• Responsible for reviewing and
processing attendant timesheets and Electronic Visit Verification
(EVV) corrections;
• Monitors and provides
resolution on reports analyzing EVV and timesheet errors, holds and
overtime;
• Provides ongoing training to
Consumers based on their ability to supervise and self-direct their
attendant;
• Monitors Consumers’ ability
to self-direct their own care and the appropriateness and progress
of the services being delivered;
• Identifies and submits
appropriate face-to-face referrals to the CDS Coordinator team to
complete home visits in the Consumer’s living
environment;
• Performs monthly telephone
case management activities with assigned Consumers in accordance
with program guidelines;
• Documents monthly case
management activities and every contact with Consumer and/or
attendant adequately and addresses identified issues in a timely
matter;
• Identifies and makes
appropriate referrals to connect Consumer to resources based on
their needs;
• Monitors attendant’s
performance utilizing EVV and timesheets within the first 90-days
of employment with the Consumer to ensure adequate understanding of
the program and policies;
• Ensures Consumer needs are
being met by the plan of care and coordinates care change needs
with the Division of Health and Senior Services
(DHSS);
• Participates in staff
meetings and quality assessment reviews as required;
• Serves as backup to Care
Support for Medicaid referrals by taking referral calls from
potential Consumers, Clients, or family members, and following
Integrity's referral process, as well as accurately submitting
appropriate referral information to DHSS per DHSS' preferred method
of referral submission;
• Complies with Compliance
Plan;
• Complies with HIPAA Policies.
Maintains confidentiality of information relating to the Consumer
and family. Will discuss only those aspects necessary to the care
and treatment of Consumer and family with those directly involved
in the Consumer’s care;
• As business needs may change,
may perform additional responsibilities assigned by supervisor that
are reasonably related to the position.
