Support Coordinator

About the role

This is a professional case management position in a Case Management position governed by DMH Contact and under guidelines of Center for Medicaid Services. This description may not include all the duties, knowledge, skills, or abilities associated with this position.

Primary Purpose of Job

The primary purpose of this role is to manage a diverse caseload of moderate size and complexity, interview individuals, their families, and other responsible parties, assist in completing necessary documents, collect basic data, and obtain additional information from other agencies. The role also involves participating on the inter-disciplinary team to review cases, prepare and complete case notes, quarterly reviews, annual reviews, support monitoring, and any other required reports concerning the Individualized Support Plan (ISP).

Essential Responsibilities and Duties

• Manage a diverse caseload of moderate size and complexity
• Interview individuals, their families, and other responsible parties
• Aid in completing necessary documents
• Collect basic data and obtain additional information from other agencies
• Participate on the inter-disciplinary team to review each case
• Prepare and complete case notes, quarterly reviews, annual reviews, support monitoring, and any other required reports concerning the Individualized Support Plan (ISP) in accordance with Department of Mental Health (DMH) guidelines, Medicaid regulations, and Abilities First policy
• Complete all required documentation (ISPs, waiver paperwork, support monitoring, etc.) in a timely manner following DMH regulations, Medicaid guidelines, Abilities First policy, and all applicable regulatory requirements
• Enter casenote documentation into SETWorks billing system daily, no later than 72 business hours after TCM activity
• Maintain a monthly/yearly Service Goal of 75% of hours worked, ensuring service provided is documented in the SetWorks system
• Maintain individual's client record in accordance with DMH and Medicaid guidelines
• Facilitate the interdisciplinary team's development of the ISP for everyone served
• Attend interdisciplinary team meetings to discuss individuals' eligibility, ISP, progress, and possible changes in supports or services
• Prepare service authorizations and arrange for individuals to access services
• Monitor services to ensure that the terms of the authorization are being fulfilled by the contracted providers, to check on quality of services, and to review individual progress according to the state support-monitoring directive
• Develop goals and outcomes with each individual recognizing and identifying changing his/her wants and needs. Identify any available natural supports. Provide information about appropriate community resources. Continuously assess supports in place for the individual and ensure they are effective toward supporting the individual to reach his/her goals as identified in the ISP
• Collaborate with Utilization Review Committee (URC) to obtain funding for needed services that cannot be met using natural supports
• Maintain contact with every individual on caseload as per DMH guidelines. This includes monthly face-to-face visits and completion of monthly Support Monitoring according to DMH guidelines with all individuals receiving Residential services
• Meet face-to-face with individuals on caseloads that Abilities First serves
• Verify documentation of ISP and services with the contracted provider
• Review provider documentation including daily progress notes, provider summaries, incident reports, and service authorizations that result in provider billing for accuracy of services authorized
• Provide progress reports and advise individuals, their families, and other responsible parties
• Visit service agencies, attend meetings, and confer with senior staff to become informed concerning community resources for persons with developmental disabilities
• Review literature and confer with senior staff concerning theories and practices in the fields of social work, psychology, special education, and health care for persons with developmental disabilities
• Attend all relevant trainings and in-services as required by Abilities First and DMH
• Conduct individual assessments on a limited basis involving the use of specialized knowledge and applications associated with a specific discipline such as social work, psychology, special education, counseling, health care, or occupational therapy
• Prepare and maintain accurate expenditure records for individuals in accordance with the ISP budgets
• Be available to handle emergency situations with individuals as needed in accordance with Abilities First Policy and state regulations (i.e. abuse/neglect, mandated reporting, etc.). Support Coordinators are mandated reporters
• Office space will be provided; however, working outside of the office is permitted when approved by the Director of Support Coordination
• Attend staff meetings concerning new or revised policies and procedures and implement new information accordingly
• Light lifting required. Extensive sitting

Knowledge, Skills and Abilities

• Intermediate knowledge of a specific discipline such as social work, psychology, special education, counseling, health care, or occupational therapy
• Intermediate knowledge of case management methods, principles, and techniques
• Intermediate knowledge of various developmental disabilities and corresponding vendors and services available for individuals
• Intermediate knowledge of interviewing methods, principles, and techniques
• Ability to manage a caseload of individuals with developmental disabilities, to keep service plans current, and to maintain accurate records
• Ability to collect and analyze information to make decisions concerning an individual's service plan
• Ability to identify potential abuse and neglect situation and follow protocol according to all applicable regulatory requirements
• Ability to develop a logical, feasible, and practical service plan for individuals with developmental disabilities
• Ability to evaluate the progress of individuals and the quality of their service programs
• Ability to communicate effectively
• Ability to encourage a positive work atmosphere