GENERAL SUMMARY:
Under the supervision of the Service Coordinator Supervisor, the Service Coordinator will be responsible for responding to inquiries about home and community services from individuals with disabilities, their families, medical/health professionals and the general public. The Service Coordinator will assist individuals who receive waiver services in gaining access to needed supports and state plan services, as well as medical, social, educational and other services regardless of funding source. Service coordinators have extensive knowledge of Home and Community Based Services in the Commonwealth, and promote the Independent Living Philosophy while working with and at the direction of the participant whenever possible to identify, coordinate and facilitate waiver services of the In Home Services division. An extensive knowledge of the following waiver services from the Department of Public Welfare, Office of Long Term Living and Office of Aging will be required: Attendant Care Act 150 and Medical Assistance Attendant Care waiver, OBRA waiver, Independence waiver, COMMCARE waiver, Michael Dallas waiver, and the Pennsylvania Department of Aging (PDA) waiver.
Activities of Service Coordinators will include, but are not limited to: Performing eligibility determinations of applicants through initial assessment for waiver and non-waiver programs; the development of service plans with eligible consumers; assisting participants during the eligibility determination with documentation to support waiver eligibility; providing information and assistance to participants regarding self-direction; information consumers/participants of their rights and responsibilities, as well as liabilities when choosing a service model (agency or consumer model option); monitoring the health and safety of the participant and their quality of services through home monitoring and reassessment visits, as well as quarterly phone contacts(or per contract); providing participants with copies of Service Plans and all notices of eligibility/ineligibility; identifying risk and reviewing all services to meet consumer/participants’ needs, preferences and goals through a Service Plan review at least annually. Promotes and advocates for the Independent Living philosophy of the Home and Community Based Services (HBCS) of the Commonwealth of Pennsylvania.
Assigned duties are implemented in a manner appropriate to the age-specific needs of the consumers served. Provides excellent customer service and interaction with other providers/agencies and funding sources on a regular basis.
Type of supervision exercised: Team Leader. Jobs reporting to this position: none.
EDUCATION & WORK EXPERIENCE:
¨ Master’s degree in Social Work (MSW) or Nursing (MSN), or another human services field such as sociology, special education, rehabilitation counseling or psychology, OR
¨ Bachelor’s degree in human services and one year of professional experience in human services, which may include conducting psycho-social assessments, nursing, attendant care, resource/case management, etc., OR
¨ Associates degree in human services and two years of professional experience, which may include employment as a personal care attendant, OR
¨ Licensed Registered Nurse plus two years experience in nursing or human services.
SPECIAL EMPLOYMENT REQUIREMENTS:
Above average verbal and written communication skills and interpersonal skills required for effective communication with staff, employees, external agencies, consumers and the general public.
Ability to manage several projects simultaneously with good organizational skills
Ability to carry out instructions with a significant degree of independent judgment /decisions required.
Above average interpersonal skills, as well as exceptional customer service skills required.
Must demonstrate a clear understanding of In Home Services goals and the Independent Living philosophy.
Working knowledge of personal computer, Microsoft Office Products and all business machines preferred.
Must possess a PA driver's license and have available transportation for travel to consumer homes and agencies as required.
PHYSICAL DEMANDS:
Sedentary work - duties require exerting up to 10 lbs of force occasionally (approx 10-33% of shift) and/or a negligible amount of force frequently to lift, carry, push, and pull articles such as files.
Must be able to travel to consumers' homes, provider agencies, nursing homes, etc., as required.
Manual dexterity to perform computer work as required.
Visual/hearing ability sufficient to comprehend written/verbal communication
ACCIDENT OR HEALTH HAZARDS:
No unusual accident or health hazards inherent in position.
WORKING CONDITIONS:
Works in a well-lit office environment and in varying conditions in consumer homes where conditions may be less than desirable.
CHARACTERISTIC DUTIES & RESPONSIBILITIES OF JOB:
INSTRUCTIONS: CAREFULLY REVIEW EMPLOYEE'S JOB PERFORMANCE. CIRCLE THE APPROPRIATE SCORE FOR EACH ELEMENT.
Required Skills Required Experience
QUALIFICATIONS:
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 accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience:
Minimum 2 years’ experience in ICD 10 and CPT coding in an acute care or insurance setting. Requires knowledge of medical terminology, medical procedures, abbreviations, terms and anatomy, ICD 10 and CPT coding classification systems and regulatory agency requirements.
Language Ability:
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Math Ability:
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Requires strong analytical and investigative skills in order to assign appropriate codes and maintain data integrity.
Reasoning Ability:
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Computer Skills:
Basic computer skills (windows, medical record software, MS Office, etc.) with proficient data entry skills of 40-50 wpm, in addition to basic knowledge of standard office equipment.
Certificates and Licenses:
Active coding certification through AAPC is mandatory for this position (i.e. Certified Professional Coder, CPC) or Certified Outpatient Coder, COC) .