Case Manager/Waiver Support Coordinator- Jackson, MS

Care Lync•Jackson, MS

5d•Onsite

About The Position

The Support Coordinator provides ID/DD Waiver Support Coordination activities necessary to meet the needs of people assigned to their caseload, in accordance with Rules 44.1–44.2 of the DMH Operational Standards and the Support Coordination Manual. This position is responsible for coordinating and monitoring all services a person receives, regardless of funding source, through the development and implementation of the person's Plan of Services and Supports (PSS), to ensure services are adequate, appropriate, meet individual needs, and protect the person's health and welfare.

Requirements

At least a bachelor's degree in a human services-related field, with no experience required; or
At least a bachelor's degree in a non-related field and at least one (1) year of relevant work experience.
Relevant experience is defined as full-time experience working directly with people with intellectual and/or developmental disabilities, other types of disabilities, or mental illness
Experience with Microsoft Office and state-maintained databases.
Must maintain proficiency in company-sponsored training and certifications.
Successfully complete and maintain training courses as required or amended by program regulations.
Valid driver's license, including personal vehicle insurance coverage for liability and current vehicle registration; copies must be maintained on file. Must inform the Supervisor immediately of any change in auto insurance, vehicle registration, or driver's license status.
General Orientation, completed within thirty (30) business days of hire and before any contact with people receiving services (Rule 12.2.A).
CPR certification (live, in person) and Basic First Aid, maintained current (Rule 12.2.B.4–5).
Certification in a nationally recognized, DMH-approved technique for managing aggressive or risk-to-self behaviors, including verbal and physical de-escalation, completed before contact with people receiving services (Rule 12.4.D.1).
Annual Staff Development Plan topics, including Person-Centered Planning, the HCBS Settings Final Rule, and the Vulnerable Persons Act (Rule 12.4.A).
Fifteen (15) hours per year of population- and position-specific continuing education (Rule 12.4.C.2).
Conflict-free case management: The agency provides ID/DD Waiver Support Coordination and/or IDD Targeted Case Management and does not provide any other IDD service. Employees in this position may not have employment by or other financial interest in a provider of other IDD Home and Community Based Services, and may not serve in an unpaid role for a provider of other IDD HCBS, including board or committee membership, consulting, or any advisory position with the potential to create bias that could persuade a person's choice of provider. An employee may not be assigned to a person receiving services who is related to the employee by blood or marriage, for whom the employee is legally or financially responsible, for whom the employee is a paid caregiver, or for whom the employee is empowered to make financial or health-related decisions.
A national criminal history background check, including fingerprinting, must be completed at hire and before any contact with people receiving services, with no disqualifying events under Miss. Code Ann. § 43-11-13. The background check includes prior convictions under the Vulnerable Adults Act, the Child Abuse Registry, the Mississippi Nurse Aide Abuse Registry, and the Office of the Inspector General Exclusion Database. Fingerprints are re-run every two years and registry checks are conducted monthly.
Proof of degree is established only by an official transcript showing the degree awarded or conferred and the date of award or conferral. Letters from institutions of higher learning and copies of diplomas are not accepted. Any required degree or coursework must be earned from an approved educational institution as defined in the DMH glossary.

Responsibilities

Coordinate and monitor all services a person receives, regardless of funding source, to ensure services are adequate, appropriate, meet individual needs, and address the person's health and welfare (Rule 44.2.A).
Conducts initial contact and completes intake documentation for individuals referred to the agency.
Tracks Medicaid and waiver eligibility for each person on their caseload, monitors for lapses, submits renewals, and follows up on denials.
Collects and files Medicaid and waiver supporting documentation.
Complete assessments to assist in identifying each person's needs and desires for service delivery.
Coordinate and facilitate development of each person's Plan of Services and Supports (PSS) through the person-centered planning process, and revise/update the plan at least annually or upon a change in circumstances or person/legal representative request (Rules 44.2.B–C).
Inform and assist the person/legal representative(s) with access to Home and Community-Based Services and non-Home and Community-Based Services from which the person could benefit and ensure the person's choice of providers by supplying information needed to make a fully informed decision (Rule 44.2.D).
Inform the person/legal representative(s) about certified providers for services on the approved Plan of Services and Supports initially, annually, upon dissatisfaction, or upon a change in provider certification status, and assist with meeting or interviewing providers and arranging tours until the person chooses an agency provider (Rules 44.2.E–F).
Ensure the Behavior Support Plan, any support plan from a medical professional, and any Crisis Plan are consistent with the Plan of Services and Supports.
Enter all required information in each person's record in the Division of Medicaid's Long-Term Services and Supports (LTSS) System (Rule 44.2.G).
Notify each person/legal representative(s) in writing of approval/denial of initial enrollment, requests for additional or increased services, recertification, readmission, reduction, and termination of services, and inform them of applicable appeal procedures (Rules 44.2.H–I).
Create and maintain resource folders and research and provide all available and entitled resources for people on their caseload.
Maintain accurate documentation, knowledge, and reporting as assigned; document all contact or for the person in Service Notes, entered in LTSS no later than the last day of the month in which contact occurred (Rule 44.2.N).
Report all incidents of abuse, neglect, or exploitation immediately to the Supervisor or Director, and ensure timely reporting so that the person's health and safety is not put at risk.
Address issues related to a person's Plan of Services and Supports with the applicable agency provider(s) and, when a provider is unresponsive, report the issue as a grievance through DMH's established grievance reporting procedures (Rule 44.2.J).
Educate people, legal representatives, and families at least annually on rights and procedures for reporting abuse, neglect, and exploitation (Rule 44.2.K).
Perform all functions necessary for each person's annual recertification and continued eligibility to ensure recertification is approved within one (1) year without interruption of services (Rule 44.2.L).
Actively coordinate with other individuals and entities essential to the person's physical and behavioral care, including other care coordinators, to ensure seamless coordination between physical, behavioral, and support services (Rule 44.2.P.7).
Conducts monitoring and assessment of the Plan of Services and Supports covering every element of Rule 44.2.P, including changes in health status and support needs, satisfaction with current services and providers, the need for new services and actions taken, utilization review against the approved plan, review of the plan and Activity Support Plan against the person's outcomes, coordination of all services regardless of funding source, follow-up on issues identified during monthly or quarterly contacts or reported by providers, determination of the need to update the plan, and information about new providers and service locations in the person's area (Rule 44.2.P).
Conducts a face-to-face visit quarterly, rotating observation of each service on the person's Plan of Services and Supports; contacts by telephone any provider of an approved service not present at the quarterly visit; conducts at least one (1) face-to-face visit annually with the person in their home; and contacts the legal representative or primary caregiver quarterly (Rule 44.2.M.1).
Contacts each person on the caseload at least once monthly during months between quarterly visits, by telephone or face-to-face (Rule 44.2.M.2).
Conduct additional face-to-face monthly visits when a person cannot communicate by phone due to auditory or cognitive impairment, has unmet needs unresolved by phone, has identified risk of abuse, neglect, or exploitation, or cannot be reached by phone after three (3) documented attempts (Rule 44.2.M.3).
Monitor service provision for compliance with the HCBS Settings Rule, documenting and following up on any issues, and reporting unresolved issues to the DMH Bureau of IDD (Rule 44.2.O).
Develop and maintain a professional working relationship with people receiving services and their families and caregivers.
Ensure confidentiality regarding sensitive material and private health information of each person served.
Attend required training and recertification classes.
Confer regularly with the Supervisor to consider factors such as participant needs, abilities, learning levels, and physical limitations.
Travel to people receiving services as needed to complete required face-to-face contact (up to 50% travel).
Serve as a mandated reporter.