IDD Services Eligibility Specialist

BestCare Treatment Services Inc•Prineville, OR

About The Position

BestCare Treatment Services is seeking a compassionate and dependable professional to support individuals with Intellectual and Developmental Disabilities (IDD) in Prineville, Oregon. This part-time position (10 hours per week) focuses on coordinating services, make referrals and facilitate services planning for persons experiencing intellectual and/or developmental disabilities. The ideal candidate demonstrates patience, strong interpersonal skills, and a person-centered approach to care. This role requires reliability, professionalism, and a genuine commitment to improving quality of life through structured support, advocacy, and encouragement. If you are looking for a meaningful opportunity to make a direct impact in your community while working in a flexible, part-time capacity, we encourage you to apply. JOB SUMMARY: The Intellectual/Developmental Disabilities (I/DD) Services Coordinator works under the direction of the I/DD Program Manager, providing coordination of services for persons experiencing intellectual and/or developmental disabilities. Services Coordinators assess needs, facilitate services planning, make referrals, and authorize services for individuals with intellectual and developmental disabilities, working closely with program participants, guardians, and families. Service Coordinators also coordinate services with local and statewide governmental entities, community partners, independent providers, and provider agencies.

Requirements

Knowledge of the public system for Developmental Disability Services in Oregon is required. Must be familiar with Oregon Administrative Rules governing services to persons with intellectual/developmental disabilities;
Must have a working knowledge of the public service system for adults and children with intellectual or developmental disabilities in Oregon;
Ability to work effectively and respectfully in a diverse, multi-cultural environment;
Must have demonstrated skills in developing cooperative and collaborative efforts with providers, families, advocates, and persons with developmental disabilities. Must have interpersonal skills necessary to assist and advocate for program participants in group and individual settings.
Proficiency in MS Office 365 (Word, Excel, Outlook), EHR platform, databases, virtual meeting platforms, internet, and ability to learn new or updated software;
Strong interpersonal and customer service skills;
Strong communication skills (oral and written);
Strong organizational skills and attention to detail, accuracy, and follow-through;
Excellent time management skills with a proven ability to meet deadlines;
Critical thinking skills;
Ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;
Ability to build and maintain positive relationships;
Ability to function well and use good judgment in a high-paced and at times stressful environment;
Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;
Ability to work independently as well as participate as a positive, collaborative team member.
Bachelor’s degree in behavioral science, social science, or a closely related field or
Bachelor’s degree in any field plus one year of human services related field or
Associate’s degree in behavioral science, social science, or closely related field plus 2 years of human services-related experience or
Three (3) years of human services related experience
Experience working with individuals with intellectual or developmental disabilities
For individuals recovering from the disease of addiction, must have maintained continuous sobriety for the previous two years at the time of hire
Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization’s auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations) and ability to travel locally and out of the area, as needed

Nice To Haves

Bachelor’s degree in behavioral science, social science, or a closely related field is preferred
Bilingual in English/Spanish a plus

Responsibilities

Conducts assessments and level of care, planning documentation, case management contacts and monitoring, eligibility and transition documentation, and other requirements, timely and in compliance with OARs and organizational standards and best practices;
Completes timely clinical documentation of services provided, including progress notes for qualifying encounters, reports, correspondence, and behavioral data to justify program billing claims, and to address the requirements of various agencies, including Office of Developmental Disabilities Services, Oregon Department of Humans Services, and BestCare Treatment Services, maintaining compliance with all applicable Oregon Administrative Rules and Oregon Revised Statutes;
Provides coordination and follow-up with social service agencies, medical providers, and other allied agencies and institutions to ensure continuity of care and an integrated service system;
Provides case management services to all eligible individuals, in accordance with OAR 411-415 in a variety of community settings, with consideration to client preference and prioritized in accordance with OAR 411-320-0040(2);
Attends required case manager trainings, including completion of online core competency modules within the first 90 days of employment, and 20 hours per year of Department sponsored or other training in the areas of intellectual or developmental disabilities;
Facilitates or participates in annual assessments of needs for individuals with I/DD, including Children’s Needs Assessments (CNA), Adult Needs Assessments (ANA), Support Needs Assessment Profiles (SNAP), and/or Support Intensity Scales (SIS), or other assessments, as required, in order to determine service needs and funding;
Facilitates or participates in annual Oregon Needs Assessments (ONA) to determine support needs, risks, and Level of Care (LOC) approval for Medicaid funded services for each individual requesting or continuing waiver services;
Assures individual choice of case management, provider services, and service settings annually, as well as providing an annual notification of rights;
Coordinates service planning for individuals, including the completion of annual Individual Support Plans (ISP) for individuals requesting funded services, and Annual Plans (AP) for individuals receiving case management only services, including the authorization of provider services;
Assists clients in acquiring the home and community-based services and resources needed to achieve their goals and maintain independence in the community;
Makes referrals to independent and agency providers for funded services, and to community partners and other providers, such as medical or behavioral health providers, employment services providers and OVRS, as requested by the individual or guardian;
Works in close collaboration with families, community partners, residential providers, and other social service agencies;
Participates in entry and exit meetings, including the completion of transition planning and documentation to ensure successful transition for the individual;
Reviews provider progress notes, Personal Support Worker (PSW) time sheets, positive behavior support plans, and other documentation to assure the provision of funded services and payment of claims;
Attends IEPs and transition meetings for individuals, as required, and assists with transition planning for individuals transitioning to adult services;
Assures timely incident reporting by providers, families, and individuals, and documentation of serious events in the centralized reporting database. Completes required training in use of the Centralized Abuse Management (CAM) reporting system;
Reports abuse of individuals with intellectual or developmental disabilities, in order to ensure the provision of protective services and follow up, communicating with and assisting the protective services investigator, and coordinating with providers, law enforcement, the Department, and others, as required;
Makes referrals and assists individuals in obtaining Medicaid service and OHP eligibility, as needed;
Assists the Eligibility Specialist in coordinating the redetermination of eligibility for individuals, as required, and assists the Designated Referral Contact in coordinating residential placements for individuals, as needed;
Assures service quality, in compliance with applicable OARs, and of documentation maintained in electronic and file room files for each individual in the services coordinator’s caseload;
Acts independently in the community and promotes a positive image of Crook County, the Intellectual/Developmental Disabilities Program, and BestCare Treatment Services;
Serves as liaison between the agency and community or other County personnel; provide high level technical information and referral expertise and service relating to the program; make presentations to community groups and provide program training to staff, volunteers, etc.;
Performs other related duties as assigned.
Performs work in alignment with BestCare’s mission, vision, values and professional code of ethics
Supports the organization’s commitment to fostering and maintaining a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals;
Strives to meet Program/Department goals and supports the organization’s strategic goals;
Adheres to the organization’s Code of Conduct, Business Ethics, Employee Handbook, and all other relevant policies, procedures, and other compliance needs;
Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes;
Attends required program/staff meetings and completes assigned training timely and satisfactorily;
Ensures that any required certifications and/or licenses are kept current and renewed timely;
Works independently as well as participates as a positive, collaborative team member;
Performs other organizational duties as needed;