Care Coordinator - CCSP

Care Coordinator:

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• Assess the client's strengths, risk and unmet needs.

• Review financial, medical, and social information of applicant as presented by referral

source.

• Thoroughly explain the scope and purpose of the Traditional/Enhanced EDWP.

Identify client's needs and desired services as stated by the referral source or applicant.

• Research and maintain up-to-date knowledge of community resources.

• Participate in case conferences with the RN/LPN to discuss the plan of care

• Provide information on the availability of services, delivery options, and on

the feasibility of implementing the service needs identified by the RN.

• Determine the cost of implementing the plan of care for the client, in cooperation with the RN

• Develop the 30- day comprehensive care plan in consultation with the client, client's family

and service providers.

• Serve as the liaison between the assessment process and the effective delivery of direct

services.

• Broker the Traditional/Enhanced EDWP services and implements the care plan.

• When a provider agency is unable to deliver services as ordered int eh client’s care plan, report situations

• Arrange for non- Traditional/Enhanced EDWP community-based services needed by the

client.

• Notify RN of any change in client status. Collaborates with RN of any

ECM/TCM changes that may influence eligibility.

• Monitor service delivery to individual clients to assure services are being provided as

appropriate and effectively meets the client's needs.

• Continuously review, monitor, and update the comprehensive care plan.

• Document case activity and service information.

• Protect member’s rights by maintaining confidentiality of any information pertinent from

unauthorized individuals who seek member information as per HIPAA regulations.

• Communicate and coordinate with all agencies providing direct services to the client.

• Approve/deny provider’s requests for increased services based on the care plan and

needs of the individual.

• Limit amount and frequency of service in order to assure that costs

do not exceed the limitations established by the Department of Community Health and the
Department of Medical Assistance.

• Conduct personal contacts with each client monthly, by phone or quarterly site visits, in

order to provide effective Case Management.

• Complete the 30 and 90- day CCP Review

• Report suspected abuse, neglect, or exploitation of any client to APS if client does not live

in a PCH, or to LTCO and ORS if client lives in a PCH.

• Report information to the ALS family model provider, if appropriate.

• Arrange emergency services.

• Complete the Service Authorization Form (SAF). De-authorizes unused services timely.

• Monitor the expenditure of funds for Title XIX waivered services in the planning and service

area, in cooperation with the lead agency.

• Send necessary information to county DFCS office when LOC returns and services begin.

• Communicate with DFCS regarding MAO/PMAO eligibility.

• Maintain confidential case records on all Traditional/ Enhanced EDWP clients.

• Request redetermination of the client's level of care prior to its expiration or if there is a

change of status, new services required.

• Advocate for the special needs of the functionally impaired population requiring community-based services.

• Maintain knowledge of the provider service standards for each Traditional/ Enhanced

EDWP service.

• Assist clients with appeals and attend hearings if requested.

• Meet with supervisor at least monthly to discuss and review cases.

• Comply and submit to supervisor statistical data on a regular basis.

• Attend organizational meetings, and training as required.

• Keep supervisor informed of progress and problems associated with duties.

• Maintain knowledge of Case Management Manual and Provider Services Manual and

revisions.

• Perform other duties as assigned.

Qualifications:
A. Minimum Education and Experience:

• Bachelor's Degree in social work, psychology, sociology, registered/professional nurse or related field

• Two years of experience in then human service or health-related

B. Skill:

• Ability to effectively coordinate and communicate with clients, service providers,

general public, and other staff members.

• Ability to establish and sustain interpersonal relationships.

• Knowledge of community organization and service system development.

• Problem solving skills and techniques

• Knowledge of social and health service intervention techniques and

methodology

Job Types: Contract, Full-time

Pay: From $30,000.00 per year

Schedule:

• Day shift

Education:

• Bachelor's (Required)

Work Location: Multiple locations