Michelle P Waiver Evaluator

Seven Counties Services • Louisville, KY

10d

About The Position

The Michelle P Waiver Evaluator conducts assessments for potential MPW recipients, including a face-to-face visit in the individual’s home within the deadline established by state criteria. The evaluator assesses and documents the individual’s health, social supports, and environment using the state-designated assessment tool; explains and completes required paperwork; and provides information about the waiver and available case management providers. The evaluator coordinates submission of evaluations and approved assessments to the appropriate organizations and providers, and assists with appeals after a Level-of-Care denial when requested. The role includes frequent travel and extensive work in clients’ homes. Staff are expected to focus on responsive customer service and continuous quality improvement, and to follow safety management policies and Joint Commission standards.

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 if not 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 RN 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 skills and written and oral communication skills.
• Working knowledge of the MPW and its eligibility criteria.
• Reliable transportation for frequent travel.
• Valid driver’s license with fewer than six points against the license.

Nice To Haves

• Independent licensure, if not required by regulation.

Responsibilities

• Conduct MPW assessments, including a face-to-face visit with the individual in the home within the deadline established by state criteria.
• Assess and document the individual’s physical health, mental health, social supports, and environment using the assessment tool designated by the state.
• Observe and interview the individual and their representatives or family members to identify needs and services the recipient or family cannot manage or arrange.
• Explain paperwork and help the individual or guardian complete the Freedom of Choice form and other required state and agency paperwork during the face-to-face visit.
• Provide potential MPW recipients and/or family members with information about the MPW and available case management providers.
• Arrange for submission of the MPW evaluation to the Quality Improvement Organization for a Level-of-Care decision and, following approval, submit the assessment and/or reassessment to the respective MPW provider.
• Assist the individual with appeal procedures following a Level-of-Care denial when requested by the individual or family.
• Follow applicable safety management policies and Joint Commission standards, with a focus on customer service responsiveness and continuous quality improvement.

What This Job Offers

• Job Type: Full-time