Participant Directed Services (PDS) Service Advisor / Case Manager

Class Characteristics : Under general direction, provides case management activities for individuals receiving PDS and blended services; serves as liaison between the participant and DAIL and Medicaid; performs related duties as required.

Training and Experience : A Bachelor’s Degree in a Health or Human Services field from an accredited college or university with a minimum of one (1) year of experience in a Health or Human Services field or the educational or experimental equivalent in the field of aging or disabilities; or a Registered Nurse with at least two (2) years of experience as a professional nurse in the field of aging or disabilities; or a Master’s degree in a Health or Human Services field from an accredited college or university.

General Duties and Responsibilities :

Essential :

• Assists DAIL with outreach to and enrollment of participants into PDS.
• Assists the participant with development and revision of the PDS plan of care / support spending plan (POC / SSP) utilizing 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.
• Initiates Corrective Action Plans when needed.
• Provides technical assistance to the Participant with managing the budget, spending and maintaining contractor records.
• Assists the participant with development of an emergency back-up 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.
• Forwards information to the Financial Management Agency for the processing of payroll.
• Assures the health, safety and welfare of the participant and compliance with PDS guidelines.
• Reports all qualifying Critical Incidents as prescribed by DAIL. See Appendix A.
• Recommends termination of the participant from PDS when attempts to correct fail or when there is imminent danger to the participant’s health or safety.
• Assists the participant with transition to traditional services upon request of the participant or upon involuntary termination of PDS.
• Conducts quarterly reviews and updates of the participant’s spending plan.
• Monitors satisfaction of the quality of service provided.
• Maintains confidentiality and observes HIPAA.
• Observes established agency policies and procedures.
• Performs other duties as assigned .

Non-essential : None.

DESIRED QUALIFICATIONS :

Training and Experience : A Bachelor’s Degree in a Health or Human Services field from an accredited college or university with a minimum of one (1) year of experience in a Health or Human Services field or the educational or experimental equivalent in the field of aging or disabilities; or a Registered Nurse with at least two (2) years of experience as a professional nurse in the field of aging or disabilities; or a Master’s degree in a Health or Human Services field from an accredited college or university.

Must submit to and be cleared by KARES check or separate required checks to include : applicable criminal record check, applicable Nurse Aide Abuse Registry check, Caregiver Misconduct Registry check, and applicable Central Registry check. Must be CPR and First Aid certified and maintain certification. Must be clear of any communicable disease and must test negative for active tuberculosis per tuberculosis screening. Must submit to and be cleared by agency-required drug screening.

Special Knowledge, Skills and Abilities :

Knowledge :

Skills :

Abilities :

ADDITIONAL REQUIREMENTS :

Annual DAIL Attendant Care Training.

Mental Effort : Heavy.

Interruptions : Constant.

Special Licensing / Certification Requirements : Must possess and maintain a valid driver’s license. Also see desired qualifications. Must attend regularly scheduled training to maintain certification. Registered Nurses must maintain a valid license as a condition of continued employment.

Additional Requirements : Overnight travel as needed. The Service Advisor must be available 24 hours a day, 7 days a week.

Overtime Provision : To be determined by current state and federal regulations .

AGENCY EXPECTATION STATEMENT :

In the performance of their respective tasks and duties all employees are expected to :

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.