Case Manager/Qualified Professional

About the role

We are hiring for a Case Manager/Qualified Professional position at RHA Health Services. This role serves as a key member of the interdisciplinary team (IDT) within the Intermediate Care Facility (ICF), responsible for coordinating, monitoring, and supporting the delivery of person-centered services to individuals with intellectual and developmental disabilities (IDD).

Responsibilities

• Duties and Responsibilities:
• Admissions & Census Management: Lead the intake and admission process, including pre-admission screenings, conducting meet-and-greet visits with prospective individuals and their support teams, and determining program compatibility. Coordinate all aspects of the admission process, ensuring timely collection of required documentation and smooth transitions into the facility. Develop and implement the initial Person-Centered Plan (PCP) upon admission, in collaboration with the IDT. Maintain awareness of vacant beds and actively support referral development and follow-up efforts to ensure timely occupancy.
• Service Coordination & Planning: Serve as the primary coordinator of the IDT, ensuring that interdisciplinary team meetings are scheduled, facilitated, and documented according to regulatory and organizational timelines. Interview individuals served to understand their needs, goals, and preferences; translate this information into actionable, person-centered goals. Supervise the development and implementation of PCPs that are based on comprehensive assessments, observations, and input from individuals and their support networks. Monitor and review the delivery of services to ensure fidelity to the PCP and assess progress toward identified outcomes (personal, clinical, and functional).
• Monitoring & Oversight: Conduct regular site visits to homes, day programs, and other service locations to evaluate the quality and consistency of PCP implementation. Monitor home environments for cleanliness, appearance, safety, engagement opportunities, and community integration. Ensure continuous quality improvement by reviewing internal audits, state surveys, and quality assurance data; participate in the development of corrective action plans as needed.
• Advocacy & Communication: Maintain strong communication with families, legal guardians, and external stakeholders to keep them informed and engaged in service planning and delivery. Act as an advocate for the individuals served, ensuring their rights are upheld and their voices are central to all decisions affecting their care.
• Other Duties: Ensure timely and accurate documentation in accordance with Medicaid, ICF, and company requirements. Participate in ongoing training, compliance reviews, and team meetings. Perform other duties as assigned to support the health, safety, and well-being of the individuals served.

Supervisory Responsibilities

This position may have supervisory responsibilities, which may vary based on the size and scope of the program.

Qualifications

• Minimum Qualifications:
• Bachelor’s degree in Social Work, Human Services, Psychology, Special Education, or a related field (Master’s degree preferred).
• At least 2 years of experience (in North Carolina), 1 year of experience (in Tennessee) working with individuals with intellectual and developmental disabilities; 1 year required if Master’s degree is held.
• Demonstrated experience in developing, writing, and implementing Person-Centered Plans.
• Working knowledge of ICF regulations, person-centered planning principles, and applicable Medicaid/HCBS rules.
• Excellent communication, organizational, and documentation skills.
• Valid driver’s license, auto insurance, and reliable transportation.
• Must be at least 18 years of age.