Full Time Case Management Analyst Cigna Jobs in Reno, NV

Reporting to the Director of Professional Services, the Case Manager/QIDP (Qualified Intellectual Disability Professional) position supports the individuals with intellectual disabilities living in our 24hr Supportive Living Arrangements (SLA). This role implements strategies that support CHR's mission, follow State and regional agencies' policies and procedures, and comply with home and Community-Based Waiver Services regulations, in alignment with Person-Centered values and principles of self-determination.

The Case Manager/QIDP staff create progressive learning and habilitation programs based on an individual's assessed needs. This role (to be filled by more than one person) adds necessary capacity to ensure quality case management on behalf of the individuals CHR serves and support's the company's recruitment, retention, and training to support levels of staffing and staff readiness as required by relevant State and regional agencies and successful implementation of learning and habilitation programming.

This is a full-time position with benefits (listed below).

On the rare occurrence that one of the SLA homes experiences a momentary staff shortage in coverage (e.g. someone calls out sick unexpectedly), the Case Manager/QIDP position may be asked to help cover that shift and/or provide transportation for an individual to attend community engagements (e.g. doctor's appointment, family visit, recreation, etc.). First Aid and CPR certification required.

• Performing tasks assigned to help facilitate the hiring process of new staff members including
  • Conducting interviews and recording candidate scores
  • Support in conducting reference checks to ensure compliance with Nevada ADSD (Aging and Disability Services Division) and federal Medicaid requirements, verifying candidate qualifications and suitability for the role
  • Scheduling new hires for onboarding in coalition with Administration, Lead Direct Support Specialists, and the Front Desk.

• Support the scheduling of staff across all SLA homes, ensuring adequate coverage and adherence to staffing requirements set by State and regional agencies
• Conduct clear and concise training of new hires in the home settings (and ad-hoc support for annual re-trainings in the CHR Office) on topics such as
  • Intellectual and Developmental Disabilities (ID/DD)
  • PCP Planning, Goals, Implementation & Progress Reporting
  • HIPAA & Confidentiality
  • Incident Reporting
  • Required Documentation and Data Collection, etc.
    

• Support individuals within CHR's program to develop personal goals based on their areas of growth, motivation, interest, and skills by assisting them to
  • Develop action/service plans
  • Apply for and obtain community resources, outreach programs, and benefits (e.g., housing, food stamps, Medicaid, etc.)
  • Problem solve and navigate crisis management
  • Coordinate social activities, etc.

• Schedule / attend PCP meetings, quarterly meetings, and other support team meetings, with attendance of informational meetings in the absence/inability of the Director of Professional Services
• Coordinating with CHR Management and Front Desk to
  • Enact and maintain a thorough system of quality assurance compliance
  • Conduct home visits with the appropriate regularity as required for proper program implementation of individual care plans and assessment of healthy, safe living environments
  • Follow up with health / welfare concerns and remediation, as necessary
  • Complete required paperwork for case management billing on behalf of the person served
  • Provide timely, accurate, required, and helpful information to state liaisons as part of their assessment and evaluation of CHR
  • Observe and assess individuals' responses to support services and interventions through key progress indicators such as satisfaction to revise implemented supports in accordance with any changes in identified needs upon approval of an individual's support team
  • Monitor and ensure all necessary current information/documentation is present in the home files for state and staff review

• Seek continuing education on best practices with respect to
  • Implementation of behavioral plans developed via consultation with behavioral specialists
  • Functional implementation of plans and objectives that reinforce positive behavioral supports

• Demonstrating values such as respect, dignity, and confidentiality to the individuals and fellow coworkers.
• Other duties assigned within the scope of this position.

• To qualify as a QIDP, an individual must have at least one year of experience working directly with people with intellectual disabilities or other developmental disabilities.
• A bachelor's degree (or credential) in one of the following fields:
  • Doctor of medicine or osteopathy
  • Registered Nurse
  • An individual who holds at least a bachelor's degree in a human services field from an accredited university or college.
    • The Human Services Field includes the following professional disciplines:
      • Occupational Therapy
      • Physical Therapy
      • Psychologist
      • Social Worker
      • Speech-Language Pathologist
      • Audiologist
      • Recreation Professional (degree in recreation, art, dance, music, or physical education)
      • Dietician
    • The Human Services Field also includes academic disciplines related to:
      • Human behavior (e.g., psychology, sociology, speech communication, gerontology, etc.)
      • Human skill development (e.g., education, counseling, human development, etc.
      • Humans and their cultural behavior (e.g., anthropology, etc.)
      • Any other study of services related to basic human care needs (e.g., rehabilitation counseling, etc.)
      • Any other study of services related to the human condition (e.g., literature, the arts, etc.)
    • Any exceptions to these requirements must have prior written approval from the Regional Center Director. The director of a contracted provider agency may not serve as the sole QIDP for their agency without the written consent of the Regional Center Director.

• Minimum 1-2 years' experience serving as a QIDP or equivalent position
• Proficiency with any or all of the following tech tools (Microsoft Office, Google Workspace/GDrive, CRMs, Trello, Asana)
• Familiarity with case management software
• Critical thinking, interpersonal, problem-solving, time management, and task prioritization skills
• Demonstrated skills in communication
• Minimum 1-2 years of experience working within interdisciplinary teams
• Ability to securely and responsibly handle confidential information

• Ability to sit at a desk for prolonged periods
• In the case of opting in to support coverage in the homes, depending on the home and the mobility of specific individuals, this position may be required to help lift as it pertains to job functions such as helping individuals in and out of mobility devices, changing diapers, bathing, etc.

This is a full-time, in person position at the CHR office at 885 Tyler Way in Sparks, NV. Reliable transportation is required. Office hours are from 9am to 5pm PST.

In the case of employee training or providing emergency coverage in the homes, this work is primarily conducted within home-based workplaces where the individuals live and some travel as outlined below.

As it pertains to home visits for new staff training and case management, the team member in this position would expect to spend no more than 35% of their work out in the field (65% spent in the office), except for opportunities to support coverage in the homes, should those arise.

The pay rate for this position is from $25-27 / hour and commensurate with experience. May progress to salary position based on performance. Benefits include:

• 75% employer paid health insurance*
• 50% employer paid vision insurance*
• 50% employer paid dental insurance*
• Employer paid trainings and certification classes to maintain compliance with relevant State and regional agencies
• Short term disability coverage
• Gas allowance (for qualifying employees)
• Ability to request up to 6 weeks of vacation a year (currently unpaid)
• End of year Winter Bonus pay

*Employees eligible for insurance benefits at least 60 days after hire date.

Confidence Health Resources is an equal opportunity employer and a fierce advocate for equity in the workplace. We value diversity in all its forms and aim to create an inclusive culture. Confidence Health Resources encourages applications from all qualified individuals without regard to race, color, religion, gender, sexual orientation, gender identity or expression, age, ancestry, national origin, marital status, disability, veteran status, hair texture, or other status protected by law.