PROGRAM MONITOR-DHH (My Choice Transition Coordinator)

Louisiana; Baton Rouge (LA); Remote; USD 50,000 - 70,000; Full time

Job summary

The Louisiana Department of Health seeks a My Choice Transition Coordinator to oversee the transition of individuals from nursing facilities to community settings. This role requires strong planning and assessment skills, a commitment to quality, and the ability to coordinate efforts among various stakeholders to facilitate successful transitions.

Qualifications

• Requires a Bachelor's degree with experience in health or social service programs.
• Experience in transition planning or social services coordination is preferred.

Responsibilities

• Coordinate and monitor transitions of individuals from nursing facilities to community settings.
• Evaluate needs and prepare individual transition plans, ensuring necessary support services are in place.
• Provide technical assistance to transition teams and maintain communication with relevant agencies.

Skills

Planning

Transition Management

Communication

Assessment

Coordination

Education

Bachelor’s degree

Advanced degree or Juris Doctorate

Job description

The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner.

LDH serves as a model employer for individuals with disabilities Five years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

Six years of full-time work experience in any field plus two years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

A bachelor’s degree plus two years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR

An advanced degree or a Juris Doctorate plus one year of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services.

EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. The official job specifications for this role, as defined by the State Civil Service, can be found here. Job Duties:
MY CHOICE TRANSITION COORDINATOR /PROGRAM MONITOR
Serves at the OAAS My Choice Transition Coordinator (TC) for the My Choice LA (MCL) project. These positions are work from home positions and are domiciled to assure statewide coverage.

My Choice Louisiana (MCL) is a state program within the Louisiana Department of Health (LDH) and operated jointly by the Office of Aging and Adult Services and the Office of Behavioral Health. MCL grew out of an agreement between the state and the United States Department of Justice (DOJ.) Under the terms of the agreement, LDH must seek to transition and divert Medicaid recipients with Serious Mental Illness from unnecessary placement in nursing facilities. MCL staff work with individuals identified as meeting criteria for inclusion in the DOJ specified target population (diagnosis of serious mental illness, 18 years of age and older, and Medicaid eligible) and assist with desired transition into the community. The assistance provided by MCL staff includes but is not limited to assessment, identifying needed supports and services and securing such, and intensive transition management. The agreement requires LDH to have the necessary staff to carry out such tasks and the appropriate level of management and supervision to ensure tasks are delivered within a quality and consumer-driven framework. Thus, it is critical that OAAS implement the staffing necessary to support required activities.

OCCUPATIONAL SUMMARY:
The TC is responsible for the assessing, planning, coordinating, facilitating, and monitoring the transition of individuals from nursing facilities to community settings using guidelines established by OAAS.The TC directly reports to the Program Manager 1-B for their assigned area. The incumbent will coordinate, support, and track the activities of transition teams consisting of OAAS Regional Office staff, Medicaid enrolled support coordination agencies, Medicaid managed care organizations (MMCOs), and Medicaid providers in planning and executing transitions. The TC will provide technical assistance, facilitate communication between the team and identify and address specific issues preventing individuals from transitioning. The incumbent will participate in policy development and planning to maintain and/or enhance community capacity to support transition targets. This will include combining state and local initiatives and resources to support participants to transition. Incumbent may also participate in activities that involve multiple administrative units within the Louisiana Department of Health and across multiple state agencies.

Incumbent must adhere to pertinent laws, rules, regulations, policies, and procedures of LDH, OAAS, Civil Service and appropriate state/federal licensing and governing bodies. Performs other duties as assigned for smooth operation of the agency.

ESSENTIAL DUTIES:
75% Plan, implement, and monitor institutional transitions. This includes facilitating and monitoring all transitions within their assigned regions or within the state. This may include but is not limited to:

• Provides information regarding community transitions to nursing facility residents and their family or representatives.
• Performs standardized transition assessments, and completes assessments required to determine level of care eligibility for OAAS HCBS services.
• Prepare individual transition plans. Update transition plans as needed.
• Obtain information from review of records, staff interviews, resident interviews, caregiver interviews, and personal observations in order to develop the transition plan.
• Evaluates the resident's condition, preferences and needs, their support system and housing (if available) to develop transition plan.
• Assists in locating housing and completing paperwork needed to apply for housing and/or rental subsidies.
• Works with MMCOs and the Office of Behavioral Health to ensure appropriate behavioral health services are offered/provided as needed.
• Returns signed documents for linkage to support coordination (SC) agencies and/or community-based providers. Assists in obtaining other documents as needed to accomplish transitions.
• Tracks cases in order to identify issues that may slow down/prevent transitions.
• Facilitates scheduled conference calls and meetings with transition team members.
• Provides technical assistance and troubleshooting on difficult cases in effort to speed/facilitate transitions.
• Conducts pre and post-transition visits with participant.
• Evaluates the overall effectiveness of transitions and addressing issues that may arise once the person is living in the community.
• Communicates with agencies/organizations providing support and training and other entities in order to maintain the individual’s community living.
• Trains/educates nursing facility staff, as requested.

10% Develops and maintains relationships with local long term care Ombudsman and other professionals, such as property managers, who can be of assistance during transitions. This includes communicating with and providing, support and training for Office of State Ombudsman regional staff.

10% Develops and maintains an inventory of resources of services and products available in the community through vendors, local businesses, churches and other charity organizations. Develop relationships with these groups to assist in providing necessary services/products when requested, at the lowest price.

5% Identifies and communicates changes/revisions needed in current policies related to nursing transitions. Participate in activities involving other program offices/Medicaid, as requested. Other duties as assigned.


Position-Specific Details:

This position is located within the Louisiana Department of Health / Office of Aging and Adult Services / Headquarters / East Baton Rouge Parish

Announcement Number: OAAS/DPT/209101

Cost Center: 3201027302

Position Number(s): 50580823

This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.

PREFERRED EXPRIENCE:
Position requires knowledge of long-term care service delivery to older adults and/or people with disabilities.
Experience with one or more of the following is required: transition planning from nursing facilities; transition planning from ICDFs/DD; service delivery to persons with mental illness; experience with support coordination/case management; social services coordination; Medicaid or program office functions on the state or regional level; HCBS enrolled provider agency management.

PREFERRED KNOWLEDGE OR TRAINING:
Preference will be given to applicants who have knowledge of long-term care service delivery to older adults and/or people with disabilities.
Experience with one or more of the following is required: transition planning from nursing facilities; transition planning from ICDFs/DD; service delivery to persons with mental illness; experience with support coordination/case management; social services coordination; Medicaid or program office functions on the state or regional level; HCBS enrolled provider agency management.

How To Apply:

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*

A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit.

For further information about this vacancy contact:

Debbie Parris-Thymes

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

Baton Rouge, LA 70821225-342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218