Case Manager- Adult Residential

PURPOSE:

To initiate facilitate and perform a variety of casework related functions pertaining to the development and implementation of the integrated person centered plan which encompasses all aspects of the participants life. The Case Manager is responsible for ensuring residents receive direct and indirect support across every aspect of their daily lives including: dignity selfadvocacy and increased autonomy. The Case Manager is responsible for direct oversight and case management of family/individual cases and providing in home support coverage as necessary.

The Adult Residential Services Case Manager is the primary internal service provider advocate for participants on their caseload in compliance with agency mission program guidelines best practices for individuals with ID/DD applicable laws rules/regulations and policies and procedures promulgated through code agencies responsible for surveillance and regulatory oversight of Little City Foundations residential services. The Case Manager coordinates and leads the multidisciplinary team (ISC/ISSA medical clinical & behavioral home & day program management parent/guardian) through the collaboration process to meet the needs of individuals served including but not limited to: design implementation and monitoring of implementation strategies used to meet quality of life outcomes indicated in person centered plan(s) completion of required assessments and required paperwork oversight of the delivery of services provided across day and home environments and evaluating whether services provided and recommended continue to be appropriate across settings.

The Adult Residential Services Case Manager maintains accountability for the upkeep of participant files on their caseload and ensures the delivery and/or coordination of all residential services are in compliance and accordance with policies and procedures promulgated through agencies responsible for surveillance and regulatory oversight of Little City Foundations residential services including: BALC DPH DHS Rules 115 and 116 HCBS CARF HUD & any other entity to which the adult residential programs maintain accountability.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The list of essential duties and responsibilities as outlined herein is intended to be representative of the task to be performed. The omission of an essential function does not preclude management from assigning duties not listed herein is such duties are a logical assignment to the position.

Person Centered Planning Advocacy & Implementation

1. Carries an average caseload of up to 40 adults receiving residential services in a variety of potential living arrangements.
2. Serves as primary service provider advocate to participants including: services and supports needed to help the person achieve their goals promotion of and teaching selfadvocacy assuring individual(s) participate in all decisions affecting his/her life to the greatest extent possible.
3. Responsible for monitoring the health safety wellbeing and satisfaction of each person served and conducts onsite visits to short/longterm rehabilitation facilities as well as hospitals where applicable. Additionally transports residents to/from and advocates at medical appointments when necessary.
4. Serves as primary contact person for guardians interdisciplinary team members and all outside service providers.
5. Conducts at least biweekly visits with each assigned adult in his/her residential home(s) and at least monthly visit in his/her day program to ensure appropriate services are implemented.
6. Collaborates with the interdisciplinary team (IDT) in developing and implementing the following:
   1. Ensures all interdisciplinary team members are invited to all meetings including but not limited to: 30Day Person Centered Plan (PCP) for new admissions annual PCP review any subsequent IDT meeting needed prior to annual PCP review hospitalization/rehabilitation discharge planning LCF discharge.
   2. Completes implementation strategies for outcomes written by ISC within 20 days of receiving parent/guardian approved PCPs and documents implementation strategy approval attempts 3 minimum).
   3. Participates in communication collaboration and team meetings with all centralized support teams to ensure the coordination of service delivery assurance of program quality and integrate subsequent objectives into the person centered plan.
   4. Completes Mental Health Assessment for all individuals served with primary mental health diagnoses (SLOF) including quarterly and sixmonth reports.
   5. Attends all psychiatric appointments for individuals on their caseload and ensures required paperwork is complete/provided.
   6. When appropriate attends IEP meetings for young adults still served by Illinois State Board of Education approved programs.
7. The Case Manager maintains overall accountability for initial and ongoing training of implementation strategies for participants on their caseload essential duties include:
   1. Ensuring implementation strategy objectives written are specific measurable achievable realistic and time oriented (SMART).
   2. Providing clear and concise stepbystep instructions for implementation by direct care staff.
   3. Providing all home staff with initial training on implementation strategies and additional training as requested by home management. Maintains documentation of training for all direct care staff.
   4. Attends monthly team meetings for homes where participants on their caseload reside as requested.
   5. Runs reports and monitors participant progress toward achieving objectives at least monthly and adjusts implementation strategies accordingly providing retraining as necessary.
   6. Communicates staff performance concerns directly to the home manager as needed.

