Targeted Care Management Support Coordinator

Targeted Care Management Supports Coordinator

Full-time / Full Benefits

Pay Range: $21.00 - $23.00 / hour

Our Mission Statement: To provide a comprehensive and coordinated system of services designed to promote the independence and dignity of older persons and their families in Muskegon, Oceana, and Ottawa counties - a mission compelling us to focus on older persons in greatest need and to advocate for all.

GENERAL DESCRIPTION: Assess, evaluate, and arrange services for older adults on the Targeted Care Management (TCM) Program who are 60 years of age or older, who are in need of in-home services, community services, or have another need that warrants a comprehensive assessment.

ESSENTIAL DUTIES & RESPONSIBILITIES:

Provide a comprehensive assessment of participants referred through pre-screen/intake. Includes evaluation of needs, available resources, existing services and arrangement for additional support as identified through assessment. Support services may include Senior Resources Grant, Medicaid chore services and other community programs. Notify participant and contracted vendor of approved service plan. Complete required paperwork for billing purposes.

Offer all assessed participants choice of services and providers. Allow for patient-centered care planning.

Link people deemed ineligible to appropriate service agencies and community resources.

Maintain files and pertinent program records in an efficient and timely manner according to program guidelines.

Reassess participant’s needs through ongoing face-to-face reassessments every 90 or 180 days.

Complete monthly visits as required for TCM, including documents for Medicaid spend-down as indicated.

Collaborate closely with Registered Nurses in the Targeted Care Management program to coordinate and support participant care. Provide assistance, education, and understanding for participants in the areas of Medicaid, Medicare, Social Security Insurance, Food Assistance Program, and other public benefit programs. Assist in completing forms as needed.

Establish a close relationship with supports coordinators to provide smooth transition of care between service programs for participants based on their needs and level of care.

Advocate for older adults.

GENERAL:

Attend periodic in-services, professional conferences, and seminars.

Maintain participant confidentiality.

Perform all other duties as assigned.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Must possess a valid Michigan driver's license.

• Must have reliable transportation and provide current proof of automobile insurance.

• Must have test for tuberculosis upon hire, and annual review of symptoms thereafter.

• Must pass all background checks.

• Community Health Worker certification is preferred.

EDUCATION and/or EXPERIENCE: Bachelor's degree in a Human Services field, a Community Health Worker Certification or two to three years of experience in a home care setting. Minimum of one-year home care experience preferred. Experience working with older and/or disabled adults preferred.