PDS Case Manager

This position serves as a Case Manager to the individuals who choose the CDO/PDS option for their services. Consumer Directed Option (CDO)/Participant Directed Services (PDS) is an alternative to the traditional service delivery model under the Medicaid waivers. Support Brokerage/Service Advisor and Financial Management are required for all Medicaid consumers who choose to self-direct their Medicaid waiver services.

GENERAL DUTIES AND RESPONSIBILITIES:

The support broker/service advisor provides all case management activities for individuals receiving CDO/PDS and blended services (self-directing some services and receiving others from traditional providers). The scope of work for the Support Broker/Service Advisor/Case Manager includes:

• Assisting Division of Medicaid Services (DMS) with outreach to and enrollment of participants into waiver.
• Assisting with training of participants and their contracted employees on the principles of self-determination.
• Assisting the participant with development (and revision) of their service plan utilizing the person-centered planning process and guiding principles.
• Maintaining all records and documentation relative to each participant.
• Providing technical assistance to the participant with managing their service plan.
• Monitoring the participant’s compliance with the provision of services to ensure that service provision is within the scope of their service plan and prior authorization limits.
• Forwarding information to the Financial Management Agency for the processing of payroll.
• Assuring health, safety and welfare of participant and compliance with program guidelines.
• Complete program required face to face visits according to regulations. (telephonic during COVID)
• Monitoring satisfaction with and quality of services provided.

SKILLS, KNOWLEDGE AND ABILITIES:

• Ability to effectively coordinate and communicate with clients, service providers and the public and other staff members.
• Skill in establishing and sustaining interpersonal relationships.
• Knowledge of human behavior.
• Knowledge of community organizations and service system development.
• Problem solving skills and techniques.
• Knowledge and skill in social and health service intervention techniques and methodology.

EDUCATIONAL REQUIREMENTS NEEDED TO PERFORM THE DUTIES OF THE JOB:

• Bachelor’s degree in a health or human services field from an accredited college or university; and at least one (1) year of experience in a health or human services field; or
• Educational or experiential equivalent in the field of aging or disabilities; or
• Registered nurse who has at least two (2) years of experience as a professional nurse in the field of aging or intellectual/developmental disabilities; or
• Master’s degree in a health or human services field from an accredited college or university.
• Current Kentucky drivers license

Job Type: Full-time

Pay: From $43,500.00 per year

Benefits:

• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person