Vacancy Announcement #88-20
Department: Department of Health and Social Services/Behavioral Health Services
Position: Medical Caseworker
Reports To: Social Services Manager
Salary: $39.520 -49,275.20 DOE
This position is a Medical Social Worker/Caseworker position performing duties as a provider of medical social work and medical case management services to Child and Adult clients (many of whom are presently incapacitated by disease, physical condition, mental capacity, etc.). The Medical Caseworker position is located in the Office of Social Services of the Department of Health and Social Services (DHSS). The Medical Caseworker maintains a caseload of approximately 30-35 cases of enrolled Tribal Member clients with current or pending diagnoses of chronic, debilitating, life-threatening, or terminal disease (such as diabetes, cancer, severe Auto-Immune Disease, etc.). Clients are typically enrolled in Medicaid (AHCCS) or Medicare and IHS services. The Medical Caseworker works under the direct supervision of (and receives guidance and direction from) the Social Services Manager.
DUTIES AND RESPONSIBILITIES:
(The following are illustrations of the typical duties and responsibilities of the incumbent and are not to be construed as all-inclusive.)
1. Accept referrals for and complete medical client service intakes
2. File or support petitions (on behalf of allegedly incapacitated and/or incompetent adults) for guardianship/conservatorship with the Tribal Court through the Office of the Attorney General with regard to medical cases and in collaboration with the Adult Caseworker
3. Assist clients and other professionals in the close coordination of care between primary care and specialty medical providers
4. Perform medical case management subsequent to the assessment of client needs, establish and implement case plans in accordance with the client’s level of functioning
5. Collaborate with professional medical staff and support staff of IHS, 638, and outside facilities (as well as Contract Health Staff) for the comprehensive of patients and team management of client cases
6. Coordinate and arrange for medication management and monitoring when indicated
7. Coordinate and arrange for in-home care for clients when indicated
8. Coordinate and arrange for home health care/delivery of products and services when indicated
9. Coordinate with IHS and outside facility staff Discharge Planners and Social Workers regarding the impending discharge of patients to home and to step down/step up facilities for the purpose of ensuring the continuum of care
10. Coordinate with IHS and outside pharmacies regarding client medications
11. Refer clients to Hospice Care and coordinate with Hospice care workers and medical staff as indicated
12. Refer clients to Adult Independent Living, Skilled Nursing, and group home facilities as indicated and assist with placement/coordination of benefits
13. Serve as a liaison between the medical community and the Office of Social Services
14. Collaborate and coordinate with the CRIT BHS and ASAP programs regarding mutual clients
15. Assist in the triage/investigation, as requested, of alleged or potential cases of medical neglect or abuse of children and the elderly
16. Assist clients in filing for and maintaining eligibility for Social Security allotments, Medicare, Medicaid, third party insurance benefits, and IHS services
17. Assist clients addressing coordination of benefit issues
18. Coordinate client transportation and home visits with CHR and collaborate with CHR regarding mutual cases
19. Coordinate with client families through the establishment of family team meetings
20. Establish and maintain time schedules
21. Monitor the progress of current/on-going cases
22. Conduct personal home and/or institutional visits
23. Plan, develop, and implement individual care plans which include: assessment/evaluation, prevention, intervention, referrals, and follow-through care components while implementing methods for service delivery consistent with the standards, policies, and procedures established by the Colorado River Indian Tribes (CRIT) and the Department of Health and Social Services (DHSS)
24. Ensure confidentiality of all client information and records in compliance with the Healthcare and Insurance Portability and Accountability Act (HIPAA)
25. Provide other direct and indirect assistance (referrals, etc.) to clients while exercising independent judgment and decision-making
26. Conduct home visits for the completion of assessments, the assessment of progress, and the provision of personal contact between clients and their families
27. Maintain copiously and coherent individual client records, progress notes, and reports in accordance with Social Services standards
28. Prepare progress reports, summaries, and annual reports for the Office of Social Services and the Tribal Courts in compliance with the Tribal codes as required
29. Collaborate with outside service agencies and other Social Service staff members as required and during all case staffing meetings
30. Participate in community forums for the purpose of providing education regarding Social Services and healthcare topics
31. Participate in Social Service staff meetings and case staffing as required
32. Conduct periodic quality assurance reviews of case-managed client records
33. Participate in annual programmatic reviews conducted by DHSS, auditors, and the BIA
34. Be available for and participate in a rotating “on-call” schedule to provide after-hours crisis intervention and to complete time-sensitive investigations related to alleged abuse and neglect
35. When called upon complete informal investigations of complaints/reports of alleged abuse/neglect of elders and incapacitated/incompetent adults and submit any findings and recommendations to Tribal law enforcement
36. Establish and maintain cooperative and collaborative relationships with other providers and/or service agencies, such as intra-DHSS programs, CRIT departments/offices, the Office of the Attorney General, the IHS, institutional care providers/centers, Regional Behavioral Health Authorities, etc. and other services providers/agencies
37. Perform all other duties and assignments as directed by the Social Services Manager
EDUCATION AND EXPERIENCE REQUIREMENT:
Successful completion of studies for licensure as a Registered Nurse (RN), a current RN The license in state or territory (Bachelor of Science in Nursing/BSN preferred) with experience in medical case management or a Bachelor’s Degree in Social Work (or closely related field) with substantial experience in medical case management or a graduate degree in Social Work (or a closely related field) from a regionally accredited college or university and experience in medical case management or social work in a healthcare setting.
