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PDS Service Advisor/Case Manager

4 months ago

Russell Springs, United States Lake Cumberland Area Development District Full time
Qualifications: Must meet education requirements before submitting an application.BA Degree in Health or Human Services with 1-year experience in the field or the educational or experimental equivalent in the field of aging or disabilities; or a Registered Nurse with at least 2 years of experience.
Duties:
  • Provides case management activities for individuals receiving participant-directed services and blended services; serves as a liaison between the participant and DAIL and Medicaid; performs related duties as required.
  • Assists DAIL with outreach to and enrollment of participants into PDS.
  • Assists the participant with the development and revision of the PDS plan of care/support spending plan utilizing a person-centered planning process and guiding principles.
  • Assists with training of participants and their contracted employees on the principles of self-determination.
  • Facilitates background checks of PDS contractors.
  • Maintains all records and documents, including case notes.
  • Assists the participant with purchasing goods/consumable medical supplies based on the participant's approved POC/SSP utilizing a voucher system.
  • Coordinates with traditional service providers to ensure reassessments are done timely.
  • Provides technical assistance to the participant with managing the budget, spending, and maintaining contractor records.
  • Assists the participant with the development of an emergency backup plan which may include arranging for the provision of emergency services if necessary. 
  • Requests authorization of additional services and funding if needed.
  • Assists the participant in hiring, training, scheduling, and terminating service providers.
  • Assists the participant in locating service providers and negotiating rates.
  • Processes contractor enrollment forms and forwards to the financial management agency and to DMS for approval.
  • Assists the participant with the transitions to PDS services and coordination of PDS, traditional waiver services, state plan services, and community resources.
  • Monitors the participant's compliance with the POC/SSP and provision of services to ensure that service provision is within the scope of the POC/SSP and prior authorization limits.
  • Performs all other duties as assigned.


About Lake Cumberland Area Development District:

We serve as regional planning agencies, forums, clearinghouses, technical centers and as conveners for the region while administering numerous federal, state and local programs. Unlike many other organizations structured along multi-jurisdictional lines, ADDs have both federal and state statutory authority.