Personal Care Management Skills Trainer
Responsibilities:
- Provide information, orientation and determine basic eligibility to persons with disabilities seeking Personal Care Assistant (PCA) Services through the Medicaid Personal Care Attendant Program.
- Travel to meet with consumers or their representatives, travel for meetings/events
- Liaison to consumer while going through the evaluation process to receive approval and services from the Medicaid PCA Program.
- Assist consumer in identifying other community resources that may strengthen their choice for independence.
- Complete an initial assessment with consumer in their home/residential setting to determine their level of ability to manage their program.
- Provide skills training to consumers having an active Prior Authorization following the approved Medicaid curriculum, educating them on all phases of the PCA Program to include: how to be an employer, hiring of PCAs, management of PCA payroll and the paperwork connected with the process and how to manage the personal care program.
- Recruit or engage individual consumers to attend advocacy events.
- Troubleshoot for and with the consumer regarding issues with their individual program which could include one or more of the five core services: peer support, skills training, advocacy, information and referral and transitions.
- Be alert and responsive to areas of program misuse, fraud and obligations to report abuse and neglect.
- Prepare and submit required paperwork on a timely basis according to the Medicaid Personal Care Attendant Program Contract and CLW’s timelines for deliverables. Provide updates on current aspects of each person listed on assigned consumer list.
- Complete documentation of all contact with/and regarding consumers in a timely manner.
- Maintain organized up- to- date consumer files.
- Maintain working relationship between PCA Program and Fiscal Intermediaries (FI) including, but not limited to, resolving member complaints and sharing information with FI as needed.
- Assist with the development and maintenance of an approved PCA manual and Standard Operating Procedure.
- Participate in all Department meetings and trainings related to the Medicaid PCA Program.
- Other duties as assigned by PCM Manager.
Essential Functions (requirements):
- Frequent communication (orally and/or in writing) with consumers, staff, medical providers, state agencies, business partners/vendors and other third parties;
- Ability to understand the requirements of the PCA program and to be able to assess, teach, evaluate, direct, and refer the consumer/guardian/surrogate regarding the scope and responsibilities of the program;
- Ability to travel within service area and beyond;
- Ability to meet with consumers in their homes;
- Ability to accurately enter information into database;
- Ability to use office machinery, including calculators;
- Ability to maintain strict confidentiality.
Preferred Qualifications:
Education
- High School or equivalent (GED) required; Associate Degree preferred.
- Relevant experience may be substituted for educational requirements
Experience
- 1-3 years of direct patient contact, preferably individuals with disabilities.
- Excel, Microsoft Office, data base management
- Working in or involved with the disability community
- Bilingual preferred
Possess the ability to:
- Work independently and as a team member
- Work effectively with individuals with diverse disabilities and cultures
- Prioritize and meet deadlines
- Problem solve
- Take direction and understand consequences of action
Familiarity with:
- Independent Living issues and philosophy;
- Community resources and local service system for persons with disabilities and how to arrange for services;
- MassHealth, state agencies and provider service system available to serve individuals with disabilities/older persons.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
- Travel to meet with consumers is required.
This job description is subject to change at any time.
Individuals with disabilities are strongly encouraged to apply.