Case Management Planner ( Departmental Promotion Only)

Description Under the General Supervision of the Medical Director and/or Program Director, an employee in this class is responsible for the planning and evaluation, support service management, and coordination of patient access to healthcare, education or human services. This employee has access to all CONFIDENTIAL Case Information for patients enrolled at the respective clinic site(s). Duties and

Responsibilities

EXAMPLES OF WORK (NOT ALL INCLUSIVE): Responsible for the scheduling and implementation of day-to-day Case Management Activities. Plans the format that will assist clients and/or their families in identifying available service providers relative to their specific needs. Responsible for maintaining and reviewing confidential information regarding personal, medical and social information collected. Develops a tracking system for high-risk clients/families. Participates in regularly scheduled Case Reviews/Conferences with other clinical or support services staff to assess if all aspects of the patient's plan are met. Completion of client progress notes and weekly and monthly activity reports detailing number of clients seen and referrals made. Researches and distributes to other clinical staff updated lists of service descriptions and protocols for all territorial support services. Works with all partners within the VI System of Care Matrix to ensure maximization of services and proper referral and follow-up of patients. Schedules in-office appointments and/or makes home/hospital visits to clients as deemed appropriate Provides relative health education, risk reduction and health instructions to clients as dictated by their service plan. Coordination and start-up of patient support groups based on demand and caseload. Conducts individual or group counseling sessions. Participates ·in and facilitates in-service training in case management, individualized family service plans, quality assurance, due process, etc.

Minimum Qualifications

A Master's Degree in an Allied Health Profession, Social Work, Psychology, Nursing and/or Education and one (1) year of experience as a professional nurse, social worker or community health case worker OR A Bachelor's Degree in an Allied Health Profession, Social Work, Psychology, Nursing and/or Education and two (2) years of experience as a professional nurse, social worker or community health case worker OR An Associate's Degree or equivalent in an Allied Health Profession, Social Work, Psychology, Nursing and/or Education and five (5) years of experience as a professional nurse, social worker or community health case worker Position Factors FACTOR 1- KNOWLEDGE REQUIRED OF THE POSITION: Knowledge of general disease processes and risk factors. General knowledge of Medical and Social Work records in order review Medical Provider Notes and complete Case Management progress notes. General knowledge of case planning, conducting needs assessments and implementation. General knowledge of computers and operating systems. Ability to communicate effectively both oral and written. Ability to maintain the highest level of confidentiality and trust with all information gathered. Ability to work in a multicultural setting with diverse ethnic groups. With assistance can translate federal guidelines into service practices. Knowledge of the theory, practice and principles of culturally sensitive family dynamics and can instruct on the general theory and principles of human responses to loss and grief. Familiarity with applicable Virgin Islands parental due process rights laws and civil rights laws. FACTOR 2-SUPERVISORY CONTROLS: The Medical Director and/or Program Director gives general supervision as needed. The incumbent is required to work independently in carrying out his/her duties. Special assignments are given the required supervision and are reviewed upon completion. The supervisor reviews monthly reports and makes periodic spot checks for quality control. FACTOR 3-GUIDELINES: Guidelines consist of departmental and organizational policies and procedures. Guidelines are also determined by the professional certification of the incumbent. FACTOR 4-COMPLEXITY: The work is varied, time specific and involves collaboration with various entities including, local and federal government agencies, private agencies, hospitals and community based organizations. This work necessitates establishing interagency consents, identifying long-term needs, documenting project status and assisting the Program Director or Medical Director with gathering data needed for the completion of annual grant applications and monthly reports. FACTOR 5- SCOPE AND EFFECT: In accordance with federal mandates and guidelines, the purpose of the work is to design, implement and evaluate a dynamic service provision model as part of a comprehensive system of community based care for clients. FACTOR 6- PERSONAL CONTACTS: Persons infected with a Communicable Disease or suffering from chronic illnesses, children, Physicians, Laboratory Directors, Nursing Staff, Hospital Infection Control Staff, inter/intra agency co-workers from all government affiliates and staff of any Community Based Organization which provides service in the territory. FACTOR 7-PURPOSE OF CONTACTS: The purpose of the contact is to plan utilization of existing services, to monitor patient enrollment and referral into the network of healthcare and social support services offered in the territory. FACTOR 8-PHYSICAL DEMANDS: The position requires an incumbent to be able to conduct inter-island and off-island travel as related to the Department's needs. Conducting home visits and assists patients with the taking of medication as necessary. Requires interagency meetings and visits to all service sites. FACTOR 9-WORK ENVIRONMENT: Work is performed in an air-conditioned office with exposure to the varying elements when conducting field or home visits. The Government of the Virgin Islands aspires to provide the highest level of comprehensive

