Libertana

• Check Medi-Cal eligibility for each client monthly. • Schedule monthly visits with clients. • Speak to clients and find out if anything is needed, such as, DMEs, appointments, etc. • Ask about medication compliance and other general assessment questions. • Speak to staff: Find out about any SIRs. IF so, make sure that our office has them. Find out if anyone is out and does not have an SIR. If this is the case, tell staff there they must get an SIR in ASAP. You must make sure to follow up with facility staff on this and make sure our office gets an SIR copy. • If there are Medi-Cal issues then communicate this to client and facility staff and guide them how to resolve it (assuming they do not know how). • Ask staff about medications and check the log. • Make sure to update client information on company tracking system of visit dates and when note is uploaded in Devero. All notes must be uploaded by the end of the next business day from when you saw the client. Make sure you write in your note that you asked client and staff about med-compliance. • As per workflow process, when a client is out of a facility, the CCA has specific tracking responsibilities. You as a ALF Case manager are to keep track of when clients leave as you visit the facility. • Notify the ALF Coordinator when a client has left and returned to the facility. • When a Re-Assessment is done, the RN will communicate to you via email that it is done and that you need to make a copy of ISP and have client sign it. And give a copy to the facility. Then upload to Devero and Email your CCA that it is done. You need to have the client sign it within 7 business days. • Knowledge of Confidentiality, HIPAA and healthcare laws and regulations. • Maintains proper timekeeping. • Follows policies and procedures as per Employee Handbook. • Maintains all credentials up to date. • Reports Fraud and Abuse. • Knowledge of mandated reporting. • Conducts timely recording and/or documentation of client contact. • Attends Department meetings (in person, by phone or by web). • Attends all State mandated in service trainings. • Driving may be required to geographical areas that are covered by the company. Significant amount of driving may be required throughout the Los Angeles, Fresno, San Diego, Riverside and San Bernardino County. • Performs other duties as assigned.

• The Administrative Assistant is responsible for overseeing the department billing. • Will assist their teams/department with submission of the CCT TARs, and helping with other administrative duties for the department. • In charge of CCT tracking, transitions, enrollments and TARs that are submitted by the department. • Works on CCT billing spreadsheets. • Completes CCT visit logs and works through integration logs as needed. • Assists with completing DHCS CCT forms (ITCP, FTCP, DTRF) based on the RN assessment. • Performs assigned duties determined by the CCT Manager or one of the CCT Lead Coordinators. • Other duties as assigned.

• Responsible for the clinical care and coordination of services provided to patients in their home or place of residence. • Providing clinical services, such as comprehensive assessments, administration and management of medications, or performing treatments ordered by the physician. • Identifying, organizing, coordinating, and monitoring services needed by a recipient. • Use the nursing process to assess and manage the patient's medical needs. • Provide nursing services, as part of the Case Management Team, for each assigned caseload and client. • Ensures proper tracking, charting, progress notes and case records for enrolled clients. • Documents patient intervention and response for accurate intervention. • Ensure proper timekeeping and scheduling as discussed with supervisor. • Works collaboratively with the Social Worker on their Case Management Team.

• Responsible for the clinical care and coordination of services provided to patients in their home. • Providing clinical services, such as comprehensive assessments and management of medications. • Organizing and coordinating services needed by recipients. • Documenting patient interventions and responses. • Collaborating with the Social Worker on the Case Management Team. • Completing assessments and reassessments based on enrollment timelines. • Managing complaints from clients, families, or friends. • Ensuring compliance with Federal, State, Local, and HIPAA Regulations.

