JOB TITLE: Director of Person-Centered Supports
DEPARTMENT: Adult Services
REPORTS TO: Executive Director of Community Services
FLSA STATUS: Exempt
GENERAL PURPOSE OF THE JOB: The Director of Person-Centered Supports (DPCS) is the first person that an individual, family member or Coordinator of Community Services has contact with and assumes the prominent role as the agency’s representative across all divisions of NCIA/CBAI. This position facilitates ongoing communication with the DDA, Coordinators of Community Services (CCS), family members, individuals with disabilities, school representatives, and members of the State Residential Centers and Secure Evaluation and Therapeutic Treatment (SETT) team. This position assists persons served and families in all phases of the admissions, referral, and discharge process. The Director of Person-Centered Supports also ensures quality services for people served in a comprehensive, holistic approach. The Director ensures:
Each person’s goals and outcomes, as specified in the Person-Centered Plan, reflect the person’s choice while also meeting the criteria for billable services.
Sufficient Medicaid funding to cover support needs.
Adequate supporting documentation justifying services.
The DPCS is one of the agency’s LTSS subject matter experts (SME). This position oversees service requests to ensure that requests match people’s specified goals and are within the parameters of what the agency can provide while maximizing revenue resources. The DPCS is an SME on the DDA’s funding as found in the DDA’s Service Authorization and Provider Billing Guidelines and audits funding as approved through the legacy PCIS2 billing and Medicaid’s Long Term Supports and Services (LTSS). This position works across departments to ensure holistic support and adequate funding throughout Adult Services. The DPCS monitors movement and changes within programs to ensure that support and funding levels are accurate and sufficient. The DPCS works with department staff to ensure supporting documentation justifies levels of support and funding.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1) Acts as NICA/CBAI’s public ambassador, providing information and referral services to the community, including prospective program participants, family members and guardians, CCSs, and court and forensic personnel.
2) Possesses a comprehensive understanding of NCIA/CBAI’s programs, the DDA’s services, LTSSMaryland, PCIS2.
3) Ensures a constant flow of referral candidates.
4) Works with the Marketing and Development Department to develop and maintain current digital and print marketing material for the vacancies in each of the NCIA/CBAI Departments.
5) Takes a public role in marketing and representing NCIA/CBAI at community events, transition fairs, and through NCIA/CBAI’s Web presence.
6) This position acts as a community liaison and subject matter expert on disability services, fielding community inquiries, and helping people obtain desired support. The DPCS also provides advocacy services for persons served and families to gain access to the DDA system.
7) Prepares profile information and paperwork for all new referrals, admissions, and discharges, including referral packet documentation. And collects and distributes intake information for the ARD Committee review at ARD meetings.
8) Chairs ARD meetings two times monthly.
9) Ensures appropriate state and agency eligibility for all prospective program admissions and verifies eligibility in LTSS.
10) Attends transitional fairs and hosts informational meetings, open houses, and home and program tours as needed.
11) Tracks ongoing records of referral charts, admissions and discharges, and agency internal movements.
12) Develops a database to track admissions, referrals, and discharges for each program. Mitigates potential program discharges by coordinating “Discharge Resolution Plan” meetings with the team members of potential discharges. Provide consistent follow-up on Discharge Resolution Plans.
13) Visits specific programs at least once a month in order to understand the dynamics of the home and/or day and employment vacancies.
14) Works in collaboration with YIT to educate students and family members on DDA services provided by NCIA/CBAI.
15) Supervises a team of Case Managers and an ICM Program Specialist while educating staff on best practices for person-centered support.
16) Continue to assist with transitioning from the PCIS2 legacy billing to LTSS and provide staff training (as necessary) on unbundled services, billing parameters, the Community Settings Rule, and documentation requirements.
17) Establishes schedules and systems to ensure case management follows prescribed pre-PCP and PCP timelines.
18) Meets proactively, before the official team meeting, on a pre-PCP internal NCIA team meeting to determine and delineate the service requests, including unit/hours per service for each month served. Creating a template in advance in preparation for the PCP team meeting.
19) Verifies that the funding and service authorization requests for each Community Living resident and Meaningful Day participants are accurately reflected in LTSS, the DSAT, and Cost Detail.
20) Monitors and ensures compliance with the PCP and supporting documentation, including the HRST, SIS, BP, nursing assessments, doctor’s evaluations, unsupervised time assessments, and other documents.
21) Ensures appropriate support types and the unit rate is reflected in PCIS2/LTSS, including but not limited to:
Community Living: Dedicated hours, Enhanced Supports, overnight supports, and in lieu of day.
Meaningful Day: Day Hab (large, small, 1:1, and 2:1), Discovery, Job Development, CDS (Group, 1:1, and 2:1), Follow Along, and Ongoing Job Supports.
Personal Supports (as appropriate).
Behavioral Supports DDA Behavioral Respite (as applicable)
22) Holistically looks at the plan to include residential, day habilitation, and employment (and other services as applicable) to reflect all supports required while eliminating funding gaps across departments.
23) Verifies that all residents in the home are reflected accurately in the state’s database.
24) Creates and maintains a Master Funding Template for each person and/or home. The Master Funding Template specifies approved funding hours for each individual and/or home and serves as a template for the program director (who will staff according to funded hours).
25) Monitors milestone services, monthly services, and services provided in daily and 15-minute increments to ensure completion. Verifies all services and systems NCIA provides for Adult Services while anticipating and proposing new services to ensure comprehensive, holistic support for people served.
26) Provides oversight of LTSS approval of funding and plan requests, ensuring accuracy within prescribed deadlines and that PCP goals match the appropriate LTSS Maryland DDA service.
27) Establishes data tracking and reporting processes for LTSS/DDA individual services.
28) Works with the CCS on Waiver redeterminations to ensure people stay eligible for waivered status, as applicable.
29) Interfaces with DDA on billing discrepancies biweekly as applicable.
30) Provides training and DDA/LTSS updates to NCIA team members, including Case Managers, NICA’s Finance Dept, Directors, Associate Directors, Adult Services Executive Director, Admissions Manager, and ARD Manager. Ensures that all team members understand, adjust, and incorporate most current DDA/LTSS directives in the service plan and that staffing levels mirror approved hours/units as detailed in LTSS.
31) Notifies NCIA’s Finance Dept. of discrepancies that require an Error Report.
32) Attends in-service training and professional development opportunities, remaining knowledgeable and updated on continuously evolving state and federal policies and procedures.
33) Participates in committees as assigned, including LTSS workgroups, DDA, MACS, DORS, and Maryland Works meetings.
34) Uses technology for the completion of specified job duties.
35) Works cooperatively with others, including all staff, supervisors, administrators, co-workers, individuals served, community professionals, customers, vendors, and the public.
36) Follows instructions and abides by agency policies and procedures.
37) Assumes other duties, responsibilities, and special projects as needed.
38) Acts as a primary agency liaison between DDA, LTSS, and other state and federal entities.
SUPERVISORY RESPONSIBILITIES: Yes. Case Management and ICM Program Specialist, and as assigned.