Developmental Disabilities; DD Support Coordinator​/Case Manager

Category:
Direct Care Service Providers (e.g., Non-licensed; registered; certified)

Adult and youth support coordination/case management (SC/CM) are activities designed to provide case management services to assist individuals with developmental or intellectual disabilities in accessing needed medical, psychiatric, social, educational, vocational, residential, and other supports essential for living in the community and in developing their desired lifestyle. Support coordinators/case managers are responsible for proactively identifying risks, implementing plans to mitigate previously known and newly identified risks and resolving them in a timely manner.

Support coordinators/case managers are knowledgeable of person-centered thinking and person-centered planning as part of the individual support plan. Support coordinator/case manager works with the individual, their family and/or substitute decision makers and other service providers to develop an appropriate service plan, monitor delivery of services and individual's satisfaction and provide accurate record keeping that is critical for reimbursement. Support coordinator/case manager takes the lead on ensuring that the support team follows through with the commitment(s) they made to support the person to reach their desired outcomes.

Support coordinator/case manager are required to have a bachelor’s degree in a human services field.

• Liaison: SC/CM represents the MRCSB case management program, often on behalf of the individual being served with various federal, state and local entities which include but are not limited to the following:
  Mount Rogers Behavioral Health programs (Hospital Liaisons, Mental Health Centers, Emergency Services), state Facilities (Southwest Virginia Mental Health Institute, Training Centers), Court/Legal Systems (to include regional jails and prisons),Community Resource Consultants, Regional Support Teams, Community Resource Teams, Office of Human Rights, Office of Licensure, Community Integration Managers, Service Authorization Consultants, Regional Support Specialists, Public Guardianship Programs, Health Care Professionals (public and private), Providers of DD Waiver Services (Agency and Private), Department of Justice oversight, other Virginia Community Service Boards, Schools, Special Education Departments, Ascend/Maximus Company (SIS Interviewers), REACH, Qlarant reviewers, National Core Indicators and Department of Social Services
• Documentation and record keeping: SC/CM must maintain a record keeping and data collection system appropriate to meet the needs of individuals served in accordance with regulatory standards including, but not limited to agency, Medicaid, licensure, DBHDS, and Department of Justice regulations. Documentation for face-to-face visits must clearly state that SC/CM is in the presence of individual, date, and location. Any unmet needs must be identified and plans to address any such needs if applicable.
  
  Support coordinator/Case manager must assess individual and if applicable substitute decision maker’s satisfaction with services. SC/CM is required to complete an annual person-centered plan and update as needed. Completion of the plan can take up to four to six hours. SC/CM’s must complete person centered reviews on a quarterly basis. SC/CM is required to maintain two separate electronic health records (EHR).
  
  The agency EHR is Credible system and SC/CM are record managers for this system. Additionally, SC/CM also must submit service authorizations, plans, and enter and update demographic information in the DBHDS Waiver Management System (WaMS). SC/CM are required to have progress notes completed per agency guidelines.
• Assessment:
  To determine initial and ongoing eligibility for services through precise and accurate information about the individual to identify support needs, stressors, goals, values, strengths, resources, health status, activities of daily living (ADLS) and support networks. Eligibility: assess to determine if individual has a diagnosis that confirms an Intellectual Disability ( Management). Assess to determine the individual has a Developmental…