Michelle P Waiver Evaluator

Seven Counties Services • Louisville, KY

9d

About The Position

The Michelle P Waiver Evaluator conducts assessments for potential waiver recipients, including timely face-to-face visits in the individual’s home. The evaluator assesses and documents the individual’s health, support, and environmental circumstances using the state-designated tool; explains and collects required paperwork; and provides information about the waiver and available case management providers. The evaluator arranges submission of evaluations and assessments to the appropriate quality organization and provider, and assists individuals or families with appeal procedures when requested after a Level-of-Care denial.

The position requires frequent travel and extensive work in clients’ homes. Staff are expected to demonstrate principle-centered leadership, responsive customer service, continuous quality improvement, and working knowledge of applicable safety-management policies and Joint Commission standards. Other job-related tasks may also be assigned.

Requirements

• Master’s degree in Social Work, Psychology, Sociology, or Human Services, with at least associate licensure from the appropriate Kentucky Licensing Board; independent licensure is preferred unless required by regulation; or
• Bachelor’s degree in Social Work, Psychology, Sociology, or Human Services from an accredited university; or
• Registered Nurse with an unencumbered license from the Kentucky Board of Nursing.
• With a bachelor’s degree, at least one year of experience with the DD/ID population; with a master’s degree, at least six months of experience with the population.
• Good interpersonal, written communication, and oral communication skills.
• Working knowledge of the MPW and eligibility criteria.
• Reliable transportation for frequent travel.
• Valid driver’s license with fewer than six points against the license.

Nice To Haves

• Independent license, if not required by regulation.

Responsibilities

• Conduct MPW assessments, including face-to-face visits with individuals in their homes within state-established deadlines.
• Assess and document individuals’ physical health, mental health, social supports, and environment using the state-designated assessment tool.
• Observe and interview individuals and their representatives or family members to identify needs and services they cannot manage or arrange on the individual’s behalf.
• Explain paperwork and obtain completed Freedom of Choice forms and other required state and agency paperwork during face-to-face assessment visits.
• Provide potential MPW recipients and family members with information about the MPW and available case management providers.
• Arrange submission of MPW evaluations to the Quality Improvement Organization for Level-of-Care determination and forward assessments or reassessments to the appropriate MPW provider upon approval.
• Assist individuals or their families with appeal procedures following a Level-of-Care denial when requested.
• Follow policies and procedures related to safety management and Joint Commission standards, and support customer service responsiveness and continuous quality improvement.

What This Job Offers

• Job Type: Full-time