• The Case Manager is responsible for the care coordination of clients for the ALWP clients under the Care Coordination Agency (CCA). • Care coordination includes identifying, organizing, coordinating, and monitoring needs of an ALW client. • The Case Manager ascertains continued eligibility to the ALWP by conducting monthly and as needed follow-up visits for compliance and skilled need. • Check Medi-Cal eligibility for each client monthly. • Schedule monthly visits with clients. • Speak to clients and find out if anything is needed, such as, DMEs, appointments, etc. • Ask about medication compliance and other general assessment questions. • Speak to staff: Find out about any SIRs. IF so, make sure that our office has them. • Find out if anyone is out and does not have an SIR. If this is the case, tell staff there they must get an SIR in ASAP. • You must make sure to follow up with facility staff on this and make sure our office gets an SIR copy. • If there are Medi-Cal issues then communicate this to client and facility staff and guide them how to resolve it (assuming they do not know how). • Ask staff about medications and check the log. • Make sure to update client information on company tracking system of visit dates and when note is uploaded in Devero. • All notes must be uploaded by the end of the next business day from when you saw the client. • Make sure you write in your note that you asked client and staff about med-compliance. • As per workflow process, when a client is out of a facility, the CCA has specific tracking responsibilities. • You as a Case manager are to keep track of when clients leave as you visit the facility. • Notify the CCA Coordinator when a client has left and returned to the facility. • When a Re-Assessment is done, the RN will communicate to you via email that it is done and that you need to make a copy of ISP and have client sign it. • And give a copy to the facility. Then upload to Devero and Email your CCA that it is done. • You need to have the client sign it within 7 business days. • Knowledge of Confidentiality, HIPAA and healthcare laws and regulations. • Maintains proper timekeeping. • Follows policies and procedures as per Employee Handbook. • Maintains all credentials up to date. • Reports Fraud and Abuse. • Knowledge of mandated reporting. • Conducts timely recording and/or documentation of client contact. • Attends Department meetings (in person, by phone or by web). • Attends all State mandated in service trainings. • Driving may be required to geographical areas that are covered by the company. Significant amount of driving may be required throughout the Los Angeles, Fresno, San Diego, Riverside and San Bernardino County. • Performs other duties as assigned.

• The case manager oversees the social and emotional needs of the client and their families • Ensures all necessary documentation and eligibility for client support are met as discussed in the Plan of Treatment (POT) • Assigned a caseload as part of the Case Management Team (CMT) • Ensures proper tracking, charting, progress notes, and case records for each enrolled client within time guidelines • Documents patient intervention and response to intervention accurately • Ensures proper timekeeping and scheduling with supervisor • Works collaboratively with the RN on their Case Management Team • Reports all signs of abuse or neglect to the appropriate authorities • Provides necessary documentation including Freedom of Choice, HIPAA regulations, and consent forms prior to case management work • Ensures clients have active Medi-cal eligibility each month • Schedules client visits as needed and attempts to complete visit records by the end of the second week of the month • Follows-up or visits depending on client needs • Completes case notes within 24 hours of work being done • Completes Acuity Assessments and any other necessary assessments • Works with participants, legal representatives, care providers to ensure safety and goals are met • Develops goals associated with participants’ assessed needs and preferences • Recognizes available services and provides referrals when necessary • Implements the POT and identifies service providers to ensure timely service allocation • Provides information, education, counseling, and advocacy to participants • Assists patients and families in utilizing family and community agencies • Establishes care coordination schedule based on participant needs and reassessments • Respects patients’ and families’ rights and property as defined by federal and state laws • Maintains confidentiality of patient and agency information conforming with HIPAA regulations

• Provide excellent customer service when interacting with vendors and regional center case managers regarding referrals, authorizations, and payments, including communicating with clients and family members. • Primary point of contact for case managers, vendors, clients, and family members. • Process, review, and track referrals, authorizations, and billing. • Maintain, input, update, research and analyze patient account activity to maintain accuracy. • Reviews patient accounts identify any missing information, follows up, and corrects accordingly. • Responsible for timely and accurate billing and collection. • Keep up regular attendance and punctuality are essential for the smooth operation of this company. • Working closely with both regional center case managers and accounting departments. • Verify accuracy of regional center payments received and posted to the billing system. • Prepares reports as needed for census, tracking, and identifying on-reconciled claims and authorizations. • Other duties as assigned.