Lead Care Coordinator - Dual CCS/CLTS in Elkhorn, Wisconsin at Wisconsin Community Services

Pay Range: $45,000-$67,000

Schedule: Full-time – 31 hours per week

Benefits include: Health, Vision, Dental, PTO, Holidays, Mileage Reimbursement, Retirement Savings Plan

Job Summary

The CCS/CLTS Lead Care Coordinator supports dual Care Coordination in Youth Comprehensive Community Services (CCS) and Children’s Long-Term Support (CLTS). The CLTS Waiver Program is one of Wisconsin’s Home and Community Based Services (HCBS) Medicaid Waiver programs, federally authorized under § 1915(c) of the Social Security Act. HCBS waiver programs provide Medicaid funding that may be used to fund allowable support and services that promote individuals in the waiver access and inclusion in their home and community. Youth CCS provides mental health services. Eligible individuals include youth between the ages of 5-22 with developmental and/or physical needs, as well as mental health/substance use needs, who are functionally and financially eligible for Medicaid.

Working under the direction of the CLTS program and Milwaukee County Children Youth and Family Services, as well as Wraparound Milwaukee/CCS, provide services to a half caseload of families and train, support, and develop program staff and the provision of dual CCS/CLTS services at WCS. This includes providing direct training, coaching, leadership, and oversight of a team of 8-12 Care Coordinators.

Essential Duties and Responsibilities

• Be a champion of serving youth and their families experiencing developmental, physical, and/or mental health needs.

• Embrace and champion family centered, trauma informed, strength based, culturally intelligent services.

• Carry a half caseload of dually enrolled CCS and CLTS youth/families.

• Provide leadership and role modeling in a strength-based environment to a team of approximately 8-12 Care Coordinators.

• Monitor service utilization, prior authorizations, review progress notes, and provide feedback to Care Coordinators and Milwaukee County CCS/CYFS as requested.

• Track due dates and complete Annual Functional Screens, Determination of Needs (DONs), annual CCS consents, CCS Prescription forms, etc., to maintain/support assigned youths’ continued eligibility for CLTS and CCS services.

• Monitor and support continued Medicaid and program eligibility by tracking recertification requirements, identifying potential eligibility concerns, and coordinating follow-up with families, county staff, and other involved parties as needed.

• Identify vulnerable and high-risk children and ensure heightened care coordination, collaborating with other agencies as applicable.

• Develop and implement family-centered Individual Service Plans and Plans of Care to meet individualized needs of assigned youth and their families and CCS/CLTS program requirements.

• Track Prior Authorizations in Forward Health for the CLTS Support and Care Coordination Service, and update Plans of Care to authorize CCS Services, editing as needed, to ensure efficient and accurate agency billing.

• Maintain accountability for all Milwaukee County CCS/CYFS Policies and Procedures.

• Ensure that accurate family demographic information is maintained by the Care Coordinators and changes reported to Milwaukee County CCS/CYFS.

• Provide orientation and training in CCS/CLTS Care Coordination processes to all new Care Coordinators, promoting individualized care and use of natural support.

• Collaborate with supervisor to provide regularly scheduled staff team meetings to share information regarding Milwaukee County CCS/CYFS changes and address areas of concern.

• Participate in mandatory trainings and offered in-services and ensure Care Coordinators do the same.

• Maintain collaborative relationships with Milwaukee County CCS/CLTS Leaders.

• Ensure compliance with DHS 36 requirements related to documentation, training, and clinical consultation.

• Complete monthly Clinical Consultation records for all Care Coordinators and send to the identified Milwaukee County Contact.

• Maintain internal records related to Milwaukee County CCS/CLTS youth and their families in SharePoint.

• Attend meetings as requested with the Milwaukee County CYFS and CCS Management Teams.

• Keep Milwaukee County DHHS(CCS) and CYFS informed of emergency or critical incidents and submit the necessary critical incident paperwork as needed.

• Conduct regular internal audits of CC progress notes and develop/maintain tracking systems for monthly in-person visits/meetings with youth and families, six-month and annual reviews, and ISP/POC documentation to ensure accuracy, timeliness, and compliance with county/state standards.

• Ensure completion of all required CCS/CLTS documentation and review/approve all required CCS/CLTS documentation in each program’s respective documentation system.

• Prepare for external audits (MetaStar, county QA) and implement corrective action plans when needed.

• Engage in quality assurance and quality improvement activities as identified by WCS, Wraparound Milwaukee/CCS, and CYFS.

• Provide coverage for Care Coordinators as needed.

• Notify Milwaukee County CCS/CYFS of staff changes (new hires, departures, etc.).

• Mandated Reporter responsibilities, including making reports of mental health, safety, or well-being of a child or youth to the Wisconsin Department of Health Services.

• Maintains employee files, which include the Care Coordinator’s training records. Milwaukee County CCS/CYFS maintains the right to periodically audit agencies to ensure adherence.

Required Qualifications

Must possess one of the following combinations of degree/experience:

Bachelor’s or Associate’s Degree in a relevant area of human services, education, sociology, social work, psychology, etc. and one year of experience working in CLTS and/or CCS programming.

Bachelor’s or Associate’s degree in a non-relevant area of human services and 4 years of experience working with specific target population, including one year of experience working in CLTS and/or CCS programming.

Knowledge, Skills and Abilities

• Mental Health/Human Development - Working knowledge of mental health needs, cognitive, developmental, and physical disabilities, and positive child/youth development.

• Trauma-Informed Care - Patience and understanding of traumatic life situations.

• De-escalation Skills - interact with escalating youth and/or parents in a calm and professional manner and respond appropriately in crisis situations.

• Technological Aptitude - Must be comfortable with navigating electronic health records, including in Avatar and utilizing Microsoft Word, Excel, PowerPoint, etc. to meet programmatic needs.

• Time Management Skills -Ability to maintain schedules, meet deadlines and multi-task.

• Multicultural Sensitivity - The role involves working in the community and interacting directly with diverse populations, including clients, partners, and service providers. As such, the employee must demonstrate professionalism, cultural sensitivity, and strong interpersonal skills while representing the organization in a variety of settings.

• Communication- Ability to follow oral and written instructions. Ability to provide information effectively with a diverse population - the people we serve, supervisor, colleagues, and program partners in writing and oral communications.

• Problem-Solving Skills - Ability to think critically and be solution-oriented in a fast-paced environment and adapt to program changes and challenges.

• Adaptability - Ability to manage change, deal with situations as they arise and work independently or as part of a team.

• Teamwork - Ability to work as a team participate productively while also managing independent contributing duties and responsibilities.

• Motivation - Possess a commitment to the assigned job, mission and core values of the organization while also supporting a respectful and harmonious work setting.

• Professionalism - Ability to conduct oneself with a high level of integrity, ethics and boundaries.

PHYSICAL DEMANDS:

Duties require possible activity while monitoring or interacting with youth in the program. Staff may be required to use physical intervention in extreme situations. Driving required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

WORK ENVIRONMENT:

Work is performed primarily in a busy office environment managing caseloads of youth, young adults, and families. Some of the work is done sitting at desk using a computer; requires outreach in the community and families’ homes; much of the outreach is done in urban neighborhoods and several hours per day may be spent driving; hours average 40 per week; flexible work schedule include some hours outside the normal work schedule on evenings and weekends.

Wisconsin Community Services, Inc. is an equal opportunity employer. All applicants will be considered for employment without attention to race, ethnicity, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.