benefits

, services and programs to eligible employees, retirees, and their dependents which: Meet and anticipate their individual needs; Assure the GVI's competitiveness with other employers to attract and retain employees; Maximize cost effectiveness; and, Assure optimal health and productivity of employees. To achieve this goal, from time to time, the carrier for the GVI's insurance may change. Please contact the Group Health Insurance Office of the Division of Personnel in St. Thomas and St. Croix at GroupHealthInsurance@dop.vi.gov for more information regarding carriers. Medical and Dental Coverage Enrollment The Virgin Islands government offers to full-time employees and their eligible dependents, a group health and dental insurance plan. Full-time employees must enroll within thirty-one (31) days of hire unless they can provide proof of medical coverage from another source. An employee who does not enroll within 31 days of employment will be automatically enrolled in the health insurance plan with single coverage. If an employee fails to enroll dependents within the initial eligibility period he/she must wait until a period of "open enrollment" is announced or have a qualifying event as determined by the health insurance carrier to enroll dependents or make changes to their coverage. Effective Date of Coverage If enrollment forms are received on or before the 6th of the month, coverage will be effective on the first day of the first month following the receipt of enrollment forms. If enrollment forms received on the 7th of the month or later, coverage will be effective on the first day of the second month following the receipt of the enrollment forms. Example: Date Forms Received May 1st May 8th January 6th February 7th Coverage Effective Date June 1st July 1st February 1st April 1st Dependent Coverage Dependents of eligible employees may participate in the Group Health and Dental Insurance Program according to the terms and conditions imposed by the Health Insurance Board of Trustees and/or the carrier. Eligible dependents are the employee's: Legal spouse; Natural children; Adopted children; and Step children. When a new dependent is acquired, you must enroll them within thirty-one (31) days after acquiring such dependent. When enrolling a dependent at any time, the following may be required: Birth certificate; Marriage certificate; Adoption papers; and/or Legal papers of appointment. Various other documents may be required to determine the eligibility of the dependents. Cost of Coverage The GVI contributes toward the cost of Health Insurance for each employee enrolled under the Group Health Insurance Program. The GVI reserves the right to change the amount of the employee contribution when necessary for financial or other reasons. Waiver or Discontinuation of

Benefits

An employee may opt to decline coverage, or discontinue coverage under the Group Health and Dental Insurance Plan at any time. An employee who waives coverage upon employment, or who drops out of the program must provide proof of medical coverage and will be subject to the eligibility requirements imposed by the carrier in order to re-enroll in the program. This provision also applies to dependents that are dropped from the plan. Coverage discontinues on the last day of the month following a qualifying event or on the date of an employee's separation. After separation, an employee or dependent may be eligible to convert their group policy to an individual policy within 30 days, depending on the insurance carrier. If an employee would like to convert their policy to an individual policy a notice of conversion must be sent to the insurance carrier. Consolidated Omnibus Budget Reconciliation (COBRA) coverage is not available in the Virgin Islands after loss of coverage. Dental Insurance As a condition of participation, all employees must enroll in medical coverage to qualify for Dental Insurance. Leave without Pay The GVI will maintain group health insurance plan coverage for employees on leave without pay. This coverage will remain at the level and under the conditions for which coverage would have been provided if the employee had continued employment continuously for the duration of the leave. However, employees on leave must arrange to pay into the Group Health Insurance Fund the employee's share of their health insurance premium to maintain coverage. Retirement

Benefits

Retired employees and their dependents are eligible to continue to participate in the Group Health and Dental Insurance Program. Retirees must provide updated contact information to the Group Health Insurance Division to maintain coverage. Life Insurance The government provides a complementary basic non-contributory $10,000 basic life insurance benefit. In order for the benefit to be effective, an enrollment form must be forwarded to the Group Insurance Office at the Division. The enrollment form must be signed, dated and must indicate a designated beneficiary. Employees may also select additional life insurance in either 1x, 2x, 3x or 4x base salary or $10,000, $15,000, $25,000, $50,000, $75,000, $100,000 or $150,000 amounts as supplemental contributory coverage. The employee pays the cost of this additional insurance, and may be required to submit evidence of insurability when increasing coverage after initial enrollment. Insurance enrollment forms and booklets explaining in detail the plan of

benefits

, as well as claim forms and a schedule of costs may be obtained from the Group Health Insurance Office. Upon retirement life insurance

benefits

may be reduced. Upon death the designated beneficiary will be eligible to receive the life insurance proceeds of the insurance participant, the Division must be notified of the death in order to initiate the claim process. Life insurance

