OBRA Coordinator/Supervisor

OMNIBUS BUDGET RECONCILIATION ACT (OBRA) COORDINATOR/SUPERVISOR - TRAVERSE CITY

Northern Lakes Community Mental Health Authority (NLCMHA) recognizes the value of and employs people with lived experience and believes strongly in Recovery and a Culture of Gentleness. To this end, this position requires a commitment to creating and maintaining a culture that "Expects Recovery" and "Encourages Gentleness."

The OBRA Coordinator/Supervisor is a management position which involves the development, implementation, supervision, and operation of the OBRA unit of NLCMHA. This position requires the exercise of substantial judgement in these duties and operates with considerable independence under the general supervision of the Network Administrator for Older Adults.

PAY: $77,590 - $87,040

BENEFITS:

• Medical Insurance (4 options)
• Dental Insurance (2 options)
• Vision Insurance (2 options)
• Health Savings Account
• Healthcare and dependent care flex spending account
• MERS Retirement Plan (with Employer matching up to 5%)
• Guaranteed Step Increase every year on your anniversary
• Paid Time Off (18 days in 1st year)
• Holidays (13 days)
• Sign On Bonus
• Referral Bonus (when you refer someone to join our team)
• Employee Assistance Program
• Short Term Disability
• Long Term Disability
• Accidental Death & Dismemberment Insurance

ESSENTIAL FUNCTIONS:

• Responsible for the development, operation and coordination of a major unit within NLCMHA's operations.
• Carry out supervisory responsibilities in accordance with NLCMHA's policies and applicable laws. Responsibilities include team participation in the process of interviewing, hiring, and training employees. Conducts supervisory sessions, performance-monitoring activities, and professional development planning for team members.
• Completes performance appraisals and competency assessments per agency standards. Effectively addresses disciplinary issues when necessary. The ability to establish measurable performance standards, and to measure actual performance against those standards; the ability to identify necessary competencies and to assess competency; and the knowledge and understanding of basic human resource policies, procedures, laws, regulations, and union contract requirements are vital to this role.
• Establish procedures for routine monitoring of workflow and promoting staff development.
• Maintain knowledge and uphold applicable Federal, State and County laws and regulations and accreditation and certifications affecting area of responsibility.
• Track and report on a variety of activities and prepare statements, summaries of activities, spreadsheets, database reports and related documents as required.
• Maintain knowledge of the relationship between the administrative function and the overall purposes and programs of the area of assignment.
• Coordinate and/or complete special projects.
• Provide clinical services on an as-needed basis.
• Provide organizational training, education, and role models, as appropriate.
• Maintain relationships with NLCMHA, Board committees and its members, including communication and facilitating achievement of the committee/Board goals as designated.
• Responsible for the budget and expenditures of the unit as assigned.
• Keep informed of all significant activities, successes and problems of the area of assignment.
• Act as a liaison/consultant to other programs, staff and community.
• Monitor service delivery and impact of service effectiveness as well as customer satisfaction.
• Become a System Administrator and expert for the new electronic 3877 and 3878 database. Maintain and manage the electronic system which includes identifying Level I's (3877/78) which need to proceed to the Level II process and triage all requests for assistance with staff, nursing homes, hospitals, and community agencies.
• Triage referrals which include, but is not limited to: documenting all other placement options that have been explored; documenting all community services that have been tried i.e., waiver services; ruling out the possibility of psychiatric hospitalization and provide documentation.
• Send "Not SMI/ID/DD Letters" to nursing facilities, hospitals, and community agencies that submitted Level I's which do not require a Level II Evaluation.
• Develop a tracking system to prompt nursing facilities when the ARR 3877 is due.
• Assign staff to complete the interdisciplinary Level II Evaluation, including making the decision when a psychiatrist is needed for differential diagnosis.
• Ensure the interdisciplinary staff assigned to the Level II are registered in the electronic system and meet the credentials and requirements. (See MDHHS OBRA Manual, Chapter 3, page 28)
• Verify that each assessor has completed the Improving MI Practice web based PASARR OBRA training. https://improvingmipractices.org/
• Ensure that collateral contacts are made with the guardian, legal representative, CMHSP agency (if involved), and caregivers to gain their input into the Level Evaluation.
• Review the Level II Evaluation for any spelling/grammar errors, completeness, and consistency. Assure first paragraph has factual information as to the reason for the referral.
• Make the final recommendation for primary diagnoses before the Level II Evaluation is electronically submitted to the MDHHS OBRA office.
• Ensure that all diagnoses and recommendations are supported in the body of all assessments.
• Complete Coordinator's page, giving the final rationale for recommendations regarding nursing facility placement, length of stay, and mental health needs. Address, in detail, all discrepancies between the assessors.
• Verify that the face sheet information matches the content of each assessment.
• Electronically submit the completed Level II Evaluation to the OBRA Office within the guidelines established by the MDHHS OBRA Office and Federal PASARR Regulations.
• Review the MDHHS OBRA Office determination when received and coordinate the dissemination of the Level II Evaluation and supporting documents per guidelines.
• Coordinate the MDHHS process of informing the recipient/legal representative of the Level II determination and Appeal rights and procedures.
• Develop and maintain a tracking system to ensure that the Level II Evaluation and Appeal process are explained to the recipient/legal representative.
• Coordinate the referral for follow-up mental health services.
• Ensure Specialized Mental Health Services are being provided.
• Participate in the Appeal Process as requested by the MDHHS OBRA Office.
• Maintain data as required by the MDHHS OBRA Office. This includes, but is not limited to: placement progress of individuals who received a no nursing facility determination, discharges, certification of delivery, etc.
• Submit Change of Status Forms electronically in a timely manner.
• Provide training to nursing facilities, hospitals, and other community referral sources on the electronic completion of the Level I and on the overall Level II process from referral through determination.
• Establish relationships with the waiver programs (HAB, MI Choice) to facilitate requests for Level II Evaluations for purposes of approval and denial of waiver services.
• Establish and maintain positive working relationships with community referral sources such as home care agencies, Primary Care Provider offices, etc.
• Act as liaison between MDHHS and the CMHSP which may include assistance with Egrams.
• Attend the annual Mental Health and Aging Conference and Coordinator Meetings to keep abreast of mental health and aging issues and MDHHS annual updates.
• Attend all MDHHS requested trainings.

