Waiver Service Coordinator

Brief Description:

Provides delegated Waiver Service Coordination for MyCare Ohio HCBS Waiver members at Nursing Facility level of care, ensuring person-centered, high-quality support in alignment with agency values and state requirements.

KEY RESPONSIBILITY AREA MAIN DUTIES (not all inclusive)

• Conduct initial and ongoing Wavier Service Needs Assessments using ODM approved tools to determine ongoing program eligibility, care needs, and service options.
• Complete home visits and phone contacts according to assigned tier to ensure health, safety, service satisfaction and provide education to members.
• Conduct annual reassessments of Medicaid Wavier eligibility or more frequently if required due to status changes.
• Complete all required documentation within the required timeframe of the activity.
• Identify and address health and safety risk factors, ensuring appropriate services and interventions.
• Participate in Interdisciplinary Care Team (ICT) meetings with caregivers, physicians, and other stakeholders when invited to participate.
• Collaborate closely with the Plan Care Coordinator to ensure coordination of care.
• Monitor financial eligibility for Medicaid waiver-funded programs and ensure compliance with general Medicaid eligibility criteria.
• Provide crisis intervention, collaborate with the health plans to complete actions related to critical/reportable incidents, and in developing health and safety action plans (HSAPs).
• Disenroll all ineligible members from the program.
• Respond to questions, problems, or complaints from members, providers, and advocates. Apply judgements and perform clinical practice based upon education, experience, and professional practice standards
• Maintain positive working relationships with providers, informal support, providers, community agencies, and medical professionals.
• Contribute to realization of agency mission and objectives, including meeting professional standards of practice including but not limited to acting as ambassador for the agency.

Minimum Requirements:

• Licensed Social Worker (LSW) or Registered Nurse (RN) with an active, unencumbered Ohio license.
• Minimum of one (1) year of experience in home care, disability services, or case management.
• Experience conducting health/social interviews and knowledge of human behavior, family dynamics, and community resources.
• Knowledge of senior programs, Medicaid rules and regulations, assessments, and geriatrics.
• Knowledge of case management and crisis intervention.
• Ability to work with a variety of people with different backgrounds, expectations, and education levels.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Work Location: Hybrid remote in Sidney, OH 45365