benefits

are payable by the contracted insurance company and a subject to the limitations established by the insurance company. Supplemental Insurance The GVI has several supplemental insurance plans that provide for coverage over and above the regular medical, dental and life insurance coverage. These plans are voluntary and are not contributed to by the GVI. A list of the current supplemental insurance plans is available through the Group Health Insurance Office. An employee who does not wish to enroll in medical coverage is eligible to enroll in supplemental insurance. Moving and Relocation Allowance It is the policy of the GVI to provide a reasonable relocation allowance inclusive of airfare, to eligible employees, based on their employment contract, to help defray the costs associated with relocation from outside the Virgin Islands to accept employment with the GVI. This allowance is made in lieu of any and all claims for reimbursement of relocation and moving expenses. This policy applies to new employees recruited from off-island and who are approved by the Department Head to receive the benefit of a relocation allowance for moving and relocation expenses. Employee Assistance Program (EAP) The GVI will provide confidential and voluntary assistance through its Employee Assistance Program (EAP) to all employees and their family members who may be faced with dynamic challenges of financial concerns, legal issues, alcohol or drug problems, marital problems, illness of a family member, emotional worries, child care problems, etc. For the welfare of employees as well as effective business operations, the GVI encourages its employees to take advantage of this valuable benefit of employment with GVI. Application Employees and their family members can refer themselves to the EAP. The program may be reached 24 hours a day on weekdays and weekends. EAP counselors are available to meet with employees or family members to assess a problem and develop a plan for resolution. The counselors may suggest a referral to an outside resource, such as a therapist, Departmental resource, physician, treatment facility or other professional that would be appropriate to assist in resolving the problem or situation. Where an employee may be in need of information, a referral or suggestion may be made over the telephone. There is no charge for employees or their families to use the services of the EAP. Participation in the EAP Program does not jeopardize job security or promotional opportunities. However, it does not excuse the employee from following GVI policies and procedures or meeting required standards for satisfactory job performance except where specific accommodations are required by law. Time Away from Work Employees who want to visit the EAP during regular work hours must use sick, vacation or personal time after their first meeting. If illness is involved, compensatory, sick, and/or annual leave may be used for treatment or rehabilitation on the same basis that it is granted for other health problems. Mandatory EAP meetings will be completed using administrative leave. The EAP counselors will make every effort to coordinate referral for ongoing treatment with the employee's health insurance coverage as well as his/her ability to pay. Mandatory EAP When an employee's job performance or attendance is unsatisfactory or there appears to be signs of other problems during the work day, the supervisor should counsel the employee in consultation with the human resources officer or designee. If the employee appears to be unable or unwilling to correct the situation, the employee may be referred to the EAP to assist in the resolution of the problem. Depending on the situation, the employee may accept or refuse participation in the EAP. However, there may be situations where continued employment with the GVI may be contingent upon the employee calling the EAP for assistance. REMINDER: All contact between an employee and the EAP is held strictly confidential. In cases where an employee's continued employment is contingent upon calling the EAP, the EAP counselor will only verify whether or not the employee has contacted the EAP, if ongoing treatment is necessary, and that the employee is following through on the treatment. Government Employees Retirement System (GERS) Eligibility All full-time employees on regular appointments are eligible to participate in the Government Employees Retirement System. Enrollment The appropriate enrollment application forms should be completed at the time of orientation and will remain on file in the Departmental Human Resources Office. Contribution will begin on the next available payroll period following enrollment in the retirement program. Contribution Rates Contribution rates to GERS are established and amended according to the Virgin Islands Code. Vesting Members become vested in the retirement system after ten (10) years of credited service. Plan Type The Virgin Islands Government Employees Retirement System is a defined benefit retirement program to which both the GVI and the employee contribute. The benefit at time of retirement is based upon the employee's age, years of service and salary history. Retirement Age Employees with forty (40) years of service may retire at any age at full annuity. A member who is fifty (50) years old with ten (10) years credited service may retire at a reduced annuity. Members who have thirty (30) years of service may retire at any age. Final Average Salary The Final Average Salary is the average of highest annual salary up to a maximum of $65,000 during any consecutive five (5) year period in the last ten (10) years. Total maximum benefit may not exceed 100% of maximum salary which may not exceed $65,000. Retirement

Benefits

Vested participants should contact GERS for detailed retirement benefit information at least one year but no later than six months prior to the retirement date. Military Service Credit Qualified members may receive military service credit toward retirement. Vested participants should contact GERS for details. 01 Do you have a Master's Degree in an Allied Health Profession, Social Work, Psychology, Nursing and/or Education? Yes No 02 Do you have one (1) year of work experience as a professional nurse, social worker or community health case worker? Yes No 03 Do you have a Bachelor's Degree in an Allied Health Profession, Social Work, Psychology, Nursing and/or Education? Yes No 04 Do you have two (2) years of work experience as a professional nurse, social worker or community health case worker? Yes No 05 Do you have an Associate's Degree or equivalent in an Allied Health Profession, Social Work, Psychology, Nursing and/or Education? Yes No 06 Do you have five (5) years of work experience as a professional nurse, social worker or community health case worker Yes No 07 Are you currently an employee of the Government of the Virgin Islands (GVI) with the Department of Health (DOH)? Yes No 08 Please Note: The answers you provide to the supplemental questions will be used to determine eligibility for this position. Please note that in order to qualify for a position, you must satisfy the criteria outlined in the

minimum qualifications

section of the vacancy announcement and submit supporting documentation. Failure to submit the required documents when applying may disqualify you from further consideration for employment. Required documents (may vary based on minimum requirements): High School Diploma, High School Transcript, College Degree, College Transcripts, Evaluation of International Credentials (Only education from an accredited school will be accepted), DD214, Proof of a Name Change (Marriage Certificate or Valid I.D), Certifications, Specialized Licenses, Proof of Citizenship (Birth Certificate, U.S. Passport, or Naturalization Certificate), Valid ID, or Resume. Attaching a resume does not supersede any of these requirements. Your responses pertaining to specific work experience must be clearly shown in the area for work history on your application. Do you Accept? Yes No Required Question