CaseManager

**JOB SUMMARY** An Advantage Case Manager is responsible to carry out the case management process as outlined by the case management standards of operation set forth by Oklahoma Department of Human Services MSU and directed under the supervision of CMS and/or Excell Private Care Services management team. Activities to include but not limited to: admission/intake, assessment/reassessment, services plan implementation, monitoring/evaluation, and discharge of members. The roles assumed by the case manager within the long-term care services delivery system are services coordinator, member advocate, member consultant, good steward of state funds and gatekeeper. **DUTIES & RESPONSIBILITIES** * ## Establish intake, screening, and referral procedures for information requests about community long-term care options and admitting only those consumers determined eligible by OKDHS. * ## Review the comprehensive assessment and/or complete reassessment, as needed, to identify member needs, goal, abilities, resources, and support as the basis for service planning. Complete documentation & submit within specific timeframe. * ## Orients and provides on-going education to consumers as needed to empower them as informed and active members. * ## Ensures coordination of available community resources and informal support, for which the member is eligible and/or has needs. * ## Submits a comprehensive, written service plan for each member per the interdisciplinary team (IDT) process that establishes service goals, meets identified member needs, promotes independence, uses the most effective and cost efficient formal and informal resources, and clearly defines implementation responsibilities. * ## Monitors the delivery of services and evaluates member outcomes and makes revisions as indicated. Follow up on issues timely. Identify suspected abuse, neglect or exploitation and contact APS (Adult Protective Services) if necessary. * ## Modifies the service plan based on the status of the member