About Job

Why Work for Person Centered Services?
When you join the Person Centered Services team, you can make a difference in the lives of people with intellectual and developmental disabilities, while also reaching your own career goals.

Benefits for full-time positions include:

20 Days of paid time off (PTO) in your first year! Increasing to 25 Days in your second year!
13 Paid Holidays
Comprehensive health insurance plans for you to choose what best fits your needs (Medical, Dental & Vision)
401(k) - the Company matches 50% of the first 6% up to a maximum of 3%
Company paid benefits: basic life insurance, long-term disability, and a Lifestyle Spending Account with a benefit of up to $500 set aside for employees to spend on wellness eligible expenses!
Employee Discount and Wellness Programs - Currently providing 3 paid hours per week for exercise, volunteering or personal wellness!
Professional development opportunities including mentorship program options and ongoing coaching

CARE COORDINATOR
Department Care Coordination Direct Care Non-Direct Care Direct Care
FLSA Status
Non-Exempt

Exemption Type
(HR Use Only – Check all that apply)

Executive Computer
Administrative Professional

Outside Sales

Reports to Supervisor, Care Coordination Supervises None
Primary Location
Varies

Employment Status

Full Time Part Time
Regular Temporary

Original Date 2018 Revised Date February 2024

JOB SUMMARY
Job summary should specify the nature and purpose of the job. Please provide one to two sentences starting with an action verb, followed by the aim of the position that identifies the primary result of the position.
The care coordinator has an overall responsibility and accountability for coordinating all aspects of the individual’s care, including but not limited to health and behavioral healthcare, community supports, and other services required to meet the needs of the individual. For individuals who are enrolled in the health home, the care coordinator will take a holistic approach to care by utilizing the core standards of service. These include:

Comprehensive Care Management
Care Coordination and Health Promotion
Comprehensive Transitional Care
Individual and Family Support
Referral to Community and Social Support Services
Use of Health Information Technology (HIT) to Link Services

ESSENTIAL FUNCTIONS
List the essential job functions or responsibilities. Typically, most jobs have between 8 to 12 essential functions. It is critical to note that not every function of the position should be deemed as essential. Essential functions should include only those items that are “critical for getting the job done” or “accountabilities”.

Completes required assessments using person centered planning techniques, as well as gathers and incorporates all other relevant assessments.
Develops a comprehensive, person-centered Life Plan with the individual and their circle of support, as well as their entire service provider team.
Supports the individual in the planning process to ensure that the individual directs the process to the maximum extent possible and can make informed decisions and choices.
Reviews the Life Plan with the individual’s entire interdisciplinary team no less than annually, and every time there is a life changing event. This review must occur during a face-to-face meeting, no less than annually.
Accountable for coordinating all aspects of an individual’s care.
Effectively manage a tiered caseload, while tailoring services to individual needs.
Completes program enrollment and eligibility document.
Completes and secures consents and authorizations to share information.
Develops and maintains appropriate records.
Completes and reviews paperwork necessary for case files and reports.
Completes documentation and billing in a timely manner.
Meet with individuals in their homes, physician/provider offices, and other public places in order to conduct assessments and provide services.
Accompanies individuals to appointments in accordance with Person Centered Services policy.
Collaborates with providers and service support team members.
Initiate incident reports and follow-up to ensure compliance with regulations.
Monitors individual satisfaction with supports and services.
Ensures case files are in compliance with regulation and policy.
Provide quality driven, cost effective, culturally appropriate services.

OTHER DUTIES
List other non-essential job functions or responsibilities. May wish to include in the list “performs other duties as assigned”.

Commits to a respectful, just, and supportive environment for individuals and team members aligning with the company’s commitment to diversity, equity, inclusion and belonging.
Other duties as necessary or assigned.

KNOWLEDGE, SKILLS & ABILITIES
List required knowledge, skills and abilities needed for the job.

Knowledge of developmental disabilities, chronic disease and social determinants of health.
Strong knowledge of OPWDD funded services and supports.
Experience with motivational interviewing.
Experience writing SMART goals.
Knowledge of person-centered planning regulations.
Ability to build relationships and effectively communicate.
Encourages community integration.
Demonstrates cultural competence.
Demonstrates ethical and professional responsibilities and boundaries.
Demonstrates capacity to use Health Information Technology to link services and facilitate communication.
Knowledge of confidentiality regulations.
Organizational and time management skills
Ability to prioritize.
Proactively approaches professional responsibilities.
Completes work in a timely manner

EDUCATION & EXPERIENCE
List required education and/or experience needed for the job.

Bachelor’s degree with 2 years relevant experience OR a Licensed Registered Nurse with 2 years relevant experience OR A Master’s degree with 1-year relevant experience required.
Valid Driver’s License required.

PHYSICAL REQUIREMENTS
List physical requirements of the job and indicate how often the team member is required to perform these requirements. The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Activity Frequency
N/A Rarely Occasionally Regularly
Travel
Ambulate
Drive
Type/Keyboard
Twist/turn
Stand
Sit
Talk
Hear
Use hands and fingers
Repetitive Motion
Close vision
Peripheral Vision
Depth of Perception
Ability to see color
Lift up to 5 lbs.
Lift up to 10 lbs.
Lift up to 20 lbs.
Lift up to 50 lbs.
Lift up ____ lbs.
Carry
Reach
Push
Climb
Pull
Stoop
Kneel
Crouch
Crawl
Balancing

Other:Other:
ENVIRONMENTAL CONDITIONS
List environmental conditions of the job and indicate how often the team member is exposed to these conditions.
Physical Activity Frequency
N/A Rarely Occasionally Regularly
Office environment
Moderate noise
Loud noise
Extremely loud noise
Confined area
Exposure to bloodborne pathogens or bodily fluids
Exposure to allergens
Exposure to chemicals
Exposure to airborne pathogens
Exposure to dim lighting
Exposure to bright lighting
Exposure to heights or high precarious places
Extreme heat/humid conditions
Outdoor conditions

Other:Other:
I can, with or without reasonable accommodation(s), perform the essential functions of this position:

Person Centered Services has a commitment to equal employment opportunity for all staff and applicants for employment. Employment decisions including, but not limited to, those such as staff selection, performance evaluation, administration of benefits, working conditions, staff programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical hereditary cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.