Case Manager - Humaniti

Description MUST LIVE WITHIN 60 MILES OF THE FOLLOWING LOCATIONS: RENSSELAER, KOKOMO, FORT WAYNE, CRAWFORDSVILLE, INDIANAPOLIS, MUNCIE, JASPER, SEYMOUR!!!   Position Summary The Case Manager provides comprehensive, person-centered case management services to individuals receiving Home and Community-Based Services (HCBS) waiver services administered by the Indiana Bureau of Disabilities Services (BDS). The Case Manager advocates alongside individuals to ensure access to Medicaid waiver and non-Medicaid services and supports that promote independence, community integration, and achievement of a preferred life. Services are delivered in accordance with the 1915(c) Waiver Service Definition, applicable FSSA/DDRS/BDS policies, guidelines, and manuals, and all contractual requirements outlined in the Scope of Work. The Case Manager serves as the State-designated role responsible for service coordination, monitoring, and oversight.   The Case Manager role is best described as hybrid. While much of your work — including documentation, virtual meetings, and care planning — is completed from a home office, the role also requires regular in-person engagement.Case Managers are expected to travel to participants’ homes to conduct assessments, provide care coordination, and build meaningful relationships. Participation in community meetings, provider coordination, and other in-person activities will also be required.   Essential Duties & Responsibilities Person-Centered Case Management - Provide comprehensive, person-centered case management services aligned with the Person-Centered Individualized Support Plan (PCISP) process. - Assist individuals in gaining access to waiver services as well as medical, social, educational, vocational, and other paid and unpaid supports, regardless of funding source.Maintain knowledge of HCBS waiver services and community-based resources to support informed choice and integrated service delivery. - Serve as the default case manager when an individual receives services across multiple programs, as required by BDS standards. Individual Engagement & Availability - Initiate outreach to newly assigned individuals within two (2) business days of assignment. - Maintain ongoing availability to individuals in accordance with FSSA/DDRS/BDS service standards. - Participate in emergency and after-hours response processes, including crisis situations such as hospital discharge, risk of homelessness, or unexpected termination of services. - Participate in Individualized Support Team (IST) meetings and coordination activities. After-Hours Availability & Emergency Response - Participate in the organization’s 24-hour coverage model by maintaining availability for urgent situations involving assigned individuals outside of standard business hours. - Respond to urgent service coordination needs, critical incidents, hospital discharges, risks to health or safety, and other time-sensitive situations. - Follow established after-hours escalation procedures, coordinate with supervisory staff as required, and ensure all after-hours contacts and actions are accurately documented within required timelines. Assessment, Monitoring & Service Planning - Conduct or support functional assessments, Level of Care (LOC) documentation, reassessments, and PCISP development as required by waiver standards. - Ensure service plans are updated following annual reassessments and significant life changes. - Monitor service delivery to prevent unnecessary or inappropriate services and ensure compliance with HCBS Settings Rule requirements. - Support individuals in accessing integrated supports that reduce reliance on Medicaid-funded services alone. Documentation & Administrative Compliance - Complete all required documentation accurately and timely in accordance with the 1915(c) Waiver Service Definition, FSSA/DDRS/BDS policies, and State-designated case management systems. - Maintain accurate records related to PCISP status, LOC documentation, incident reports, complaint follow-ups, and individual demographic information. - Correct documentation errors within State-required timeframes when identified. - Maintain documentation necessary to support Medicaid billing, quality assurance, and contract compliance. Incident Reporting & Complaint Response - Comply with all State Incident Reporting (IR) requirements, including timely submission of initial and follow-up reports until resolution. - Work collaboratively with individuals, guardians, and service teams to ensure health and safety and mitigate future incidents. - Cooperate fully with State complaint investigations, including interviews, documentation requests, and onsite activities. Ethical & Conflict-Free Service Delivery - Adhere to all conflict-free case management requirements, including prohibitions on financial, organizational, or personal conflicts of interest with HCBS providers. - Maintain professional boundaries and avoid relationships that could compromise impartiality or service integrity. - Deliver services in accordance with the ethical principles of autonomy, beneficence, nonmaleficence, justice, and veracity. - Protect individual privacy and confidentiality in compliance with HIPAA and State requirements. Requirements Minimum Qualifications & Certification Requirements - Must meet all education, certification, and qualification requirements established in the 1915(c) Waiver Service Definition. - Must successfully complete State-required Case Manager certification, annual recertification, and all required State-approved examinations. - Must maintain ongoing compliance with FSSA/DDRS/BDS service standards, guidelines, policies, and manuals, including updates issued by the State. - Must successfully complete all required onboarding and ongoing training aligned with the BDS curriculum and organizational training plan. - Must demonstrate knowledge of HCBS waiver programs, person-centered planning, community-based resources, and integrated supports. Other Duties & Compliance - Comply with all applicable federal and State laws, regulations, and policies governing Medicaid, HCBS waiver services, privacy, and confidentiality. - Participate in required meetings, trainings, supervision, and quality improvement activities. - Cooperate fully with State monitoring, audits, investigations, and reporting requirements. - Perform other duties as assigned, consistent with the Scope of Work and conflict-free case management requirements. Summary About Humaniti Care Services Humaniti Care Services is a statewide care coordination and case management organization dedicated to helping individuals of all ages live safely, independently, and with dignity in their communities. Formed through a strategic partnership between CoAction and CICOA Aging & In-Home Solutions, Humaniti Care Services blends decades of expertise in community action, aging services, housing stability, and human services systems. Grounded in person-centered practice and conflict-free care management, Humaniti Care Services partners with individuals, families, providers, and the State of Indiana to navigate complex systems, strengthen natural supports, and connect people to the services and resources that best align with their goals, values, and needs.