Habilitation Coordination​/PASRR Service Coordinator

WORKSITE LOCATION

Gulf Bend Regional Plaza, 6502 Nursery Drive, Suite 100, Victoria TX 77904

$18.47/hour EEOC CODE:
Professional FLSA STATUS:
Non-Exempt

Fulltime;
Monday thru Friday, 8:00am - 5:00pm, some on-call shifts evenings or weekends

Required:

TAC RULE §303.501 Qualifications of a Habilitation Coordinator must include the following:

• Be an employee of a LIDDA;
• Have a bachelor's or advanced degree from an accredited college or university with a major in a social, behavioral, or human service field, such as psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human development, gerontology, educational psychology, education, or criminal justice; and
• Have at least one year of experience working directly with individuals with intellectual or other developmental disabilities.

1. BA/BS in field specified above

Ensures that any individual seeking admission into a Medicaid-certified nursing facility or currently residing in such a facility is screened and evaluated for mental illness, intellectual disability, and developmental disabilities; identifies alternate placement options when necessary or requested; identifies specialized services that may benefit the individual; and meets routinely with individual at the nursing facility to monitor the specialized services.

• Complete a PASRR Evaluation (PE) within required time frames to determine if the person has an MI,  DD diagnosis and, if so, to: assess the person's need for care in an NF; assess the person's need for specialized services; and identify alternate placement options.
• Complete initial and annual assessments that assist in determining specialized services that the individual is eligible to receive.
• Facilitate initial, quarterly, annual, and as needed Service Planning Team (SPT) meetings with person, Legally Authorized Representative (LAR) or actively involved person, Nursing Facility staff, and other collateral to aid in monitoring services and developing a person-centered plan of care.
• Provide habilitation coordination by identifying person-directed outcomes, and arranging needed services and supports, by advocating, and collaborating with the Service Planning Team (SPT) to develop a person-directed Habilitative Service Plan (HSP) which supports the customer in achieving a quality of life.
• Ensure the provision of habilitation coordination according to the Texas Administrative Code (TAC) and the PASRR Handbook.
• Provide crisis prevention and management by supporting the customer/LAR or actively involved person to secure services and supports that will enable them to prevent or manage a crisis.
• Meet face to face with a person monthly, or more frequently if needed, to provide habilitation coordination activities.
• Monitor all services on the HSP at least quarterly to ensure that the customer receives needed services (delivery), evaluate the effectiveness and adequacy of services (satisfaction), and ensure identified outcomes are meeting the customer's needs and desires (progress/lack of progress) as indicated by the customer/LAR or actively involved person determined by supervisory review of the HSP and progress notes.
• Provide education about community living options for the individual and families initially and every six months thereafter. Assist as needed to arrange community services outside the nursing facilities.
• Maintain accurate spreadsheets tracking monthly contacts and deadlines related to monitoring requirements, SPT Meetings, CLO, Habilitative Assessments, and other job-related criteria as directed by supervisor.
• Provide customers/LARs with an oral and written explanation of rights at least annually, when necessary, requested, or due to changes in legal status or revisions of HHSC documents.
• Complete thorough and accurate contact documentation in the Center's Electronic Health Record (EHR) within two business days at least 95% of the time.
• Ensure necessary forms/documents are filed in customer charts.

A trauma-informed approach to care "realizes the widespread impact of trauma and understands potential paths for recovery; recognizes the signs and symptoms of trauma in clients, families, staff, and others involved in the system; and responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization." The six key principles of a trauma-informed approach include: safety;

trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice and choice; and cultural, historical and gender issues (Substance Abuse and Mental Health Services Administration [2014]).

• The Three E's of Trauma:
  Events, Experiences, and Effects.
• The Four R's:
  Key Assumptions in a Trauma Informed Approach - Realization, Recognize, Respond, Resist Re-traumatization.

Abilities required to perform the…