Records, prepares and transmits information, i.e., demographic and medical social data from applicants/recipients, families and Care Coordinators, including completing forms and letters in support of care coordination services.
Assists families in collecting necessary medical and financial information to determine eligibility for non-waiver Home Care Services.
Prepares all materials necessary so the entity or entities identified by Healthcare & Family Services (HFS) responsible for conducting the eligibility determination for the non-waiver Home Care Program can make eligibility determination.
Develops and implements a care coordination plan that is participant/family-centered, community-based and coordinated for assigned case load. Monitors the care plan activities.
Revises the care coordination plan to address the changing and ongoing concerns and priorities of the participant/family.
Maintains confidential applicant/recipient records, filing documents using agency guidelines, including processing transferred, volume and discontinued records.
Receives, processes and routes incoming/outgoing written applicant/recipient correspondence, reports, etc.
Arranges for translation or interpreter services for applicants/recipients or their family, and if applicable to their area of expertise, provides bilingual translation to staff for children and their families with Limited English Proficiency (LEP) through face-to-face, telephone and written interaction.
Assists Care Coordinators and families with care coordination activities, including activities such as staff support for clinics, satellites, referrals to other resources, arranging medical services for applicants/recipients.
Assists families with private/public health insurance through effective benefits management practices for participants eligible for the non-waiver Home Care Program.
Participates in Division staff meetings and in-service training sessions.
Provides care coordination services to persons eligible for the non-waiver Home Care Program:
- Develops a care coordination plan that is participant/family-centered, community based and coordinated.
- Facilitates the implementation of the care coordination plan.
- Monitors the care plan activities.
- Revises the care coordination plan to address the changing and ongoing concerns and priorities of the participant/family.
Participates as a member of the Regional Office multi disciplinary team:
- Complies with University, Division and Regional Office policy and procedures.
- Provides state-of-the-art discipline based expertise to the Regional Office multi disciplinary team.
- Maintains an area of psychosocial expertise in support of the Regional Office multi disciplinary team.
Promotes interagency collaboration and an organized network of integrated
- Provides community education programs regarding DSCC services.
- Participates in developing and/or implementing a networking plan for the Regional Office.
Participates in special projects impacting DSCC:
- Participates in agency committees/projects on a regional or statewide basis.
- Participates in DSCC sponsored interagency programs.
Performs other duties as assigned.