Sw Supports Coordinator

SW Supports Coordinator

Community Based
- Macomb County
- Clinton Twp, MI 48038

Position Type:
Full Time Education Level: 4 Year Degree

Travel Percentage :
Up to 50% Category:
Nonprofit
- Social Services

The SW Supports Coordinator (SC) uses person-centered principles to perform comprehensive assessments to determine health care, social needs of applicants, and eligibility for the MI Choice Waiver Program. Assess medical, functional, psychological, financial, and environmental needs of applicants. Coordinates support services to assist participants in developing and monitoring a person-centered long-term care (LTC) plan. The SC will be expected to cover multiple counties of the MI Choice program area as needed.

Models Age Ways' mission and values.
*** THIS POSITION REQUIRES A PROFESSIONAL SOCIAL WORK LICENSE (State of MI)***

Duties Include:

• Conducts dual discipline in-person SW assessments for the purpose of evaluating MI Choice Program eligibility. Assessment tools per contract of iHC and NFLOC. Identify resources and organizations that may meet the participants' needs. Actively participate in linking and coordinating the participants to needed services and LTC strategies/resources. Conduct monitoring contact calls for participants.
• Facilitate person-centered planning that is focused on the participant's preferences. Includes family and other allies as determined by the participant, identifies the participant's goals, preferences, and needs, provides information about options, and engages the participant in monitoring and evaluating services and supports. Determine gaps in care and develop overall Person-Centered Service Plan (PCSP) in managing participant's needs. Revise the PCSP at the participant's initiation or as changes in the participant's circumstances may warrant.
• Demonstrate quality, adherence to department, contract and program standards, compliance through consistent audit outcomes conducted by Quality Specialist, Clinical Manager and other metrics identified by MDHHS, OIG, CSS Department, CQAR. Maintain accurate records and participant files. Enter necessary information into the established electronic medical record. Participate in peer reviews and quality activities.
• Complete case transfers to another Supports Coordinator as assigned by the Clinical Manager, following an audit of the participant record.
• Develop and maintain cooperative relationships with other participant support systems and conduct referral and case conferencing activities as needed. Establish and maintain working relationships with physicians, hospital discharge planners, human service providers, home care agencies, Department of Health and Human Services (DHHS), and other referring agencies.
• Participate in all meetings as required for MI Choice Program including in person and virtual team meetings, trainings, agency wide meetings and coaching meetings.
• Other duties as assigned

Qualifications:

• Minimum Bachelors Degree in Social Work & LLBSW OR Masters Degree in Social Work & LLMSW (State of MI license required).
• Will consider Social Workers with 0 or more years of experience great opportunity for training and growing on the job; SWSC will be considered for promotion after becoming a Licensed Professional.
• Experienced candidates will have previously worked in psycho-social assessment or home care and/or worked with a similar target population; volunteer experience also beneficial. Additional experience includes managing a caseload of persons with diverse needs, including telephonic monitoring and knowledge of available community services. Experience working with older adults and adults with disabilities.
• Effective time management skills, including the ability to meet deadlines.
• Strong analytical, critical thinking, and problem-solving skills. Proven ability to foster and maintain open, collaborative, and constructive relationships with co-workers and Age Ways leadership to achieve departmental and operational results.
• Ability to work in a community-based setting, independently with little direct supervision of daily duties.
• Excellent administrative and organizational skills; accuracy and attention to…