CAP Social Worker- Adult Services

This positions compensation is based on qualifications and level of experience. Social Worker Trainee $36,178 Social Worker I $39,885 Social Worker II $48,476 The CAP/DA Case Manager is responsible for administering and coordinating services under the Community Alternatives Program for Disabled Adults (CAP/DA). This program enables eligible adults (age 18 and older) who qualify for nursing facility level of care to remain safely in their private residences. The position focuses on person-centered case management, service coordination, and ongoing monitoring to ensure participants receive cost-effective, high-quality care that supports independence and well-being.**Program Eligibility & Intake** - Receive, review, and process referrals and service requests for individuals seeking participation in the CAP/DA Waiver program - Conduct comprehensive assessments to determine eligibility and level of care needs - Collaborate with medical providers to obtain required documentation supporting eligibility **Case Management & Care Coordination** - Develop, implement, and maintain individualized Plans of Care (POC) in accordance with NC Medicaid guidelines - Ensure all waiver and non-waiver services are accurately documented at initial enrollment, annually, and during revisions - Coordinate services with providers, caregivers, and community resources - Support consumer-directed care options and educate participants on service delivery models **Monitoring & Quality Assurance** - Conduct regular and routine monitoring of beneficiaries to ensure health, safety, and well-being - Perform annual reassessments to determine continued eligibility and service needs - Identify and address risks through appropriate interventions and risk mitigation strategies - Complete required quality assurance reporting and maintain accurate case records **Community Outreach & Education** - Educate the elderly and disabled adult community, families, and caregivers about the CAP/DA Waiver program - Promote awareness of available services and supports - Assist individuals and families in navigating long-term care options **Program Development & Compliance** - Develop and maintain case management procedures in compliance with NC Medicaid standards and local policies - Share procedures and updates with providers and community partners - Maintain an Advisory Committee to support program development, resource expansion, and service improvement - Ensure compliance with all federal, state, and local regulations governing CAP/DA services **Knowledge, Skills, and Abilities** - Knowledge of Medicaid programs, particularly CAP/DA Waiver services - Strong case management and care coordination skills - Ability to assess client needs and develop appropriate service plans - Effective communication and interpersonal skills when working with clients, families, and providers - Ability to maintain accurate documentation and meet regulatory requirements - Strong organizational and time management skills - Ability to handle sensitive and confidential information * * * **Minimum Qualifications** - Bachelor’s degree in Social Work, Human Services, Nursing, or a related field (Master’s preferred) - Experience in case management, adult services, or healthcare coordination preferred - Knowledge of aging, disability services, and long-term care systems - Valid North Carolina driver’s license * * * **Working Conditions** - Primarily office-based with frequent travel for home visits and community outreach - May require occasional after-hours response to address participant needs or emergencies * * * **Special Requirements** - Must maintain compliance with NC Medicaid CAP/DA program requirements - Must complete all required training and certifications