Children's Long-Term Support (CLTS) Service and Support Coordinator

Essential Functions and Responsibilities

• 30% Intensive Case Management:
  • Assesses all aspects of an individual and family (health/physical functioning, AODA, mental health, and financial); implement a comprehensive service plan to meet the individual needs and outcomes in a cost-effective manner and evaluate progress.
  • Carefully manages complex situations, including assisting families in crisis. Finds appropriate resources, providing family direction/support in resource utilization, making referrals to other programs/providers, and connecting with formal and informal supports already in place (i.e., school, doctors/specialists/ABA).
  • Conducts home visits at least every 6 months (ideally quarterly) and completes corresponding paperwork. Makes difficult decisions and has conversations that may be complex, including completing a CPS referral or discussion with outside providers about concerns.
  • Stays up to date on DMS, DHS publications, Medicaid rules and regulations, maintain certification to provide case management and to complete functional screens. Completes the Mandated Reporter Online Training.
  • Assesses and periodically reassesses the participant’s health, safety, and functional capacity. Identifies vulnerable and high-risk children and ensures heightened care coordination, collaborating with other agencies when applicable.
  • Aids the consumer and family to access Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit (known as HealthCheck), Medicaid State Plan services, CCOP funding, private health insurance, and to monitor and assist with the Medicaid financial annual review.
  • Aids the consumer and family to establish financial, functional, and all other aspects of Medicaid waiver eligibility.
• 35% Documentation:
  • Enters all case documentation into the Human Services Department’s Electronic Health Record per the documentation policy within 72 hours. Manages documentation of 20 or more required forms per case, including but not limited to: Narrative, ISP, Outcomes, exceptional expense notification, high cost, CITR, and service request forms.
  • Maintains documentation of CLTS Provider progress notes to maintain up to date information on participant progress. Collects and reviews outside reports from school and private therapies.
  • Completes a child-centered assessment by gathering current, comprehensive information about the child. Strives to use a systems approach to meeting a child’s unique needs, skills, supports, and environment.
  • Works with the child and family to identify and record their desired outcomes. Explores the child’s and family’s preferences for service delivery, living arrangement, medical care, and community participation.
  • Completes the ISP, working collaboratively with the family to determine which supports, services, and environmental modifications will benefit the child, build on the child’s strengths, and maximize the child’s independence and community participation. Sends outcomes to direct service providers and ensure providers sign and return outcomes to SSC. Schedules and authorizes supports and services listed on the ISP.
  • Calculates parental fees annually and as needed. Submit service request forms to demonstrate needs assessment for new services/items. Keeps a detailed Outlook calendar.
• 15% Billing/Fiscal Responsibilities:
  • Bills time worked per productivity standard. Understands what services can be covered under another funding source, work with families/providers to obtain necessary service denials/approvals. Documents contact with the family and child in the child’s record. Ensures that CLTS Waiver Program services are funded as the payer of last resort.
• 5% Assessment and Ongoing Eligibility Determinations:
  • Reviews a client’s current services and service needs during monthly collateral/direct contacts, six-month reviews, and annual recertification’s in order to determine if services continue to be appropriate or other needs arise. Calculates service rates for clients approved CLTS services following the Rate Setting Initiative. Informs families about denial-of-service requests and sends an NOA in a timely manner.
• 5% Cross-System Collaboration:
  • Collaborates and coordinates with other programs the client may be involved with including, but not limited to: Birth to Three, CCS, Juvenile Justice, CPS, and the ADRC. Makes referrals in a timely and appropriate manner. Communicates/collaborates with staff in other departments on shared case needs and updates in order to provide a wraparound approach to client service needs. Works with outside supports on client needs including attending and being a valued team member on a child’s IEP team, communicating with physicians, therapists, etc., for case updates/needs/obtaining orders. Sends referrals to other departments.
• 5% Provider Collaboration:
  • Makes a collateral contact to review the child’s and family’s current needs and update supports and services accordingly. Provides authorizations for each CLTS Waiver billable service and ensuring appropriate billing service; educates and provides referral services to the general public and agency staff regarding CLTS. Coordinates authorization from third party administrators for necessary services, collaborates with providers to ensure quality services are provided, and communicates progress with supported documentation. Ensures all CLTS funded services are delivered in accordance with program requirements and service providers meet required qualifications.
  • Guides potential providers on how to/where to submit information to become a certified provider and direct them to where they can receive additional auth support, work with providers to make sure they submit and understand the necessary documentation they need to submit for cases (DLST and Counseling and Therapeutic reports, signed outcomes) as well as documentation needed to become a certified provider.
• 3% Miscellaneous:
  • Collaborates with CLTS Team members. Understands CCOP & participate in the quarterly Children Come First Advisory Meetings. Attends unit and division meetings, team meetings, supervision, and case consultations. Active involvement in training new hires.
• 2% Programmatic and Transactional Activities:
  • Provides transitional support for CLTS Waiver Program enrollment and disenrollment. Assists the participant to locate safe and appropriate housing, including the determination of the efficacy of substitute care settings. Assists the participant to pursue vocational and/or educational opportunities. Supporting transition-planning processes (for example, child-adult at age 14) in accordance with CLTS transition requirements.

