Clinical Case Manager

Overview

Responsibilities

• Evaluate subcontracted vendor’s programs for quality assurance by observing procedures at locations throughout the organization’s territory.
• Review and approve treatment plans and progress reports submitted by the subcontracted vendor. Assure authorization is active for each participant receiving subcontracted therapy and participant is making progress toward established goals.
• Submit annual quality assurance reports for services for each participant focused on reducing the number of participant concerns that result in a grievance with the subcontractor.
• Troubleshoot and resolve subcontracted vendor/parent concerns, e.g. expired authorization, monitoring vendor productivity, or ensuring participant receives appropriate level of care.
• Evaluate effective subcontracted vendor service by reviewing participant assignments to a subcontracted vendor and the adequacy of communication to relevant parties (e.g., family, administrative assistant, etc.).
• Participate in monthly CSCM meetings. Conduct annual vendor audits and corresponding written follow-up as assigned by the Director.
• Prepare and report monthly caseload status including participant concerns and progress, and vendor concerns. Perform other duties as assigned. 

Qualifications

• Master’s degree from an accredited college or university with a concentration in early childhood education/development, early childhood special education, special education, psychology or related field.
• Must be a Board Certified Behavior Analyst (BCBA); Marriage Family Therapist (MFT) or licensed psychologist preferred.
• Three years of related professional experience working with children with Autism Spectrum Disorders (ASD) in a multi-disciplinary team setting preferred.
• Advanced knowledge of scientifically-validated methodologies and approaches found to benefit children with ASD; familiar with current related research findings.
• Expertise in approaches to intervention based on the science of Applied Behavior Analysis. Competent in employing and directing behavior analytic methodologies including Pivotal Response Training (PRT), Natural Environment Teaching (NET), Picture Exchange Communication System (PECS), Behavior Skills Training (BST), and Experimental Functional Analysis (EFA).
• Expertise in all empirically evaluated assessment and intervention strategies related to program and service delivery for individuals with ASD.
• Strong clinical, administrative, and leadership skills. Case management experience required.
• Ability to speak a foreign language e.g., Spanish, Chinese, etc. preferred.
• Able to interpret and implement policies, procedures, and regulations.
• Able to consistently demonstrate good judgment and decision-making skills.
• Ability to maintain customer service orientation and professionalism in all interactions.
• Ability to communicate effectively, through oral and written skills, and work cooperatively with a variety of individuals and groups. Must relate well to children and their families and maintain positive affect.
• Ability to exercise discretion and maintain a high level of confidentiality to handle sensitive and confidential situations and documentation.
• Very good working knowledge of Microsoft Office (Outlook, Word, Excel, etc.) and related computer software.
• Able to obtain and maintain a criminal record/fingerprint clearance from the Department of Justice and Federal Bureau of Investigation per Easter Seals Southern California and/or program requirements.
• Must have and maintain current CPR certification card.
• Ability to travel locally with reliable transportation, maintains driving record in compliance with Transportation Safety Standards, and must have and maintain proper auto insurance and vehicle registration.
• The position will be a mix of working from home and out in the field