ESSENTIAL DUTIES & RESPONSIBILITIES: The Medicaid Service Coordinator must be able to consistently and successfully perform all essential functions of the position.
1. Develop, implement, and maintain the individual's ISP
A. Review the ISP and Habilitation Plans
B. Ensure that the individual's fire safety needs are carried out as stated in the ISP
2. Maintain contact with the individual as identified in the ISP
3. Maintain the individual's "primary record"
A. Ensure the completion of an annual re-determination of the need for the level of care in an ICF/MR (and any necessary re-determination of Medicaid eligibility)
B. Document service coordination activities in the Medicaid Service Coordinator's notes
C. Maintain roster of individuals receiving services
D. Ensure individual/individual’s family knowledge of 24 hour emergency contact number
4. Submit monthly billing
5. Facilitate and document a change in service coordination
6. Secure of continue to secure an advocate for each enrolled individual who requires or chooses to have one, and document attempts
7. Notify DDSO of HCBS terminations
8. Notify family and/or individual regarding termination of services
9. Follow incident reporting procedures as determined in the agency's Incident Management Policy & Procedures
10. Perform any other duties as requested by your supervisor
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of position skill and/or ability required.
• EDUCATION and/or EXPERIENCE
1. Bachelor Degree or higher in a health or human service field AND one year experience as a service coordinator working with any population OR one year's practical experience working with people with disabilities. (The minimum experience level does not have to be met if the person has a master’s degree in a health or human service field).
Please note that a candidate for a bachelor's degree in an unrelated field may meet this educational requirement by providing a letter from his or her college verifying that the candidate has completed course work equivalent to an Associate's degree both in the total number of credits received and number of credits earned in a health or human service field.
2. An Associate Degree in a health or human service field or a license to practice as a registered nurse, one year of service coordination related experience with any population OR one year experience working with people with developmental disabilities.
An individual may qualify if they have a degree or 60 credits toward a degree in a field other than health or human services if at least 20 of the college credits are in health and human services.
• CERTIFICATES, LICENSES, REGISTRATIONS Etc. - Participation in an OPWDD approved training curriculum in service coordination within three months of assuming MSC responsibilities, unless verification of past attendance at Core training is provided. A copy of Core certificate must be kept on file. Must be cleared through NYS OPWDD criminal background check unit prior to first day of employment.