Statewide Support Coordinator Specialist - HARP Discharge Coordinator

Job Location: This position will be domiciled at Fulton State Hospital, Ritterbusch Building. Limited overnight travel scheduled well in advance.

Why you’ll love this position:

The Missouri Department of Mental Health is dedicated to the prevention, treatment, and public understanding of mental illness and developmental disabilities. By joining the Statewide Support Coordination Specialist Team, you will make a difference in the lives of those impacted by intellectual /developmental disabilities, so they have the opportunity to pursue their dreams, live their lives to the fullest, and be valued members of their communities.

Role Description

This position will:

• Work with Hearnes Acute Rehabilitation Program (HARP) staff, TCM entities, guardians, and service providers to ensure safe and timely discharge back to an individual’s least restrictive environment with appropriate supports.

• Carry a short term, high support need caseload that will include individuals transitioning into and out of DMH State Operated Programs with a specific focus on HARP.

• Collaborate with an interdisciplinary team on a routine basis.

• Collaborate with medical staff, community agencies, and other stakeholders to coordinate comprehensive care and community placement.

• Participate in the discharge process of individuals.
  • Ensure contact is maintained with sending service providers.
  • Ensure effective service providers are located prior to discharge.
  • Provide post-discharge support once the individual has returned to their least restrictive environment.
• Disseminate pertinent information to stakeholders (internal and external)

Essential Functions

• Knowledge of DD/DMH vision, mission, and values.
• Follow Code of State Regulations (CSRs), Departmental Operating Regulations (DORs), Division Directives and Division Guidelines.
• Communicate verbally or in writing with individuals, providers, co-workers, and/or supervisors utilizing agency forms, computer programs and email as required.
• Knowledge of Microsoft Office, Cimor, and Adobe Acrobat. Adaptable to updated technology and programs.
• Read and follow directions.
• Must travel to/from individuals' home, provider and community locations.
• Must maintain a valid driver's license.

Minimum Qualifications

Bachelor’s degree or Registered Nurse license and 5 years of relevant experience [which includes, but is not limited to, fulfilling the role of Support Coordinator, Support Coordinator III, or Support Coordination Supervisor (or comparable roles within contracted TCM entities)].

Knowledge, skills & abilities

Demonstrates the knowledge, skills and abilities outlined in the Missouri Support Coordination Core Competencies .

Ability to coach and mentor staff to meet the Missouri Support Coordination Core Competencies, State Plan Requirements, Medicaid Waiver Assurances, and relevant guidance related to the specialized focus areas.

• Educate self and interdisciplinary teams about agencies, resources and supports available to individual in their community.
• Demonstrates knowledge of the discharge process from state operated programs and facilities.
• Knowledge of interviewing and information gathering techniques.
• Knowledge of individual, family, and group behavior.
• Knowledge of current social and economic challenges.
• Ability to evaluate services and individuals' needs, functioning level, and progress.
• Ability to understand medical and treatment records, progress notes, and other related information.
• Ability to communicate effectively.

Expectations

• Coordination and Support of Complex Cases

• Coordinate acceptance and discharge of individuals with HARP.
• Keeps all vested parties informed about discharge progress and process.
• Obtain, refer, or coordinate services for individuals to alleviate social, environmental, and economic challenges.
• Attend all treatment planning sessions required for cooperative planning.
• Communicate to individuals, families, and/or legally responsible person(s) accurate information about behavioral health diagnosis and treatment, developmental diagnosis, medication management and behavioral interventions.
• Serve as liaison between the Department and service providers, community groups, and other state agencies.

• Support a small, high intensity need caseload
  • Carry a short term, high support need caseload that will include individuals transitioning into and out of DMH State Operated Programs with a specific focus on HARP.
  • Collaborate with sending and receiving support coordination teams, other state agencies, and service providers to ensure continuity of care as individuals transition to new community living environments.
  • Interview individuals, family members, legally responsible person(s) and outside agencies to gather data and inform support coordination goals and outcomes.
  • Ensure your caseload documentation meets federal and state requirements.
  • Facilitate meetings as needed.

• Serve as a specialist in statewide support coordination practices
  • Expert in support coordination practices, rules, and regulations, and identifying statewide resources.
  • Provide coaching, and necessary training and tools to the Support Coordination Teams serving those in DBH State Operated Facilities and/or DD State Operated Programs.
  • Develop and maintain effective working relationships with internal and external stakeholders.
  • Identify areas of inconsistency and problem solve with team members to develop one path forward.
  • Effectively communicate any updates to processes, policy and/or procedure.
  • Attend regular meetings with State Support Coordinators and Support Coordination Leadership.
  • Present information to stakeholder groups both in person and virtually.
  • Attend 40 hours of professional development and/or training that provides helpful resources and information for the State Support Coordination Teams.

• Perform other duties as assigned.

Lack of post-secondary education will not be used as the sole basis denying consideration to any applicant.

The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here .

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• State of Missouri

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