Habilitation Specialist

1 month ago

Washington, United States Total Care Services, Inc. Full time

**SCOPE OF POSITION**:
The Habilitation Specialist is responsible for clinical coordination, monitoring, compliance, and administrative functions relevant to Medicaid Waiver In-Home Support & Hourly Respite services, and other authorized services and supports. The Habilitation Specialist will require mínimal supervision to fulfill duties including but not limited to person centered planning, developing functional assessments, participating in advocacy & outreach efforts, developing, and sharing resources to satiate unmet needs, maintaining compliance with Medicaid Waiver reporting requirements, and ensuring quality assurance. The Habilitation Specialist is required to exercise administrative judgment and assume responsibility for decisions, consequences and results having an impact on the department and the quality of services delivered. The Habilitation Specialist must possess the ability to effectively communicate, verbally and in writing, with internal and external stakeholders. The Habilitation Specialist will routinely collaborate with various community agents, persons receiving services, and their families, when applicable. The Habilitation Specialist will be assigned to work with a Community Support Monitor and will be required to demonstrate effective problem-solving skills and proactive teamworking. This job does require the employee to use their own transportation resources, work a flexible schedule, and work remotely or telework, as needed.

**ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITES**:
1. **Intake & Admission**:The Habilitation Specialist must implement the person-centered planning process and will coordinate all activities relating to intake and admission, immediately upon receiving Prior-Authorization, for service provision. Schedule Intake meeting(s) and send intake notifications to all participants, primary caregivers, DDS Service Coordinators, legal guardians and other paid or unpaid supports, at the request of the person receiving services.

2. **Person Centered Planning**: Participate in all Individual Support Plan (ISP) Conferences, 6-month review, emergency case conferences, and interdisciplinary team meetings. Contribute to the development of the Plan of Care and other relevant approaches, strategies, and interventions designed to assist the person with developing independent living skills and proactive supports. Coordinate resources to enable individuals to increase their level of self-determination and enhance their quality of life.

3. **In-Home Support Plan**: Develop the In-Home Support Plan, annually at minimum, ensuring submission to Program Manager in congruence with the scheduled pre-ISP calendar schedule, maintaining DDS policy of submitting the document to the assigned Service Coordinator 15 days before the scheduled ISP meeting, and following document distribution policies and procedures. Make recommendations to update, change or revise the In-Home Support Plan at least quarterly based on monitoring and assessment. Ensure service documentation correlates with the participant’s In-Home Support Service Plan and Individual Support Plan.

4. **Quarterly Reporting**:Conduct a quarterly review of the participant’s ISP and Plan of Care goals, objectives and activities, PCT & Discovery Tools, clinical consults and other service documentation and propose modifications to the ISP or Plan of Care as appropriate. The results of these reviews must be submitted to the individual’s DDS Service Coordinator within 7 business days of the end of each quarter, and each subsequent quarter thereafter, prioritizing adherence to TCS’s internal policy of submission of 5 calendar days following the end of each quarter, beginning on the effective date of a person’s ISP.

5. **Training**: Provide Phase II training, at minimum of annually while completing additional training(s) as needed, to Direct Support Professionals on the participant’s service documentation, person centered planning and support protocols. Partner with the Community Services Monitor to coordinate training for professional service providers, as indicated in the person’s professional services assessment/recommendations. Ensure evidence of training, counseling and supports is provided to the appropriate authorities.

6. **Advocacy & Outreach**: Recommend strategies and interventions that may improve services to an individual; including but not limited to the following: medical coordination, day support, in-home services, transportation, Individual Support Plan (ISP) amendments, and modifications in service hours, request for assessments and adaptive equipment requests. Follow-up with interested parties at least monthly until the matter has been resolved or the strategies or interventions have been implemented.

**7. Quality Assurance Clinical Review (QACR)**: Participate in scheduled clinical review(s) of a sample of the Habilitation Specialist’s caseload. The QACR process will review all authorized Medicaid Waiver

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