JOB TITLE: Habilitation Coordinator/PASRR Service Coordinator

WORKSITE LOCATION: Gulf Bend Regional Plaza, 6502 Nursery Drive, Suite 100, Victoria TX 77904

STARTING PAY: $18.47/hour EEOC CODE: Professional FLSA STATUS: Non-Exempt

SHIFT: Fulltime; Monday thru Friday, 8:00am - 5:00pm, some on-call shifts evenings or weekends

EDUCATION AND EXPERIENCE REQUIRED:

Required: TAC RULE §303.501 Qualifications of a Habilitation Coordinator must include the following:

1. Be an employee of a LIDDA;
2. Have a bachelor's or advanced degree from an accredited college or university with a major in a social, behavioral, or human service field, such as psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human development, gerontology, educational psychology, education, or criminal justice; and
3. Have at least one year of experience working directly with individuals with intellectual or other developmental disabilities.

DEGREE AND/OR CERTIFICATION REQUIRED:

1. BA/BS in field specified above

JOB PURPOSE:

Ensures that any individual seeking admission into a Medicaid-certified nursing facility or currently residing in such a facility is screened and evaluated for mental illness, intellectual disability, and developmental disabilities; identifies alternate placement options when necessary or requested; identifies specialized services that may benefit the individual; and meets routinely with individual at the nursing facility to monitor the specialized services.

ESSENTIAL FUNCTIONS and DUTIES:

1. Complete a PASRR Evaluation (PE) within required timeframes to determine if the person has an MI, ID or DD diagnosis and, if so, to: assess the person's need for care in an NF;  assess the person's need for specialized services; and identify alternate placement options.
2. Complete initial and annual assessments that assist in determining specialized services that the individual is eligible to receive.
3. Facilitate initial, quarterly, annual, and as needed Service Planning Team (SPT) meetings with person, Legally Authorized Representative (LAR) or actively involved person, Nursing Facility staff, and other collateral to aid in monitoring services and developing a person-centered plan of care.
4. Provide habilitation coordination by identifying person-directed outcomes, and arranging needed services and supports, by advocating, and collaborating with the Service Planning Team (SPT) to develop a person-directed Habilitative Service Plan (HSP) which supports the customer in achieving a quality of life.
5. Ensure the provision of habilitation coordination according to the Texas Administrative Code (TAC) and the PASRR Handbook.
6. Provide crisis prevention and management by supporting the customer/LAR or actively involved person to secure services and supports that will enable them to prevent or manage a crisis.
7. Meet face to face with a person monthly, or more frequently if needed, to provide habilitation coordination activities.
8. Monitor all services on the HSP at least quarterly to ensure that the customer receives needed services (delivery), evaluate the effectiveness and adequacy of services (satisfaction), and ensure identified outcomes are meeting the customer's needs and desires (progress/lack of progress) as indicated by the customer/LAR or actively involved person determined by supervisory review of the HSP and progress notes.
9. Provide education about community living options for the individual and families initially and every six months thereafter. Assist as needed to arrange community services outside the nursing facilities.
10. Maintain accurate spreadsheets tracking monthly contacts and deadlines related to monitoring requirements, SPT Meetings, CLO, Habilitative Assessments, and other job-related criteria as directed by supervisor.
11. Provide customers/LARs with an oral and written explanation of rights at least annually, when necessary, requested, or due to changes in legal status or revisions of HHSC documents.
12. Complete thorough and accurate contact documentation in the Center's Electronic Health Record (EHR) within two business days at least 95% of the time.
13. Ensure necessary forms/documents are filed in customer charts.

Trauma-informed:

A trauma-informed approach to care "realizes the widespread impact of trauma and understands potential paths for recovery; recognizes the signs and symptoms of trauma in clients, families, staff, and others involved in the system; and responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization." The six key principles of a trauma-informed approach include: safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice and choice; and cultural, historical and gender issues (Substance Abuse and Mental Health Services Administration [2014]).

• The Three E's of Trauma: Events, Experiences, and Effects.
• The Four R's: Key Assumptions in a Trauma Informed Approach - Realization, Recognize, Respond, Resist Re-traumatization.

