NEOGOV · 6 hours ago
Senior and Disability Services - Case Manager
NEOGOV is seeking a Senior and Disability Services Case Manager to provide initial service eligibility and ongoing case management for individuals needing personal care assistance. The role involves working with Medicaid payment systems and ensuring quality of life and independence for clients in the least restrictive settings.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Conducts initial, annual, and ongoing risk assessments and risk mitigation reviews
Monitors ongoing cases, adjusting service plans as needed
Provides backup support to other social workers and unit staff as directed by supervisor, including protective services
Provides relocation planning for nursing facility clients and/or clients requesting transfer to other living situations
Assists consumers in requesting and obtaining K-State Plan Ancillary Services and/or Special Needs eligibility
Provides crises response and intervention to support consumers care needs and care plan
Makes referrals to community resources to support individual care plans
Assists consumers through service provision issues and problem solving to resolve issues with providers, services, and/or hours that do not meet the individual’s needs
Completes initial service assessment eligibility and ongoing annual service reviews in accordance with Oregon Administrative Rules (OARs)
Interviews consumers in their own home or care setting to gather personal, social, and medical history information in order to determine and assess person-centered needs, current level of functioning, eligibility, preferences, and the need for appropriate referrals
Conducts assessment of medical/psycho/social needs for persons needing home and community- based services
Completes Consumer Assessment & Planning System document and/or State Plan Personal Care Assessment
Determines if services are to be provided by Medicaid. If assigned, completes service eligibility in full, including all necessary paperwork and updating affiliated systems. May refer to the Oregon Project Independence (OPI) Case Manager and/or other community service options
Reviews and assists consumers with requesting and monitoring Extended Waivered Eligibility
Develops service plan to meet service and care needs. Coordinates with hospitals, other health care providers, family, friends, and significant others to ensure comprehensive needs are met, including assisting consumers and/or providers through exceptions processes
Establishes specific care plans including hours and specifics of home care and personal care services. Arranges for contractor or consumer-employed provider to provide services for consumer
Arranges for Long-term Care Community Nurse (LTCCN) or individual consumer employed contract RN to assess for personal care plans. May complete all paperwork associated with payment authorization process and routes through established office procedures
Arranges for Behavioral Support Services and Emergency Response Services to support care planning. May complete all paperwork associated with payment authorization process and routes through established office procedures
Monitors ongoing cases and adjusts service plans as needed. Arranges for necessary services such as home delivered meals, transportation, and prior authorized medical
Provides resource referral for family caregivers
Updates all affiliated service planning systems and ensures all service plan forms are issued to consumer and returned per policy standards
For in-home and community-based care and/or nursing facility consumers, provides all related information and paperwork regarding rates and other expectations to providers, consumers, and responsible family members or representatives
Completes all paperwork associated with payment authorization process and routes through established office procedures, and ensures these individuals are provided with all necessary forms
Troubleshoots payment issues for resolution and monitors payment systems for accuracy and timely payment
Directs provider questions to appropriate resources when necessary
Completes all paperwork associated with long term services and supports Medicaid programs
Updates consumer file systems in accordance with policy standards and assists in forwarding forms to appropriate file retention records as required
Attends unit meetings, staffing and training as directed by supervisor
Performs other related duties as assigned by supervisor
Assists in Oregon Administrative Hearings requests
Participates with internal and external quality assurance audits and reviews
Provides team members with assistance with case management questions and concerns
Performs and follows mandatory reporting requirements
Qualification
Required
A bachelor's degree in a behavioral science, social science, or a closely related field; or
A bachelor's degree in any field and one year of human services related experience that may include providing assistance to people and groups with issues such as economical disadvantages, employment barriers and shortages, abuse and neglect, substance abuse, aging, disabilities, prevention, health, cultural competencies, or inadequate housing; or
An associate's degree in a behavioral science, social science, or a closely related field and two years of human services related experience that may include providing assistance to people and groups with issues such as economical disadvantages, employment barriers and shortages, abuse and neglect, substance abuse, aging, disabilities, prevention, health, cultural competencies, or inadequate housing; or
Three years of human services related experience that may include providing assistance to people and groups with issues such as economical disadvantages, employment barriers and shortages, abuse and neglect, substance abuse, aging, disabilities, prevention, health, cultural competencies, or inadequate housing
Knowledge of the elderly and/or people with disabilities, and familiarity with the problems and issues confronting the elderly and/or people with disabilities in the local community
Knowledge of community resources
Knowledge of confidentiality rules regarding consumer and provider records and investigations, including HIPAA regulations
Knowledge of, and ability to operate, a personal computer
Knowledge of, and experience in, Microsoft software
Ability to effectively communicate orally and in writing
Ability to assess individuals in their own home to determine appropriate service and/or community referral
Ability to work effectively with representatives of other social agencies and members of the public
Ability to work effectively with consumers and to use good judgment in handling individual case problems
Ability to interact and work with a culturally diverse population
Ability to exercise good time management skills to accomplish both daily tasks and on-going projects
Ability to maintain accurate, up-to-date records and to prepare accurate reports
Ability to work independently, organize and structure tasks, handle multiple projects and a high volume of work
Ability to initiate own work with minimum supervision
Ability to establish and maintain positive and effective working relationships with staff, consumers, other agencies, and the general public
Skills in performing psychosocial assessments
Possession of a Valid Oregon Driver's license and the ability to travel over a tri-county area
Position requires successful completion of a criminal history and driving record check
Preferred
Bilingual English/Spanish Encouraged
Benefits
General Retirement System (Pension) enrollment
457(b) Deferred Comp Plans available
Excellent medical insurance with low deductibles and copays
Dental insurance
Vision insurance
Behavioral health plan
Employee Assistance Program
Group Term Life & AD&D Insurance, Voluntary Term Life & AD&D, Whole Life Insurance, and Short-term Disability options
Paid vacation and sick leave
Generous holiday schedule
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Recent News
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2025-10-31
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