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Job Description

DESCRIPTION: Reporting to a Supervisor, this position facilitates and coordinates long-term services and supports, utilizing a person-centered approach to improve psychosocial and health outcomes. In accordance with procedures and requirements of Community Health Choices (CHC) Managed Care Organization (MCO), the Service Coordinator has responsibility for ongoing assessment, service planning, service coordination, monitoring, follow-up, and evaluation for persons with disabilities and/or older adults. The SC works within a collaborative team approach to identify and address participants' needs, preferences, and goals related to physical health, behavioral health, social services, and long-term services and supports. SCs work primarily remotely when not in the field but do have access to the office, as needed. All SCs are provided with a tablet and mobile phone to fulfill work duties.

Qualifications:

Education: Bachelor's degree in Social Work, Psychology, or related field.

Experience: Minimum of three years employment in a social service or health care related setting.

Professional Characteristics:

· High energy level; able to manage a variety of tasks simultaneously.

· Excellent interpersonal and communication skills.

· Well organized.

· High level of flexibility

· Utilizes critical thinking

· Strong computer skills

· Cultural competency

Duties and Functions:

a. Conducts comprehensive person-centered assessments utilizing the InterRAI and Person-Centered Planning Tool (PCSP) tools to determine participants' needs, strengths, preferences, and goals. Inter RAI and PCSP are completed annually or whenever there is a significant change.

b. Works with participant, his/her family, and/or caregiver, to develop an individualized service plan, making use of consultation with other disciplines as indicated.

c. Identifies, mobilizes, and arranges informal and formal resources to meet participants' needs including LTSS services, other covered services, and non-covered community services and supports.

d. Facilitates participant choice of providers and SCs.

e. Adheres to all MCO required timeframes.

f. Adheres to all documentation and reporting requirements.

g. Participates/Conducts Interdisciplinary Team meetings

h. Conducts home visits and telephone contacts per MCO standards to monitor adequacy and continued appropriateness of service plan as well as goal achievement.

i. Facilitates care transitions

j. Provides coordination with behavioral health services

k. Monitors participant satisfaction to ensure quality of services provided.

l. Supports participants with maintaining their CHC eligibility.

m. Completes critical incidents and associated root cause analysis (RCA) as needed.

n. Notifies participants of their rights and assists with complaint, grievance, and Fair Hearing processes

o. Adheres to the Health Insurance Portability and Accountability Act (HIPAA)

p. Utilizes tablet in the field. Completes all necessary forms and data entry for participants' record, other management information, and other written reports as required, such as critical incidents.

q. Participates in quality improvement activities

r. Participates in orientation and training and attends regularly scheduled supervision and staff meetings. Seeks opportunities for professional development.

s. Other duties as assigned.

Additional Requirements:

· Must have a valid driver's license, good driving record, and continuous access to a fully-insured car

· Drug testing required

· Pre-employment physical

· Second language abilities preferred

Compensation details: 42596.22-49310.45 Yearly Salary

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