BrightSpring Health Services Hiring for SERVICE COORDINATOR CASE MANAGER at St. Albans, WV  Full Time

Job Locations

US-WV-SAINT ALBANS

ResCare Community Living

The Service Coordination service is to establish, along with the member, a life-long, person-centered, goal-oriented process for coordinating the supports (both natural and paid), range of services, instruction and assistance needed by persons with intellectual and/or developmental disabilities. It is designed to ensure accessibility, accountability and continuity of support and services. This service also ensures that the maximum potential and productivity of a member is utilized in making meaningful choices with regard to their life and their inclusion in the community.

* Assist the member and/or legal representative with re-determination of financial eligibility as required at the DHHR office in the county where the member lives.
* Verify financial eligibility during monthly home visits.
* Begin the discharge process and provide linkage to services appropriate to the level of need when a member is found to be ineligible for I/DD Waiver Services during annual eligibility or financial redetermination.
* Provide oral and written information about the I/DD Waiver provider agency’s rights and grievance procedures for members served by the agency.
* Assist with procurement of all services that are appropriate and necessary for each member within and beyond the scope of the I/DD Waiver Program including annual medical and other evaluations as applicable to the member.

*Inform families or custodians of children less than 3 years of age about the availability of Birth to Three Services.
* Act as an advocate for the member. The I/DD Waiver Program must not be substituted for entitlement programs funded under other Federal public laws such as Special Education under P.L.99-457 or 101-476 and rehabilitation services as stipulated under Section 110 of the Rehabilitation Act of 1973. (Public schools can currently bill for specific medical services under their own Medicaid provider numbers). Therefore, it is necessary for the Service Coordinator to advocate with these systems to obtain the required and appropriate services.
* Provide education, linkage and referral to community resources,
* Promote a valuable and meaningful social role for the member in the community while recognizing the member’s unique cultural and personal value system.
* Interface with the ASO on behalf of the member in regard to the assessment process, purchase of services and budget process.
* Activities may include linkage, negotiation of services, submission of information, coordination of choice of appropriate assessment
* Respondents on behalf of the member, education and coordination of the most appropriate assessment setting that best meets the member’s needs.
* Communicate with other service providers on the IDT to allow for continuity of services and payment of services.
* Coordinate necessary evaluations to be utilized as a basis of need and recommendation for services in the development of the IPP.
* Notify IDT members 30 days in advance of meeting.
* Support the member as necessary to convene and conduct IDT meetings.
* Coordinate the development of IPPs at least annually. The IPP must be reviewed and approved by the IDT at least every 90 days unless otherwise specified in the plan, but shall not exceed 180 days.
* Access the necessary resources detailed in the IPP, make referrals to qualified service providers and resources, and monitor that service providers implement the instructional, behavioral and service objectives of the IPP.
* Disseminate copies of all IPPs to the IDT members and Participant-Directed service Option providers (if applicable) within 14 days of the IDT meeting.

* Upload the ISP, the Demographic/cover sheet and signature page into the CareConnection within 14 days of the IDT meeting.
* Upload into the CareConnection any additional documentation requested by BMS or the ASO.
* Disseminate copies of the budget sheet from the I/DD Waiver CareConnection website, once finalized.
* Monitor to ensure that the member’s health and safety needs are addressed.
* Comply with reporting requirements of the WV IMS for members on their caseload.
* Personally meet monthly with the member and their paid or natural supports who are present with the member the time of the visit at the member’s residence to verify that services are being delivered in a safe environment, in accordance with the IPP and appropriately documented and that the member continues to be financially eligible
* The purpose of these visits is to determine progress toward obtaining services and resources, assess achievement of training objectives, and identification of unmet needs.
* The visit is documented on the Service Coordinator Home/Day Visit Form (WV-BMS-I/DD-03).
* Personally meet at least every other month with the member and their support staff at the member’s facility-based day program (if applicable). The purpose of these visits is to determine progress toward obtaining services and resources, assess achievement of training objectives, and identification of unmet needs. The visit is documented on the Service Coordinator Home/Day Visit Form (WV-BMSI/DD-03).
* Provide planning and coordination before, during and after crises, including notifying the ASO if a member is admitted to a crisis site or state institution.
* Process Freedom of Choice forms (WV-BMS-I/DD-2) in the CareConnection within 2 business days any time a member requests a change of service delivery options.
* Coordinate Transfer/Discharge meetings to ensure the linkage to a new service provider or service delivery option and access to services when transferring services from one provider agency to another or to another type of service delivery option. Coordination efforts must continue until the transfer of services is finalized.
* Travel as necessary to complete Service Coordination activities related to the IPP.
* Provide information and assistance regarding participant-directed services options during annual IPP meetings and upon request by the member or legal representative.
* Inform the member of their rights at least annually.
* Attend and participate in the annual functional assessment for eligibility conducted by ASO
* Present member’s proposed restrictive measures to the I/DD Waiver provider agency’s Human Rights Committee (HRC) if no other professional is presenting the same information.
* Monitor any restrictive measures approved by the HRC to ensure the measures are implemented properly and reviewed at least annually by the HRC and by the IDT at every IDT meeting.
* May bill for attendance of and contribution to Futures Planning sessions, including PATHs and MAPs.
* Ensures consumer and guardian participation in development of service plan and personal futures plan.
* Coordinates scheduling of team meetings/ASO assessments (times, dates, locations, etc.) and informs all team members of such.
* Develops and implements service plan within 30 days of moving in, annually, quarterly, when significant changes occur, and when moving out.
* Demonstrates knowledge of contractual, legal and regulatory requirements.
* Monitors to ensure all clients receive services in accordance with contractual, legal and regulation requirements.
* Demonstrates an understanding of person(s) served rights, protection, and safety.
* Monitors all incident reports to ensure patterns of incidents are addressed.
* Shares all incident reports with appropriate external agencies (area programs, social services, etc.) when necessary and appropriate.
* Participates in regularly scheduled regional safety committee meetings.
* Implements/monitors compliance with ResCare Health and Safety programs.
* Uses leadership and communication skills to motivate team members toward agency objectives.
* Fosters team spirit and company pride among team members and agency.
* Manages budgeted hours to provide effective and efficient service delivery.
* Other duties as assigned

* Ability to communicate verbally and in writing. Must be able to travel between service Sites. Working knowledge of Federal, State, and local regulations concerning services to individuals with intellectual and/or developmental disabilities. Must have good organizational skills and attention to detail, and be capable of working flexible hours; Microsoft Word and Excel skills preferred.
* Education:
* BA/BS in a Human Service Field: Psychology, Criminal Justice, Board of Regents, Recreational Therapy, Political Science. Nursing, Sociology, Social Work, Counseling, Teacher Education, Behavioral Health, Liberal Arts or other degree approved by the West Virginia Board of Social Work Examiners; or BA/BS in a non-Human Service Field and One year work experience in the I/DD field.
* Certificates, Licenses, Registrations:
* Valid driver’s license from state of residence with a satisfactory driving record as defined by ResCare’s vehicle policy and/or liability insurance carrier.
* Additional Requirements:
* Title XIX I/DD Waiver experience and Medicaid service delivery knowledge are beneficial

ResCare Community Living has four decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental or cognitive disability. Our community living services are provided in 27 states with several thousand programs and a comprehensive range of high-quality services, including: Community Living, Adult Host Homes for adults regardless of disability, Behavioral/Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote Support, Supported Employment and Training Programs, and Day programs. For more information, please visit www.rescarecommunityliving.com. Follow us on Facebook and LinkedIn.

USD $19.23 / Hour

We can recommend jobs specifically for you!
Click here to get started.