PHYSICAL REQUIREMENTS and ENVIRONMENTAL CHECKLIST: Abilities required to perform the essential and marginal tasks of this job: Walking, Operating office equipment, Standing, Operating motor vehicle, Light lifting (under 15 lbs), Sitting, Ability to see, Identify colors, Light carrying (under 15 lbs), Hearing (with aid), Straight pulling, Ability to write, Ability to count, Ability to read, Simple grasping, Ability to tell time.

Work site and environmental conditions that apply to this job: Travel by car 45% of time, Outside, Inside, Working closely with others, Working alone.

CRED/PRIV REQUIRED? Yes DRIVING REQUIRED: Yes

KNOWLEDGE, SKILLS, ABILITIES, and COMPETENCY:

1. Program specific: Critical evaluation, communication, consultation, thoroughness/attention to detail, uses sound judgment in the release of information as evidenced by lack of complaints or consumer rights findings. Work is performed under the general supervision of the PASRR Team Lead with considerable latitude for the exercise of discretion and independent judgment. Performs other duties as assigned by the supervisor which are consistent with the position and in compliance with agency policies and procedures.
2. Communication: Strong written and verbal communication skills to communicate clearly and effectively with strong organizational skills and the ability to interface effectively with all levels of the organization.
3. Conflict resolution: Ability to solve problems and resolve issues.
4. Interpersonal skills: Interacts with employees' contractors, customers, community, family members, referral sources, governmental sponsoring and funding entities, program auditors, advocacy groups, and the media. Ability to work collaboratively with a team of staff to accomplish the efficient operation of the program by assisting coworkers, as necessary, to meet client needs and contract requirements with no verified complaints. Ability to work cooperatively and productively with supervisor, individuals, co-workers, and groups of persons at all levels of activity, contributing to a strong spirit of teamwork. Ability to establish and maintain effective working relationships with staff, other agencies and the public using tact, courtesy, and good judgment.
5. Code of Conduct, CORE Values: Work behavior must be compatible with Center's Core Values, Culture, Mission and Vision statements, and Policies and Procedures contributing to an environment of problem solving, building trust, conflict resolution, and customer service. Adheres to the professional, ethical and legal requirements set forth in the Center's business Code of Conduct as well as the Corporate Compliance Plan.
6. Customer service: Demonstrates appropriate responsiveness to internal/external customer needs.
7. Dress code: Adherence to Center Dress Code to present a professional appearance and conduct when representing the Center.
8. Fleet: Completes fleet checklist as required. Reports all fleet problems directly to the Program Director within 24 hours of identifying problem. Uses GeoTab key fob in fleet vehicles and maintains road safety compliance.
9. Task management: Ability to perform tasks effectively and efficiently and to handle multiple priorities in a confidential environment. Must have strong attention to detail. Ability to plan and schedule work and implement directives without constant supervision. Ability to plan and schedule work and implement directives without constant supervision. Must have good organizational skills to achieve multiple deadlines.
10. Confidentiality: Ability to maintain a strict standard of confidentiality in handling sensitive information, reports, and correspondence.

OTHER REQUIREMENTS OR CONDITIONS:

1. Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. Liability insurance required.
2. Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business. Safe driving record as defined by Gulf Bend Center.
3. Must have computer experience to include Microsoft Word, Excel (beginner to intermediate level), Outlook, Teams, and Zoom. Ability to type 40 wpm. Ability to operate office equipment (copy machine, fax).
4. Must complete all training requirements prior to the due date. Attend required training and team meetings. Relias training and any other training required for the role is 100% compliant.
5. Must maintain regular and reliable attendance, including compliance with the telework agreement. This is a full-time position. Days and hours of work are Monday through Friday, 8:00am to 5:00pm or agreed upon hours 100% of the time, to ensure consistency and completeness of the program's processes. Evening and weekend work may be required as job duties demand.

The mission of Gulf Bend Center (GBC) is to improve the quality of life in our community for individuals and their families by providing excellent and trusted care for wellness. GBC is committed to providing quality person-centered, trauma-informed care to individuals experiencing serious mental illness, developmental disabilities, and co-occurring disorders. GBC programs focus on the issues that matter most in the lives of the children, families, and adults we serve.

AAP/EEO STATEMENT

Gulf Bend Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identify or expression, or any other characteristic protected by federal, state, or local laws.

This policy applied to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

OTHER DUTIES

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