Qualifications:
Education: High School Diploma or equivalent.
Experience: Minimum of three years of employment in a social service or health care related setting.
Professional Characteristics:
- High energy level; able to manage a variety of tasks simultaneously.
- Excellent interpersonal and communication skills.
- Well organized.
- High level of flexibility
- Utilizes critical thinking
- Strong computer skills
- Cultural competency
Duties and Functions:
a. Conducts comprehensive person-centered assessments utilizing the InterRAI and Person-Centered Planning Tool (PCSP) tools to determine participants’ needs, strengths, preferences, and goals. Inter RAI and PCSP are completed annually or whenever there is a significant change.
b. Works with participant, his/her family, and/or caregiver, to develop an individualized service plan, making use of consultation with other disciplines as indicated.
c. Identifies, mobilizes, and arranges informal and formal resources to meet participants' needs including LTSS services, other covered services, and non-covered community services and supports.
d. Facilitates participant choice of providers and SCs.
e. Adheres to all MCO required timeframes.
f. Adheres to all documentation and reporting requirements.
g. Participates/Conducts Interdisciplinary Team meetings
h. Conducts home visits and telephone contacts per MCO standards to monitor adequacy and continued appropriateness of service plan as well as goal achievement.
i. Facilitates care transitions
j. Provides coordination with behavioral health services
k. Monitors participant satisfaction to ensure quality of services provided.
l. Supports participants with maintaining their CHC eligibility.
m. Completes critical incidents and associated root cause analysis (RCA) as needed.
n. Notifies participants of their rights and assists with complaint, grievance, and Fair Hearing processes
o. Adheres to the Health Insurance Portability and Accountability Act (HIPAA)
p. Utilizes tablet in the field. Completes all necessary forms and data entry for participants’ record, other management information, and other written reports as required, such as critical incidents.
q. Participates in quality improvement activities
r. Participates in orientation and training and attends regularly scheduled supervision and staff meetings. Seeks opportunities for professional development.
s. Other duties as assigned.
Additional Requirements:
- Must have a valid driver’s license, good driving record, and continuous access to a fully-insured car
- Drug testing required
- Pre-employment physical
- Second language abilities preferred
For information on PCA Care Connections, including more information on our company culture, visit our website at https://www.pcacareconnections.org
All applicants will receive an acknowledgement that their application has been received. Those candidates selected for further consideration will be contacted.
PCA Care Connections is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.