JOB TITLE: YES Waiver, Child and Adolescent Services Case Manager

WORKSITE LOCATION: Gulf Bend Regional Plaza, 6502 Nursery Drive, Suite 100, Victoria TX 77904

STARTING PAY: $18.47  EEOC CODE: Professional FLSA STATUS: Non-Exempt

SHIFT: Fulltime; Monday thru Friday, 8:00am - 5:00pm

EDUCATION AND EXPERIENCE REQUIRED:

Required: A bachelor's degree from an accredited college or university with a minimum number of hours that is equivalent to a major in psychology; social work; medicine; nursing; rehabilitation; counseling; sociology; human growth and development; physician assistant, gerontology; special education; educational psychology; early childhood education; or early childhood intervention or is a registered nurse.

Preferred: At least six months' experience in providing mental health services to adults, children and adolescents.

DEGREE AND/OR CERTIFICATION REQUIRED:

BA/BS in field specified above or licensed as a Registered Nurse in the State of Texas.

ESSENTIAL FUNCTIONS and DUTIES:

1. Completes TRR assessment in accordance with Center policy and HHSC Contract as verified by supervisory review. Initial TRR assessments are completed within 7 days of assignment and must be updated at least two weeks prior to expiration for continuity of care.
2. Formulates a plan of care to identify the appropriate skill areas, frequency and duration of services to be provided in conjunction with the consumer/families and based upon the TRR assessment according to TAC code, HHSC contract, and National Wraparound Implementation Center (NWIC) model.
3. Provides authorized services to consumers according to the Recovery plan, Wraparound plan, and/or Individual Plan of Care (IPC) developed using independent clinical judgment in accordance with Medicaid Rule, HHSC Contract, National Wraparound Implementation Center (NWIC) model and UM Guidelines..
4. Provides ninety-five percent (95%) of services in the customers' natural environment (including at home, school, and community).
5. Meets productivity standard.
6. Submits treatment recommendations through Utilization Review based on medical necessity per supervisor review.
7. Actively participates in all team meetings, Wraparound coaching, and supervisions as a means of enhancing professional growth, reviewing and processing the provision of services, and appropriately addressing concerns and other requests as needed.
8. Submits all documentation in the electronic healthcare record (EHR) within two business days including forms, services, disclosures, telephone contacts etc. within 2 business days.
9. Monitors all services for YES Waiver in accordance with Individual Plan of Care (IPC) and YES Waiver Policy Manual.
10. Plans, coordinates, and facilitates at least monthly Child and Family Team meetings for customers in a Wraparound level of care.
11. Demonstrates appropriate responses to Critical Incidents: submits Critical Incident Reports to HHSC, facilitates Child and Family Team meetings, and adjusts Crisis and Safety plan as needed.

PHYSICAL REQUIREMENTS and ENVIRONMENTAL CHECKLIST: 

Abilities required to perform the essential and marginal tasks of this job: Walking, Operating office equipment, Standing, Operating motor vehicle, Light lifting (under 15 lbs), Sitting, Ability to see, Identify colors, Twisting, Light carrying (under 15 lbs), Hearing (with aid), Ability to write, Climbing stairs, Ability to count, Ability to read, Simple grasping, Ability to tell time.

Work site and environmental conditions that apply to this job: Travel by car 50% of time, Outside, Inside, Excessive heat, Excessive humidity, Slippery/uneven walking surfaces, Working closely with others, Working alone.

CRED/PRIV REQUIRED: Yes DRIVING REQUIRED: Yes

KNOWLEDGE, SKILLS, ABILITIES, and COMPETENCY:

1. Program specific: Completes NWIC trainings for Wraparound Facilitators and maintains knowledge and skills in Wraparound Planning process. Is responsible for completing assessments, Wraparound planning, treatment planning, effective coordination of appropriate community services, and crisis intervention. Acts as liaison between customers/families and service providers. Requires travel within the 7 counties. Meets multiple deadlines and reporting requirements. Work is performed under the supervision of the Program Manager, Child and Adolescent Services with considerable latitude for the exercise of discretion and independent judgment. Performs other duties as assigned by supervisor which are consistent with the position and in compliance with agency policies and procedures. Exhibits cooperative teamwork with other staff to accomplish the efficient operation of the program by assisting coworkers, as necessary, to meet client needs and contract requirements with no verified complaints. Demonstrates ability to engage customers and families in treatment and lead Child and Family Team meetings.
2. Communication: Strong written and verbal communication skills to communicate clearly and effectively with strong organizational skills and the ability to interface effectively with all levels of the organization.
3. Confidentiality: Ability to maintain a strict standard of confidentiality in handling sensitive information, reports, and correspondence.
4. Conflict resolution: Ability to solve problems and resolve issues.
5. Interpersonal skills: Interacts with employees' contractors, customers, community, family members, referral sources, governmental sponsoring and funding entities, program auditors, advocacy groups, and the media. Ability to work collaboratively with a team of staff to accomplish the efficient operation of the program by assisting coworkers, as necessary, to meet client needs and contract requirements with no verified complaints. Ability to work cooperatively and productively with supervisor, individuals, co-workers, and groups of persons at all levels of activity, contributing to a strong spirit of teamwork. Ability to establish and maintain effective working relationships with staff, other agencies and the public using tact, courtesy, and good judgment.
6. Code of Conduct, CORE Values: Work behavior must be compatible with Center's Core Values, Culture, Mission and Vision statements, and Policies and Procedures contributing to an environment of problem solving, building trust, conflict resolution, and customer service. Adheres to the professional, ethical and legal requirements set forth in the Center's business Code of Conduct as well as the Corporate Compliance Plan.
7. Customer service: Demonstrates appropriate responsiveness to internal/external customer needs.
8. Dress code: Adherence to Center Dress Code to present a professional appearance and conduct when representing the Center.
9. Fleet: Completes fleet checklist as required. Reports all fleet problems directly to the Program Director within 24 hours of identifying problem. Uses GeoTab key fob in fleet vehicles and maintains road safety compliance.
10. Task management: Ability to perform tasks effectively and efficiently and to handle multiple priorities in a confidential environment. Must have strong attention to detail. Ability to plan and schedule work and implement directives without constant supervision. Ability to plan and schedule work and implement directives without constant supervision. Must have good organizational skills to achieve multiple deadlines.

OTHER REQUIREMENTS OR CONDITIONS:

1. Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. Liability insurance required.
2. Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business. Safe driving record as defined by Gulf Bend Center.
3. Must have computer experience to include Microsoft Word, Excel (beginner to intermediate level), Outlook, Teams, and Zoom. Ability to type 40 wpm. Ability to operate office equipment (copy machine, fax).
4. Must complete all training requirements prior to the due date. Attend required training and team meetings. Relias training and any other training required for the role is 100% compliant.
5. Must maintain regular and reliable attendance, including compliance with the telework agreement. This is a full-time position. Days and hours of work are Monday through Friday, 8:00am to 5:00pm or agreed upon hours 100% of the time, to ensure consistency and completeness of the program's processes. Evening and weekend work may be required as job duties demand.

AAP/EEO Statement

Gulf Bend Center 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 identify or expression, or any other characteristic protected by federal, state, or local laws.

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

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.