Program Coordinator

Summary/Objective
Primary job responsibilities involve receiving and coordinating all referrals coming into the CME, managing reporting, and recording transitions of levels of care within the CME and exits from the CME. The Program Coordinators will conduct initial outreach to explain the service, obtain consent for participation, and link the individual or family/ caregiver to the appropriate care coordinator. Additionally, the Program Coordinators will serve as a liaison and support for individuals and families/ caregivers requesting enrollment in the 1915(c) to access available services, including submission of prior authorizations and assisting with the processes related to accessing flexible funds.

Essential Functions
 Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

•  Receive all referrals for intensive or moderate care coordination and conduct virtual, in-person, or telephonic outreach to the youth's family according to the established timeline requirements to explain the service and obtain consent.
• Upon receipt of consent, complete all routing of referrals and cases while maintaining responsibility for the case until initial assessment with the care coordinator have been completed.
• Track efforts to engage youth or family/caregiver that are ineffective and notify the OhioRISE plan, as indicated, to re-evaluate the Tier assignment if the individual or family/ caregiver is unable to be reached or indicates they are not interested in intermediate or moderate care coordination.
• Monitor, track, and complete any necessary enrollments, transfers, disenrollment processing in intensive or moderate care coordination according the OhioRISE plan processes.
• For individuals or family/ caregivers requesting enrollment in the OhioRISE 1915(c) waiver:
  • Complete initial waiver Level of Care assessments, including the CANS, for individuals requesting enrollment in the OhioRISE 1915(c) waiver.
  • Submit prior authorization requests when the CME believes a child or youth enrolled in the waiver needs access to waiver services beyond established service limits.
  • Assist children or youth and their authorized representatives with connecting with the waiver’s established Financial Management Services entity (either the OhioRISE plan or its designee) to exercise budget authority as needed when the child or youth has a documented need for Secondary Flex Funds as offered under the 1915(c)-waiver program.
  • Assure children or youth receiving Tier 2 or Tier 3 care coordination who are disenrolling from the OhioRISE 1915(c) are carefully transitioned out of the program by identifying needed supports for ninety calendar days following disenrollment from the OhioRISE program
  • Complete annual Level of Care redetermination assessments in a timely manner for individuals enrolled in the OhioRISE Waiver who have Tier 2 or Tier 3 Care Coordination.
  • Refer children or youth and their family/caregivers to ODM’s Central Processing Team to complete further waiver eligibility determination steps.
• Meet engagement, documentation, and contract requirements as established by management. •
• Provide excellent customer service and communication coordination between team members, individuals, families/ caregivers, community members, and collaborating organizations.
• All other assigned duties.

Skills, Knowledge & Abilities

• Exemplary attendance
• Excellent communication skills, both oral and written
• High level of professionalism with the ability to conduct oneself as a representative of the organization within the community
• Excellent organizational skills with the ability to stay focused and meet deadlines
• Ability to prioritize multiple tasks
• Ability to follow all company policies and procedures
• Intermediate computer skills with the ability to learn new software and reporting systems
• Professional telephone etiquette
• Must be able to show tact and diplomacy when dealing with parents, clients, peers, and staff

Supervisory Responsibility 

This position does not require the supervision of staff

Work Environment 

This job regularly works in the community, providing services outside of the office, in schools, client homes, and other community settings. This role routinely uses standard office equipment such as computers, phones, and photocopiers.

Physical Demands

The physical demands described here are representative of those that an employee must meet to perform the essential functions of this job successfully. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand, walk, and reach with hands and arms.

Position Type/Expected Hours of Work 
 This is a full-time, exempt position, and hours of work and days are Monday through Friday, 8:00 a.m. to 4:30 p.m. Occasional evening and weekend work may be required as job duties demand. 

Travel

Travel is primarily local during the business day, although some out-of-the-area and overnight travel may be expected occasionally. Position may require transporting clients as appropriate to support their linkage needs.

Education/Experience

• Bachelor’s degree in psychology, social work, or other related field OR at least three years’ relevant experience with the ability to complete additional training, as necessary.
• Three years of experience in children’s behavioral health, child welfare, developmental disabilities, juvenile justice or a related public sector human services or behavioral healthcare field, providing community-based services to children and youth, and their family or caregivers.
• High School and GED.
• Experience in one or more of the following areas of expertise: 
  • Family systems
  • Community systems and resources
  • Case management
  • Child and family counseling or therapy
  • Child protection
  • Child development

Additional Eligibility Qualifications

• Valid Ohio Driver's License with Ohio Bureau of Motor Vehicles - No more than 5 points on driving record. 
• Valid car insurance
• Current CANS Assessor training or the ability to complete such within 90 days of hire.
• Training in cultural competency or the ability to complete such within 90 days of hire.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.