Waiver Service Coordinator - MyCare Ohio

Job Details

Job Details

Job Location:

Corporate - North Olmsted, OH 44070

Position Type:
Full Time Education Level: License - LPN, RN, or LSWSalary Range: $60,895.12 Salary/year

Reports to:

Program Supervisor

FLSA Status:
Exempt

Dedicate yourself to an Organization and Mission you can be proud of by joining the Western Reserve Area Agency on Aging!

We provide choices for people to live independently in the place they want to call home.

Western Reserve Area Agency on Aging (WRAAA) is a private non-profit corporation, organized and designated by the State of Ohio to be the planning, coordinating and administrative agency for federal and state aging programs in Cuyahoga, Geauga, Lake, Lorain and Medina Counties. It is one of twelve Area Agencies on Aging (AAAs) in the state organized together with local service provider organizations and the Ohio Department of Aging (ODA) to form the state's public aging services network.

The network works together to create opportunities for Ohioan's to receive needed home and community services and supports; and to age successfully in their own homes and communities.

• Self-motivated and compassionate Social Workers (LSWs) and Registered Nurses (RNs) looking to be part of a Best-in Class organization
• Team players who are committed to providing superior service to all they serve
• Enthusiastic professionals excited to grow with an organization that values dedication, innovation and collaboration.

• A generous six-week PTO program and thirteen paid holidays
• A $750.00 investment in professional development through a substantial, annual training funds allotment
• A 401K program with company match
• Paid parking in a covered parking garage
• Medical, Dental, Vision Benefits and so much more…

The My Care  Ohio Waiver Service Coordinator is responsible for evaluating assessment and care management data to determine ongoing care needs and service options and the coordination and authorization of all waiver services for assigned members enrolled in community-based waiver programs.

• Evaluate assessment and care management data to determine ongoing care needs and service options.
• Complete initial MyCare Ohio assessment, annual and event-based assessment process (if applicable to MCO plan).
• Complete enrollment process of eligible consumers into the appropriate program (if applicable).
• Develop and implement a waiver services care plan for members and collaborate with Assisted Living Facility staff to develop and implement a waiver services care plan for all AL enrollees as appropriate. Waiver Service Plans include interventions to address a consumer’s unstable conditions
• Collaborate with the Departments of Job and Family Service to establish and/or maintain Medicaid eligibility.
• Monitor and evaluate the waiver services care plan, service quality and program eligibility.
• Provide education and support to consumers and their caregivers.
• Advocate on behalf of members and/or caregiver/family and assist individuals in securing appropriate services and care settings in collaboration with MCO Care Managers and providers of service(s)
• Transition dual eligible consumers into MyCare Ohio as appropriate.
• Collaboration with the managed care plan Care Manager for approval especially in regard to Minor Home Modifications and Durable Medical Equipment.
• Manage the acquisition of provider bids, MD prescriptions and Physical Therapy evaluations as needed. Authorize repairs and/or equipment as appropriate.
• Disenroll all ineligible consumers from the waiver program as appropriate.
• Apply judgments and perform clinical practice based upon education, experience and professional practice standards.
• Maintain minimum proficiency in all…