Disability Claims Examiner, Sr. jobs in Aiken, SC

Job Summary: The main focus of the DDP is to coordinate the development and implementation of supported living services with referral source, consumer and employee, ensuring the delivery of quality services. This coordination occurs through the direct supervision of employees, supports for consumers, and ongoing communication with family, community, funding and licensure sources.

Essential Duties & Responsibilities:

• Actively participates in the person centered planning process, including development and implementation of Person Centered Plans (PCPs) and the Individual Support Plan (ISPs)
• Design and implement support and teaching strategies targeted at assisting consumers with reaching their outcomes as outlined in the consumer’s ISP
• Provide supervision and training to Direct Support Professionals regarding the implementation of the PCP, ISP and teaching strategies
• Evaluate and revise support and teaching strategies as necessary to ensure progress toward achievement of outcomes and action steps
• Regularly monitor the implementation of the PCP and ISP
• Revise PCP and ISP outcomes as necessary based on data collection, feedback from staff, and direct observation of the consumer
• Ensure that services and supports are provided in the PCP and ISP
• Facilitate opportunities for natural supports & document specific QDDP activities provided to the consumer
• Coordination of consumer benefits including Medicaid, Medicare, SSI, SSA, and Food Stamps
• Securing community resources for consumers supported
• Scheduling and completion of consumer medical needs

Quality Assurance Related Functions:

• Review all forms, notify Case Manager of any incidents, and provide oversight for the follow up plan with staff
• Maintain communication with family members, guardians, staff and Case Manager on a regular basis, particularly regarding policies, issues, and concerns
• Prepare and submit reports that are required by contract, funding sources, or regulations

Supervision/Training Related Functions:

• Coordinate in-service trainings needed to assist staff in fulfilling responsibilities related to consumer directed support
• Provide oversight with documentation of the Medication Administration Record with checks of the MAR at least once per week
• Monitor and record required trainings for staff and schedule updates as needed to remain current. Complete monthly staff schedule ensuring appropriate levels of staff coverage
• Provide direct support in providing services needed to protect the health and safety of the consumer, in a staffing crisis
• Provide training and oversight for staff regarding Medicaid Waiver guidelines and licensing and certification standards
• Communicate with the Interdisciplinary Team about concerns and findings
• Be available to respond to staff in case of an emergency
• Perform on-site evaluations for all field staff
• Complete all annual evaluations and submit to Manager one month prior to hire date anniversary to ensure timely reviews

Preferred Skills/Abilities:

• Excellent organizational skills; ability to multitask and manage multiple responsibilities
• Able to supervise staff and provide necessary feedback to improve overall services
• Strong problem-solving skills
• Strong communication skills, oral and written
• Proficient with Microsoft Office Suite

Education and Experience:

• BA/BS Degree in social work, psychology, human services or related field required
• One (1) year of professional experience in the field of developmental disabilities is a plus

What We're Offering:

• Competitive hourly wage
• Benefits (Health/Dental/Vision)
• 401(k)
• Paid time off
• Internal growth opportunities
• Team-centered work environment

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.