrive both professionally and personally.

IDD Case Managers establish along with the client, a life-long, person-centered, goal-oriented process for coordinating the supports, range of services, instruction and assistance needed by persons with developmental disabilities. Ensure the maximum potential and productivity of the client is utilized in making meaningful choices with regard to their life and inclusion in the community. 

QUALIFICATION REQUIREMENTS 

Bachelor’s Degree in a Human Service field or Bachelor’s Degree in a non-human service field and one year experience in the intellectual/developmental disabilities field.  

West Virginia Social Work License preferred.  

Valid driver’s license and vehicle required.  

Must pass a Criminal Background Check and Employment Fitness Determination through WVCARES and a drug screen.  

Must maintain required Seneca and Title XIX Waiver Program training and certification. 

Demonstrated knowledge of basic computer skills required.  

ESSENTIAL FUNCTIONS 

1. Assist the client and/or legal representative with re-determination of financial eligibility as required at the DHHR office. 

2. Begin the discharge process and provide linkage to services appropriate to the level of need when a person is found to be ineligible for IDDW services during annual eligibility or financial re-determination. 

3. Provide oral and written information about Seneca’s client rights and client grievance procedures or provide linkage to other agencies’ rights and grievance procedures. 

4. Assist with procurement of all services that are appropriate and necessary within and beyond the scope of the IDDW Program including annual medical and other evaluations, as applicable. 

5. Provide education, linkage and referral to community resources and ensure freedom of choice with regard to service type and service provider; advocate for the member to obtain the required and appropriate services based on consumer choice. 

6. Promote a valuable and meaningful social role for the client in the community while recognizing the client’s unique cultural and personal value system. 

7. Interface with the UMC on behalf of the client in regard to the assessment process, purchase of services and budget process, i.e. linkage, negotiation of services, submission of information, coordination of choice of appropriate assessment respondents on behalf of the client, education and coordination of the most appropriate assessment setting that best meets the client’s needs. 

8. Communicate with other service providers on the IDT to allow for continuity of services and payment of services. 

9. Coordinate necessary evaluations to be utilized as a basis of need and recommendation for services in the development of the IPP; notify IDT persons at least 30 days in advance of meeting; support the client, as necessary, to convene and conduct IDT meetings. 

10. Document all services, both paid and unpaid, from any and all programs on the IPP; provide schedules of all programs used by the client to ensure that times and tasks do not overlap or duplicate. 

11. Coordinate the development of IPPs at least annually; ensure IPP is reviewed and approved by the IDT at least every 90 days unless otherwise specified in the plan, but shall not exceed 180 days. 

12. Access the necessary resources detailed in the IPP, make referrals to qualified service providers and resources, and monitor that service providers implement the instructional, behavioral and services objectives of the IPP. 

13. Disseminate copies of all IPPs to the IDT persons and Participant-Directed Service Option providers (if applicable) within 14 days of the IDT meeting. 

14. Upload the required documents and any additional documentation requested by BMS or the UMC into the UMC’s web portal within 14 days of the IDT meeting; disseminate copies of the budget sheet from the IDDW website, once finalized. 

15. Monitor to ensure the client’s health and safety needs are addressed. 

16. Comply with reporting requirements of the WV IMS for clients on caseload. 

17. Personally meet monthly with the client and their paid or natural supports that are present with the client the time of the visit at the client’s residence to verify that services are being delivered in a safe environment, in accordance with the IPP and appropriately documented.  

18. Personally meet at least every other month with the client and their support staff at the facility-based day program or pre-vocational center, if applicable. 

19. Check with BMS fiscal agent monthly to verify financial eligibility. 

20. Provide planning and coordination before, during and after crises, including notifying the UMC if a client is admitted to a crisis site or state institution. 

21. Process Freedom of Choice forms in the UMC’s web portal within two business days any time a client requests a change of Service Delivery Models. 

22. Coordinate transfer/discharge meetings to ensure the linkage to new service provider or service delivery model and access to services when transferring services from one provider agency to another or to another type of service delivery model.  

23. Travel as necessary to complete case management activities related to the IPP. 

24. Provide information and assistance regarding participant-directed services during annual IPP meetings and upon request by the client or legal representative. 

25. Inform the client of their rights at least annually.  

26. Attend and participate in the annual functional assessment for eligibility conducted by UMC. 

27. Present client’s proposed restrictive measures to the IDDW provider agency’s Human Rights Committee if no other professional is presenting the same information; monitor any restrictive measures approved by the HRC to ensure the measures are implemented properly and reviewed at least annually by the HRC and by the IDT at every IDT meeting. 

28. Attend and contribute to Futures Planning sessions, including PATHs and MAPs. 

29. Attend staff meetings and training sessions. 

30. Accurately maintain detailed documentation for services provided as required by Seneca and Title XIX Waiver Program; secure information by adhering to HIPAA regulations and Seneca privacy policies. 

31. Ensure work is performed in a safe manner and environment; adhere to Seneca’s Safety policies and procedures. 

32. Represent Seneca in a positive manner including maintaining a positive attitude and performing duties in a manner in accordance with Seneca’s Mission and Code of Conduct and Ethical Practices. 

33. Other duties as assigned by supervisor. 

Minimum Physical Requirements 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

While performing the duties of this job, the employee is frequently required to sit; use of arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard. The employee is occasionally required to
stand; walk; reach with hands and arms; climb stairs; balance; bend or crouch; talk and hear; and drive a motor vehicle. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision and distance vision.  

This job description reflects management's assignment of essential functions; it does not restrict the tasks that may be assigned.