  Supervision Exercised

  None

  Minimum Education Qualifications

  • Education and/or Experience Requirements:
    • Bachelor’s Degree in Human Services accepted, Master’s preferred.
    • Certified Children’s Functional Screener Certification may be obtained after hire.
    • Certified Children's Long Term Support Waiver (case manager) Certification may be obtained after hire.
    • Valid Wisconsin Driver’s License and Insurance required upon hire.

  Minimum Knowledge, Skills, and Abilities Qualifications

  • Prior case management experience preferred.
  • Excellent communication and problem-solving skills.
  • Strong written skills.
  • Ability to analyze and synthesize information.
  • Highly advanced engagement and interviewing skills, assessment skills, plan development, and outcomes monitoring.
  • Able to work with diverse populations.
  • Ability to provide effective collaboration and coordination with community resources.
  • Knowledge of and ability to demonstrate Trauma Informed Care and strengths-based practice.
  • Knowledge of Wisconsin Child Welfare Model of Practice.
  • Knowledge of children and disabilities (developmental, physical, mental health)
  • Knowledge of Children’s Long-Term Support Waiver Program and Children’s Community Options Program funding services.
  • Understanding of Medicaid Program, community resources
  • Ability to maintain accurate, timely, and comprehensive documentation in compliance with state standards as well as agency policy and procedures.
  • Develop and maintain professional relationships.
  • Requires a valid Wisconsin Driver's License with a good driving record and liability insurance.
  • Ability to travel throughout the county sometimes daily at times with personnel vehicle.
  • Excellent organizational skills and ability to work independently as well as within a team.
  • Excellent critical thinking skills
  • Ability to multi-task, prioritize work duties and successfully meet deadlines as required.
  • Ability to manage families in crisis and provide appropriate services and support.
  • Knowledge of the social, cultural, economic, physical, psychosocial and mental health needs of infants, children and adults with disabilities including the ability to work with persons who are victims of abuse, and or domestic violence.
  • Proficiency with routine computer programs such as Electronic Health Record, Word, Outlook, and Excel.

  Physical Requirements

  • Prolonged periods of sitting and working on a computer.
  • Periodic periods of standing or walking.
  • Environment could be potentially hostile.

  Working Conditions

  • Working with clients either in the office or in their homes.

  Benefits

  • Health, dental, life, & vision insurance.
  • Free employee health clinic & Teladoc.
  • Paid holidays, vacation, & sick time.
  • State of Wisconsin WRS defined benefit pension program.
  • Bonus opportunities.
  • Employee fitness room.
  • Wellness program & wellness reimbursement.
  • Tuition reimbursement & continuing education opportunities.