A minimum of one (1) year of full-time relevant experience in the field of social services or mental health case management. The incumbent must possess a valid driver’s license.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
· The incumbent shall have a comprehensive knowledge of medical social work concepts, principles, and best practices.
· The incumbent shall have a working knowledge of applicable federal, state, local, and Tribal laws, codes, ordinances, rules, and regulations governing the operation of social services programs and the Health Insurance Portability and Accountability Act.
· The incumbent shall have a working knowledge of the available community, state, regional, and federal resources and services from social service and related agencies (e.g., AHCCCS, ALTCS, BHS, RBHA, Medicare, Social Security).
· The incumbent shall understand the application and eligibility process for Medicaid and Medicare benefits as well as the operations of IHS Contract Hearth Services.
· The incumbent shall possess a high degree of organizational skills, an ability to function independently, demonstrated oral and written communication skills, and applied computer skills (including, at a minimum, the ability to effectively use Microsoft Office Suite programs, Adobe Acrobat, and database/report generating programs).
· The incumbent shall have a familiarity with Native American culture and traditions, sensitivity to cultural differences, and an understanding of the unique problems associated with Native American communities in rural areas. Employment is subject to a comprehensive background investigation (including fingerprinting) and a review of any and all criminal convictions in accordance with P.L 101-630, the Indian Child Protection and Family Violence Prevention Act.
Tribal and Indian Preference:
The Colorado River Indian Tribes has implemented a Tribal / CRIT Preference in Employment Policy. Pursuant to this Policy, applicants who possess the knowledge, skills, and abilities required by this position, and who are enrolled members of the Colorado River Indian Tribes will be given primary preference in hiring and employment for this position. Let it be known that Tribal preference is integrated into the interview and scoring process for candidates for job positions.
Confidentiality: All employees must uphold all principles of confidentiality to the fullest extent. This position has access to sensitive information and a breach of these principles will be grounds for immediate termination.
Background Investigation: This position may be subject to a criminal history background check, a suitability background check, and/or a Fair Credit Reporting Act (FCRA) check. In addition, some positions are subject to a 101-630 background check in an effort to ensure compliance with Public Law 101-630 “Indian Child Protection and Family Violence Prevention Act.” Candidates must be able to successfully pass all required background checks to qualify for this position.
Drug Screening: All applicants must successfully pass a pre-employment drug screening prior to beginning employment and will be subject to random drug testing per the CRIT Employee’s Handbook, Substance Abuse Policy.
Disclaimer: The information on this position description has been designed to indicate the general nature and level of work performance by employees in this position. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this position. Employees will be asked to perform other duties as needed.
For CRIT Employment Application visit: http://crit-nsn.gov
Submit completed CRIT application via:
Regular Mail: CRIT Human Resources Department
26600 Mohave Road
Parker AZ, 85344
email, Interoffice mail, or Human Resources drop box outside of the Administrative Office.
COLORADO RIVER PREFERENCE:
Under Title VII of the Civil Rights Act Sections 701(b) and 703(i) explicitly exempts from coverage the preferential employment of Indian-by-Indian Tribes. Therefore, C.R.I.T. acknowledges and extends preferential treatment to enrolled C.R.I.T. members who qualify for all employment opportunities otherwise; C.R.I.T. does not discriminate against employees or applicants based on race, color, sex, religion, or national origin.
Health and Life Insurance, Paid Holidays, Sick and Annual Leave, and Pension Plan. Pre-employment drug screening is required.
Job Type: Full-time
Pay: From $39,520.00 per year
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
- Monday to Friday
CRIT protect our employees with company-provided PPE, temperature readings at all entrances, plexiglass, six feet social distancing, periodic, company paid for testing, and additional health support like flu vaccinations
- social services or mental health case management: 1 year (Required)
- Bachelor’s (Required)
- Driver’s License (Required)
- One location
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