DUTIES AND RESPONSIBILITIES
• Duty #1 40% Assesses functional eligibility for Medicaid funded long-term care services, including nursing facility, community-based waiver services, and assisted living services. Assists with application process for Long -Term Care Medicaid and Auxiliary Grant when needed. Conducts assessments and provides case management for auxiliary grant recipients of assisted living and adult foster care. Conducts assessments and reassessment and authorizes local home-based care. Makes referrals for home delivered meals, transportation and financial assistance as needed. Monitors the provision and quality of in-home services; works with the client, family, and service providers to problem-solve service delivery issues. Assesses appropriateness for volunteer services and works in conjunction with volunteer service providers to coordinate services. Completes required paperwork and follows policy required by the state. May assess fees or donations and notifies clients, providers, and Department Administration appeals filed by clients.
• Duty #2 40% Conducts comprehensive assessment using the Virginia Uniform Instrument (UAI) to evaluate risk of abuse, neglect, and exploitation and to assess physical health, mental health, cognitive functioning, behavior, functional health, environment, financial situation, and formal/informal support systems. In collaboration with the client, develops a client centered, solution focused care plan to prevent/ameliorate abuse, neglect, or exploitation. Care plan development may include obtaining input from multidisciplinary teams. The care plan includes development of formal and informal support systems.
• Provides protective services to meet care plan outcomes. Protective services are client focused and are provided to help vulnerable adults achieve stability and/or self-sufficiency and may include case management, crisis intervention, therapeutic counseling, education, and identification and development of resources. Accesses and coordinates long-term care services, community-based services, and emergency services for the client. These may include nursing facilities, community waiver, and assisted living facilities, adult foster homes, in-home care, adult day health care, home delivered meals, public benefits, disability income, legal services, food, housing, clothing, transportation, moving, and burial. Assesses the need for guardianship/conservatorship and facilitates the process to include medical documentation, pre-guardianship panel, preparation of information required for petitions, testimony in court, and advocacy. Assesses the need for mental health intervention, assists with the mental health detention process, and testifies in the legal hearings.
• Duty #3 20% Utilizes state and local data systems for client record keeping, tracking, and interagency collaboration. Performs record keeping duties pertaining to client activities according to state and local policy requirements within designated time frames and standards. Performs other duties as required and assigned in support of the program, division, and department.