Community Based Waiver Service Coordinator (RN, LSW, LISW), Duals Integrated Care - Ohio Mobile

Job Summary :

The Community Based Waiver Service Coordinator, Duals Integrated Care is responsible for managing and coordinating services for individuals who require long-term care support and are eligible for community-based waiver programs, ensuring that members receive the necessary services and supports to live independently in their communities while also coordinating care across various healthcare and social service systems.

Essential Functions :

• Engage with member in a variety of community-based settings to establish an effective, care coordination relationship, while considering the cultural and linguistic needs of each member.
• Conduct comprehensive assessments to determine the needs of members eligible for community-based waiver services.
• Develop individualized service plans that outline the necessary supports and services, ensuring they align with the individual's preferences and goals.
• Serve as the primary point of contact for members and their families, coordinating care across multiple providers and services, including healthcare, social services, and community resources.
• Facilitate access to necessary services such as home health care, personal care assistance, transportation, and other community-based supports.
• Regularly monitor the implementation of service plans to ensure that services are being delivered effectively and that individual needs are being met.
• Conduct follow-up assessments to evaluate the effectiveness of services and make adjustments to person-centered care plans as needed.
• Advocate for the rights and needs of members receiving waiver services, ensuring they have access to the full range of benefits and supports available to them.
• Empower members and their families / caregivers to make informed decisions about their care and support options.
• Build and maintain relationships with healthcare providers, community organizations, and other stakeholders to facilitate integrated care.
• Lead and collaborate with interdisciplinary care team (ICT) to discuss individual cases, coordinate care strategies, and create holistic care plans that address medical and non-medical needs.
• Provide education and resources to members and their families / caregivers about available services, benefits, and community resources.
• Offer guidance on navigating the healthcare system and accessing necessary supports.
• Maintain accurate and up-to-date records of member interactions, care / service plans, and progress notes.
• Assist in preparation of reports and documentation required for compliance with state and federal regulatory requirements.
• Respond to crises or emergencies involving members receiving waiver services, coordinating immediate interventions and support as needed.
• Evaluate member satisfaction through open communication and monitoring of concerns or issues.
• Regular travel to conduct member, provider and community-based visits as needed and per the regulatory requirements of the program.
• Report abuse, neglect, or exploitation of older adults as a mandated reporter as required by State law.
• Regularly verify and collaborate with Job and Family Service to establish and / or maintain Medicaid eligibility.
• On-call responsibilities as assigned.
• Perform any other job duties as requested.

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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