Job Description

Position works with individuals assigned and their significant others (such as family member/s, friends, advocates, legal representatives/guardians, personal assistants/support staff), as the person requests, to develop the Person Centered Plan of Service (PCPOS).

Prepares Support Coordination Assessment for each individual served.  Coordinates and/or facilitates the PCPOS Meeting for each person at least annually, and more frequently if the person desires/requests to address their evolving support/service needs.

Enters all services agreed to in the PCPOS into the LEXICON and MH-WIN System or other computer-based/electronic record keeping system, as required, and maintains the service authorizations in accordance with the Detroit Wayne Integrated Health Network guidelines, throughout the duration of the PCPOS. 

Meets with the individual at least once per month in their home and quarterly in the vocational setting/workshop/school (unless otherwise requested by the person and documented in the PCPOS).  Completes monthly Supports Coordination Clinical Contact Logs reflecting status, quality, and appropriateness of services provided to individuals served, and any action to be taken to address issues/concerns.

Routinely monitors and assures quality services of the residential provider, staffing agent, and other facilities and programs providing services to individuals.  Initiates appropriate actions to address any problems or deficiencies.

Facilitates and monitors services provided to the individuals and their progress in relationship to needs, dreams and desires identified during the person centered planning (PCP) process.

Testifies in Probate Court regarding need for guardianship and recommended scope of guardianship, as needed/requested. 

Identifies barriers to progress and documents efforts made to eliminate those barriers.

Participates in the annual Individual Educational Planning Committee if the individual is still in school; assists individuals to develop natural supports/support circles. 

Aids in the securing of legal representation (e.g., power of attorney, legal guardian), when deemed necessary. 

Assists individuals, families and other identified support persons in locating and obtaining necessary, available community resources.

Works closely with the individual to assure his/her on-going satisfaction with the process and outcomes of the supports, services, and resources provided. 

Provides follow-up with individuals, families, personal assistants/support staff, legal representatives/guardians, and other support systems to problem solve and assure that the person’s individual needs are being met.

Coordinates support services and provides crisis intervention with appropriate documentation.

Supports the individual to assist with, or perform, the following tasks: 1) Secure and schedule support staff and obtain training for that staff, 2) Train and/or assist with individual empowerment and advocacy, 3) Manage and coordinate finances, 4) Oversee health and safety, 5) Arrange access to emergency assistance, such as Lifeline, 6) Procure generic community resources, 7) Problem-solve pro-actively, 8) Develop and maintain positive, meaningful relationships, 9) Pursue desired housing-related outcomes (e.g., roommates and subsidies), 10) Pursue vocational and/or employment opportunities, 11) Lead the support planning meetings, 12) Obtain and maintain benefits and entitlements (e.g., Medicaid, SSI, etc.), 13) Obtain and/or maintain guardianship or other less restrictive alternatives to guardianship.

Qualifications

EXPERIENCE:

Minimum of six months experience working with persons with intellectual and developmental disabilities is desired.

Additional Information

All your information will be kept confidential according to EEO guidelines.