QUALIFICATIONS:

• Masters Degree in Social Work, Psychology, Counseling from an accredited university or a Degree in Nursing preferred
• Bachelors Degree in Social work considered
• Preferred; but not required to be licensed in the State of Michigan as one of the following:
  • Licensed Masters Social Worker
  • Licensed Professional Counselor
  • Psychologist
• Also considered:
  • Limited Licensed Masters Social Worker
  • Limited Licensed Professional Counselor
  • Masters Limited Psychologist
  • Licensed Bachelors Social Worker
  • Limited Licensed Bachelors Social Worker
• Five (5) years of directly related experience

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

• This position may require irregular hours.
• This position may require travel by personal vehicle if an agency vehicle is not available.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Occassionally: Lifting up to 25 lbs with or without assistance, Stretching/Reaching, Exposure to blood borne pathogens and infectious disease, Exposure to hazardous material, and Stooping (bend at waist)
• Frequently: Hand/finger dexterity, Talking in person, Talking on the telephone, Hearing in person, Hearing on the telephone, and Vision for close work

NLCMHA EEO STATEMENT:

Northern Lakes CMH Authority is an equal opportunity employer and is committed to fostering a work environment that respects the dignity and worth of each individual and is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law. Northern Lakes CMH Authority will provide reasonable accommodations to individuals with disabilities or based on sincerely held religious beliefs, in accordance with applicable laws. Hiring decisions are based exclusively on merit, qualifications and business needs.