Habilitation Coordination/PASRR Service Coordinator

Gulf Bend Ctr•Victoria, TX

53d•$18•Onsite

About The Position

Ensures that any individual seeking admission into a Medicaid-certified nursing facility or currently residing in such a facility is screened and evaluated for mental illness, intellectual disability, and developmental disabilities; identifies alternate placement options when necessary or requested; identifies specialized services that may benefit the individual; and meets routinely with individual at the nursing facility to monitor the specialized services.

Requirements

TAC RULE §303.501 Qualifications of a Habilitation Coordinator must include the following:
Be an employee of a LIDDA;
Have a bachelor's or advanced degree from an accredited college or university with a major in a social, behavioral, or human service field, such as psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human development, gerontology, educational psychology, education, or criminal justice; and
Have at least one year of experience working directly with individuals with intellectual or other developmental disabilities.
BA/BS in field specified above
Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. Liability insurance required.
Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business. Safe driving record as defined by Gulf Bend Center.
Must have computer experience to include Microsoft Word, Excel (beginner to intermediate level), Outlook, Teams, and Zoom. Ability to type 40 wpm. Ability to operate office equipment (copy machine, fax).
Must complete all training requirements prior to the due date. Attend required training and team meetings. Relias training and any other training required for the role is 100% compliant.
Must maintain regular and reliable attendance, including compliance with the telework agreement. This is a full-time position. Days and hours of work are Monday through Friday, 8:00am to 5:00pm or agreed upon hours 100% of the time, to ensure consistency and completeness of the program's processes. Evening and weekend work may be required as job duties demand.

Responsibilities

Complete a PASRR Evaluation (PE) within required timeframes to determine if the person has an MI, ID or DD diagnosis and, if so, to: assess the person's need for care in an NF; assess the person's need for specialized services; and identify alternate placement options.
Complete initial and annual assessments that assist in determining specialized services that the individual is eligible to receive.
Facilitate initial, quarterly, annual, and as needed Service Planning Team (SPT) meetings with person, Legally Authorized Representative (LAR) or actively involved person, Nursing Facility staff, and other collateral to aid in monitoring services and developing a person-centered plan of care.
Provide habilitation coordination by identifying person-directed outcomes, and arranging needed services and supports, by advocating, and collaborating with the Service Planning Team (SPT) to develop a person-directed Habilitative Service Plan (HSP) which supports the customer in achieving a quality of life.
Ensure the provision of habilitation coordination according to the Texas Administrative Code (TAC) and the PASRR Handbook.
Provide crisis prevention and management by supporting the customer/LAR or actively involved person to secure services and supports that will enable them to prevent or manage a crisis.
Meet face to face with a person monthly, or more frequently if needed, to provide habilitation coordination activities.
Monitor all services on the HSP at least quarterly to ensure that the customer receives needed services (delivery), evaluate the effectiveness and adequacy of services (satisfaction), and ensure identified outcomes are meeting the customer's needs and desires (progress/lack of progress) as indicated by the customer/LAR or actively involved person determined by supervisory review of the HSP and progress notes.
Provide education about community living options for the individual and families initially and every six months thereafter. Assist as needed to arrange community services outside the nursing facilities.
Maintain accurate spreadsheets tracking monthly contacts and deadlines related to monitoring requirements, SPT Meetings, CLO, Habilitative Assessments, and other job-related criteria as directed by supervisor.
Provide customers/LARs with an oral and written explanation of rights at least annually, when necessary, requested, or due to changes in legal status or revisions of HHSC documents.
Complete thorough and accurate contact documentation in the Center's Electronic Health Record (EHR) within two business days at least 95% of the time.
Ensure necessary forms/documents are filed in customer charts.