Case Manager, (Oak Ridge, TN), Emory Valley Center

Case Manager

• Pay: $20.23ph
• Benefits: Vision, Dental, Medical, Paid Time Off (PTO), Retirement Plan, and more!

The Emory Valley Center

We are a nonprofit organization located in Oak Ridge, Tennessee, that has been serving individuals with developmental disabilities since 1955. It supports children, adults, and families across 16 East Tennessee counties, offering a wide range of services including supported living, day programs, employment assistance, early intervention, family support, and therapies such as speech, occupational, and behavioral health. The center also operates the Emory Valley Early Learning Center, an inclusive preschool licensed by the Department of Human Services. In 2016, Emory Valley Center opened a new facility to expand its services and continue its mission of promoting independence, dignity, and community inclusion for individuals with disabilities.

Responsibilities:

The Case Manager will coordinate with Emory Valley Center (EVC) staff and outside professionals for the benefit of the person supported, will develop plans to support people, and will maintain comprehensive electronic health records in relation to the provision of Person-Centered services and support for an assigned case load. Using discretion and independent judgment, the Case Manager coordinates and monitors the assessment and treatment planning process; the delivery and follow-up care of people; assures that the appropriate services plan and person-centered practices are followed. The Case Manager actively works to align Professional Services with company goals and the Department Disabilities and Aging (DDA)/ Managed Care Organization (MCO) initiatives which advance the care and coordination of services for people. The Case Manager also serves as an advocate and liaison for and on behalf of the people. The Case Manager actively participates, facilitates, and contributes to the organization’s ongoing mission to build and strengthen our internal culture with compassion, forward thinking, quality, value and respect for diversity, equity, inclusion, and belonging to enhance the lives of those we serve. Initiates and maintains communication between EVC, families, conservators, Independent Support Coordinators (ISC’s), State Case Managers, medical professionals, therapists, advocates and MCO’s regarding services, support, progress, and problems. Works with people and families advocating for improvements in individual situations whereby more favorable conditions may be attained regarding work, recreation, home, attendance, interpersonal relationships, and so forth.

• Main contact for families and professionals on support plans.
• Ensures person-centered planning and PCSP development.
• Makes monthly contact with family/conservator for each person.
• On-call for emergencies requiring medical judgment.
• Coordinates hospital care and discharge planning.
• Communicates with Circle of Support and care teams.
• Assists with Medicaid redeterminations and appeals.
• Writes PCSPs for private pay individuals.
• Reviews medication logs, ITSPs, and PCSPs for accuracy.
• Submits monthly Provider Reviews by the 20th.
• Schedules medical appointments and assessments.
• Reviews health records for trends and follow-up needs.
• Ensures professionals have needed medical info.
• Coordinates required appointments with assistants.
• Processes medical visit paperwork daily.
• Manages daily prescriptions and pharmacy coordination.
• Ensures meds match doctor’s orders and are available.
• Follows Medication Administration policy.
• Shares updates with Case Manager Assistants.
• Promotes use of tech for independence (e.g. phones, tablets).
• Identifies tech, community, and work-related goals.
• Maintains and updates ITSPs and PCSPs regularly.
• Writes and monitors specialized support plans.
• Visits each supported home monthly.
• Reviews and revises PCSP drafts as needed.
• Completes annual paperwork and consents.
• Ensures Human Rights forms are complete and accurate.
• Monitors and reports any rights restrictions.
• Obtains informed consent for psychotropic meds.
• Coordinates therapy orders and insurance approvals.
• Follows up on therapy services and recommendations.
• Attends appointments when needed.
• Works with Clinical Services on mental health support.
• Maintains flexible, in-office and field schedule.
• Provides after-hours and holiday support as scheduled.
• Tracks time in Practical Health Systems.
• Performs other duties as assigned by leadership.

Requirements