Programming & Quality Assurance

1. Completion of required paperwork including but not limited to:

annual consents/releases and subsequent medical provider consents/releases implementation strategies across home/day program(s) medical and psychiatric provider reports/appointment paperwork as needed.

1. Ensuring participant demographic information (state identification social security card current and emergency contacts and face sheet photo) current psychological (within 10 years) annual person centered plan & discover tool & behavior service plan (annual) are present in the clinical file.
2. Completion of monthly Q note detailing participant progress toward achieving outcomes/objectives community integration summary of monthly services provided assessment of appropriateness of services provided and medical appointments attended. The Case Manager is also responsible for providing this information to the respective ISC agency as well as parent/guardian.
3. Completion of DHS related assessment & paperwork that assures continuous appropriate placement including but not limited to: annual ICAP turnaround form nightly participant absences nightly absences reports & subsequent bed hold extension requests & STAR form as needed.
   1. When applicable works in conjunction with the home manager for implementation and coordination of family/friend home visits.
4. Completion of Home without Supervision Assessment and indirect skill and behavioral assessment(s) as needed.
5. Documentation of collateral and direct participant contacts via appropriate progress note(s).
6. Completion of internal/external service referrals as needed.
7. Participation in internal and external file review upon request & in compliance with HIPAA.
8. The case manager participates in rotating Case Manager OnCall responsibilities including after hours and weekend oncall for emergency medical treatment and notification of unusual incidents as needed per agency policy (including 24/7 emergency coverage as needed).

ARS Department & InterDepartment Collaboration

1. Upon request the Case Manager produces files and paperwork requested by internal & external department team members as relevant to the interdisciplinary team within a reasonable amount of time.
   1. Where applicable the Case Manager assists members of the IDT team in obtaining additional documentation from parents/guardians and ISC personnel.
   2. Where applicable the Case Manager assists members of the finance department in obtaining financial information and required documentation from the case/home management team (eg. HUD monthly/quarterly bank statements etc).
   3. Where applicable the Case Manager works collaboratively with the Intake Coordinator to provide documentation required for intake billing DDD program eligibility & transfer.

MINIMUM QUALIFICATIONS:

Bachelors degree in human services field including but not limited to sociology special education rehabilitation counseling and psychology. musthave at least oneyear of experience working directly with peoplewith developmental disabilitiesmeet the minimum federal educational requirements for a QIDPoutlined in42 CFR 483.430 and must provide documentation of both education and experience. Must have excellent interpersonal skills. Possesses strong verbal and written communication skills with good basic computer skills. Candidate must have strong organizational skills to manage multiple priorities. Must be capable of transporting adults and have a valid drivers license and a good driving record.

PHYSICAL REQUIREMENTS & WORK ENVIRONMENT:

While performing the duties of this job the employee is subject to sitting walking and standing for prolonged periods; frequently pushes pulls grasps feels and occasionally stoops kneels crouches or crawls. The employee frequently is required to use manual and finger dexterity and eyehand coordination when working with persons served and handling office medical or household equipment. The employee is subject to assist and lift up to 50 pounds with varying amounts of assistance on a reoccurring basis. The employee is required to have corrected vision and hearing within normal range and the ability to operate a motor vehicle. Must have the ability to perform CPR and CPI. Occupational exposure to blood body fluids infectious substances including communicable diseases when performing personal care (Category III). Occasional exposure to cleaning agents and disinfectants. Residential work environment with a noise level of normal to loud. The physical demands described here are representative of those that must be met by an employee to perform successfully the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer: The intent of this job description is to provide a representative level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform jobrelated tasks other than those specifically presented in this description.