About this role
Function(s):
Provide clinical assistance to all programs within the HCBS division by completing assessments, developing care treatment and service plans and providing waiver service coordination and/or care coordination services for members within the HCBS division.
JOB RESPONSIBILITIES:
Primary Duties:
- Complete care coordination and waiver service coordination duties across all programs, including temporarily managing a full or partial caseload of members enrolled within any HCBS program as determined by the Clinical Support Supervisor.
- Clinical Float II may oversee Clinical Float 1 work as needed.
- Conduct in-person assessments within required timeframes for program applicants and enrolled members within the Home and Community Based Services Division.
- Evaluate assessment and care coordination data to determine program eligibility, care needs, and service options.
- Complete significant change event assessments with members within required timeframes.
- Schedule and participate in Interdisciplinary Care Team (ICT) meetings and complete assessments as required.
- Complete home visits to ensure health, safety, service satisfaction and provide education to members, based on program specific guidelines.
- Educate members on waiver services and available providers, including self-direction and transportation needs.
- Educate individuals and caregivers on health promotion, illness prevention, community resources and navigating the healthcare system.
- Develop and document the Member's disaster preparedness/backup plan and contact information in the Waiver Service Plan.
- Complete all actions and follow up related to critical and reportable incidents as defined in regulatory requirements.
- Develop a health and safety action plan (HSAP) and monitor as applicable.
- Assist with telephonic coverage during the day when needed.
- Develop and update person-centered care plans within required time frame.
- Advocate on behalf of consumer and/or caregiver/family and assist individuals in securing appropriate services and care settings.
- Disenroll ineligible members from program, as appropriate.
- Apply judgments and perform clinical practice based upon education, experience and professional practice standards.
- Complete all required documentation in accordance with the applicable HCBS program.
- Monitor service quality and program eligibility.
Qualifications
Required
- One year of experience in home health care, medical social work or geriatrics
- Registered Nurse in the State of Ohio or Licensed Social Worker in the State of Ohio
Preferred:
- Interest in Care Coordination and working with elderly and disabled populations
Knowledge of chronic disease management.