CAP Case Manager

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Position Summary: Locates, coordinates, directs, monitors, and assists in determining eligibility for social, medical, financial, and other services (formal or informal) to meet the needs of Community Alternatives Program (CAP) clients. Completes psychosocial assessment, develops and revises the Plan of Care, prepares progress notes, work with the client and family, utilizing appropriate community resources, participates in discharge planning and in-service programs and acts as a consultant to other agency personnel, physicians, hospital staff, CAP providers, and Home Health agencies.

Provides, client and family advocacy, crisis intervention, community resources and education, information, and referral for community programs.

Hours: Full Time | In office | Monday through Friday 8 am - 5 pm

Location: Addus Home Care 56 Boone Trail Rd.
North Wilkesboro, NC 28659

• Medical, Dental and Vision Benefits
• Daily Pay option
• Monthly Bonus
• Company matched 401K
• PTO Plan
• Retirement Planning
• Life Insurance
• Facilitate the entire service delivery process. Develops and completes client assessments and Plan of Care based on information gathered at the initial assessment and periodic reviews. Enter information into program specific electronic systems according per NC guidelines.
• Completes necessary forms/notices per NC Medicaid guidelines in the CAP patient electronic and written charts.
• Monitors the client’s situation to assure the quality of care; the correct level of care; and the continued appropriateness of CAP participation by reviewing provider documentation and claims; obtaining input from the client, family, and service providers; and personal observation.
• Coordinates with Medicaid income maintenance staff on a regular basis regarding the client’s eligibility for Medicaid and/or Medicaid deductible.
• Makes home visits (per NC Medicaid guidelines) to ensure services are appropriate and satisfactory according to the Plan of Care and not threatening the client’s health, safety, and well-being. Provides advocacy, emotional support and intervention to clients to strengthen family/support systems, especially when disruptions in services arise due to conflicts.
• Maintains cost effective service delivery by maintaining and utilizing knowledge of regulations and reimbursement requirements.
• Collaborates with various disciplines to ensure a comprehensive and holistic approach to client care. Locates and coordinates resources.
• Promptly investigates complaints and/or errors and takes corrective action when warranted.
• Documents Case Management in a running narrative in the CAP patient files and includes all contacts and activities related to clinical care. Each entry must contain sufficient detail to support a claim for reimbursement.
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrates knowledge of the principles of growth, development of the life span and possesses the ability to assess data reflective of the client’s status and interpret the appropriate information needed to identify each client’s requirements relative to his or her age specific needs and provides the care needed as described in the departmental policies and procedures.
• Maintains a high degree of confidentiality due to access of sensitive information.
• Performs other duties as assigned
• Bachelors degree in social work, psychology or other related human services field
• Knowledge of Community Alternatives Program CAP/DA and CAP/C policies and procedures preferred
• Experience in the evaluation and provision of long-term care services as well as working with children, aged, and disabled preferred
• Excellent oral and written communication skills
• Ability to multi-task under tight deadlines
• Strong communication skills and interpersonal skills
• Valid driver’s license and proof of insurance is required

Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

To apply via text, text, 10121 to