State and federal regulations regarding long term care eligibility in the State of ArizonaDepartment of Economic Security/Division of Developmental Disabilities’, Arizona Health Care Cost Containment System (AHCCCS), Medicaid benefit program for individuals with developmental disabilities Working knowledge of the AHCCCS Medical Policy Manual (AMPM)Working knowledge of the AHCCCS Contractor Operations Manual (ACOM)Working knowledge of the Division’s Network Development PlanMore than a year of experience in classroom training for newly hired Support Coordinators with the Division of Developmental Disabilities, for two out of the five days SC 101 trainings, assigned to this role as a volunteer in addition to regular responsibilities as a Support Coordinator SupervisorManaging a complex and heavy case load with little to no supervisionSupervised a team of up to eleven Support Coordinators | Strong and experienced public speakerExcellent written and oral skills in EnglishExcellent interpersonal skillsFully proficient with the Standard Microsoft Office Suite on both Mac and PC, special emphasis on the use of excel spreadsheets and its various functionsMulti-Lingual: - Write and Speak: English and Dzongkha -Speak: Hindi & Nepali |
Liaison with the Division’s Qualified Vendors in interpreting Division policies and guidelines, and problem solving any situations, Assisting qualified vendors with licensing and certification needs, Interpreting, analyzing and compiling the AHCCCS Non Provision of Services critical GAP report for District East once monthly and providing follow up guidance to the vendors as well as the ISP team,Liaison between the Support Coordinators and Qualified Vendors when necessary to ensure smooth delivery of the services identified in the individualized plan/s,Providing assistance to the District East Network Manager in reviewing Qualified Vendor contracts as well as providing support to the vendors’ through the process of getting contracted with the Division,Providing in depth support to the District East Network Manager in completing readiness reviews with Qualified Vendors’Keeping the District East special rates for members placed out of home approved and updated by working with the ISP team, the vendor, and the Division’s contracts team,Providing data to the District East Program Manager on the AHCCCS Gap In Service and Non Provision of Service status that includes additional data not on the monthly AHCCCS report, and is program friendly for the ISP team’s,Completing direct calls to vendors in District East, Central, and South as needed to support the ISP team/s in ensuring timely delivery of services as per the Individual Service Plan, tracking progress and reporting to the ISP team as well as Central office on a regular basis Assisting the District East Network team as needed
Assist families by assessing and preparing an Individual Service Plan that reflects the member’s needs as well as strategies and other family members, professionals, and service provider’s involved in executing, monitoring and evaluating the Individual plan to best serve the consumer Liaison with schools, Regional Behavioral Health Authority agencies/vendors, and other agencies to better serve the needs of member /sTimeliness in documentation, preparing Placement – Profiles, ISPs, Reviews, transfer documentation, progress notes, and Child Family Meeting documentationEnsure that all reviews are timely and ensure at every review that DDD intervention has helped increase family’s ability to care for the member, and that the ISP goals are appropriate in meeting the member’s needsIdentify resources outside of DDD and assist families to gain access to those resources, like Section 8 Housing, Social Security eligibility, conferences/trainings on raising special kids, information on applying for guardianship and transition processesProvide assistance to consumers and their families in navigating the system and its vast resources, to identify those that best suit the needs of every individual member and familyResponding to Incident Reports and any follow up necessaryUpdating Behavioral Health records, medications – their side effects or the absence thereof in the required formats; attending Psychiatric reviews with consumer/families when necessaryServe as liaison between other affected agencies, schools and various community groups as required Serve as a liaison between members/families and the Division’s Management team Cover the team as and when needed in the absence of the unit Supervisor
Current
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