ADRC Professional

Milwaukee County Wisconsin•Milwaukee, WI

1d•Hybrid

About The Position

Under general supervision, the ADRC Professional position is responsible for completing Options Counseling, determining functional eligibility for Wisconsin’s Long-Term Care programs, Enrollment Counseling, and Disenrollment Counseling. The ADRC Professional meets with customers to assess their current situation, goals, and needs to connect them with resources that allow older adults and adults with disabilities to live as independently as possible with the help they need to be safe and healthy. This role must maintain a vast knowledge of resources and state regulations to successfully complete this job. The functions of this job are required in the ADRC contract with the State of WI.

Requirements

A current resident of the state of Wisconsin
Valid Wisconsin Driver's License and reliable insured personal vehicle; both able to be maintained throughout employment.
Bachelor’s Degree or higher in Social Work, or a closely related field from an accredited college or university is required
At least one (1) year of experience working with adults with disabilities or older adults
Intermediate knowledge of Microsoft Office Suite (Teams, Word, Excel)
Intermediate experience with CARES, ForwardHealth, FSIA, case management system
Must achieve Long-Term Care Functional Screen certification within one (1) month of employment.
Must achieve Options Counseling Standards certification within two (2) months of employment.

Nice To Haves

In lieu of a bachelor’s degree, candidates with a High School Diploma or GED equivalent with at least five (5) years of experience in an ADRC position will be considered.
Ongoing certification is required by passing biennial examination.
Ongoing certification is based on State regulations.

Responsibilities

Achieve and maintain Options Counseling Certification throughout the duration of employment.
Use online systems to research details of Medicaid eligibility using CARES and ForwardHealth.
Meet with customers, families, caregivers, and partner agencies over the phone and in person to assess the customer’s current situation, goals, and needs.
Provide accurate and thorough information on resources to meet their needs as well as decision-support to customers navigating the complex world of long-term care.
Follow-up with customers to ensure their needs are met.
Achieve Long-Term Care Functional Screen (LTCFS) certification within 1 month of beginning employment.
Maintain certification throughout duration of employment with satisfactory quality reviews and by attending ongoing trainings, maintaining knowledge of state-prescribed instructions and any updates to them, and passing the biennial recertification exam.
Utilize motivational interviewing skills with customers and collateral contacts to complete functional assessments covering Activities of Daily Living, such as bathing, dressing, medication management, money management, cognition, memory, and risk.
Score abilities according to state instructions and describe observations in professional, objective, detailed narrative in the Gateway/FSIA system.
Review and research medical diagnoses and records as they relate to functional deficits.
Possess extensive knowledge of WI’s Long-Term Care Medicaid programs (Family Care, Partnership, IRIS, and PACE), services, and eligibility.
Utilizing DHS/state approved publications, help customers understand the programs without influencing their decision.
Provide unbiased information on the Managed Care Organizations and IRIS Consultant Agencies for customers to choose which company in which to enroll.
Assist IRIS customers in understanding and choosing one of four Fiscal Employer Agents.
Explain to each individual customer how enrollment or disenrollment from Long-Term Care Medicaid programs could impact their specific situation, including financial and personal impact.
Accurately and thoroughly document each interaction with customers in the case management system with case notes that must meet standards for Options Counseling.
Complete state-required encounter reports for every direct contact with customers and collateral contacts.
Maintain 100%-time reports in 15-minute increments to receive financial reimbursement from the State of WI.
Maintain confidentiality.
Update customer records as needed with current demographics.
Research information on public/private providers as well as programs to provide accurate and current information to customers on resource eligibility, cost, service descriptions, and method to apply/receive services.
Effectively explain complicated information to people of varying physical and cognitive abilities including developmental disability, hearing, vision, and memory loss.
Accurately respond to questions from customers about their financial eligibility for Long-Term Care programs, the initial application process, cost share, patient liability, and how their income/assets affect eligibility.
Participate in internal and external work groups, process improvement projects, county initiatives and outreach events/activities.
Contribute to best practice discussions regarding processes, case consultation, and services.
Perform all other duties as assigned.