CAP Case Manager Social Worker

To apply via text, 10121 to

Locates, coordinates, directs, monitors, and assists in determining eligibility for social, medical, financial, and other services (formal or informal) to meet the needs of CAP clients. Completes psychosocial assessment, develops and revises the Plan of Care, prepares progress notes, works 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 counseling, client and family advocacy, crisis intervention, community resources and education, information, and referral for community programs.

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

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

• Medical, Dental and Vision Benefits
• Daily Pay option
• Monthly Bonus
• Continued Education
• Company matched 401K
• PTO Plan
• Retirement Planning
• Life Insurance
• Employee discounts

• Facilitate the entire service delivery process, beginning with the screening/assessment, including the identification and procurement of services, on‑going monitoring of care and services, and the annual re‑evaluation of the client’s needs and services.
• Obtain pertinent medical records to assist with completion of the SRF in a timely manner.
• Contact and schedule the initial and Continued Need Review social work portion of the assessment according to CAP procedures.
• Develop and complete the assessment and Plan of Care based on information gathered at the initial assessment and at the CNR. Enter all assessment and POC information into the E-CAP system.
• Re‑vise the Plan of Care and enter it in the E-CAP system as client’s needs change, per NC Medicaid guidelines.
• Complete necessary forms/notices per NC Medicaid guidelines in the CAP patient files in Microsoft when changes occur and in initial assessment, or CNR.
• Locate and coordinate sources of help from within the family and community so that the burden of care is not exclusively borne by formal health and social agencies.
• Monitor the client’s situation to assure the quality of care; the continued appropriateness of the services; 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.
• Coordinate with Medicaid income maintenance staff regarding the client’s eligibility for Medicaid and provide information to clients and/or families on meeting the client’s deductible. This includes planning with the income maintenance caseworkers, clients and families, and support staff at various agencies that provide home services.
• Make home visits (per NC Medicaid guidelines) to assure services are appropriate according to the Plan of Care, to assure services are being rendered satisfactorily, to assure the home situation has not changed threatening the client’s health, safety, and well‑being. Provide counseling and emotional support to client to strengthen family/support system, especially when disruptions in services arise due to conflicts.
• Maintain cost effective service delivery by maintaining and utilizing knowledge of regulations and reimbursement requirements.
• Ensure all activities are provided in compliance with regulatory agencies and are properly collaborated with associated agencies or other care providers.
• Identify, coordinate, and utilize resources, as well as define and document unmet needs and gaps in services.
• Collaborate with various disciplines to ensure a comprehensive and holistic approach to client care.
• Patiently and clearly provide information and assistance to inquiring clients/families, self, or agency referrals, in relation to CAP and home care services, routines, procedures, government programs, and community social and health agencies.
• Promptly investigate complaints and/or errors and take corrective action when warranted.
• Accept and review referrals to CAP in absence of Referral Coordinator, or designee.
• Participate in quarterly chart audit when…