Home, Vehicle Modifications & Durable Medical Equipment (DME) Specialist

• Coordinate Home Modifications Home Maintenance and Chore services Vehicle Modifications and DME requests for waiver program participants.
• Obtain physician orders physical therapy evaluations and medical documentation required to support service and equipment requests.
• Collaborate with physicians therapists and Care Managers to ensure evaluations and documentation are complete relevant and appropriate to the request.
• Review documentation to confirm medical necessity and program compliance.
• Determine when homeowner authorization is required and obtain signed homeowner letters; verify ownership through the County Auditors website.

• Request bids from a minimum of three (3) qualified providers when available and follow up to ensure bids are timely complete and compliant.
• Collaborate with Care Managers and consumers on bid selection and provide status updates throughout the process.
• Prepare complete case proposals for Best Practice Committee review including medical documentation drawings or diagrams material lists and cost breakdowns.
• Present cases to the Best Practice Committee and complete follow-up actions based on recommendations.
• Verify consumer status with the Care Manager before authorization to ensure the individual is not hospitalized or residing in a nursing facility.
• Award bids in accordance with committee or Care Manager recommendations and notify all parties involved.

• Track all Home Modifications Home Maintenance and Chore services Vehicle Modifications and DME from initiation through completion.
• Place and manage the $1 placeholder in the service plan (PCSP) until project completion and consumer satisfaction is confirmed.
• Obtain and document consumer satisfaction in compliance with program requirements and communicate outcomes to the Care Manager.
• Complete reconciliation of authorized services including accurate entry of Care Managerapproved service amounts.

• Conduct home or community visits as required to obtain documentation or meet case management contact schedules.
• Serve as backup support for Care Manager Assistant functions as needed.
• Maintain working knowledge of approved DME Home Modifications Home Maintenance and Chore services and Vehicle Modifications.
• Maintain confidentiality and comply with HIPAA and AOoA policies.
• Promote positive customer service teamwork and respectful communication with consumers caregivers providers and staff.
• Utilize Microsoft Outlook Word Excel eFax and other required systems to accurately track and manage cases.
• Meet physical requirements of the position including lifting up to 20 pounds and navigating stairs.

• Provide education to consumers and providers regarding required processes and expectations.
• Utilize agency-provided equipment including dual monitors to access multiple databases simultaneously.
• Maintain reliable transportation a valid drivers license proof of insurance and the ability to pass annual Motor Vehicle Record (MVR) checks.
• Maintain organized accurate individual case files.
• Participate in training and professional development activities.
• Contribute to divisional and agency goals.
• Perform other duties as assigned.

• A bachelors degree is preferred in human services healthcare or a related medical field.
• Experience coordinating services in a community-based or healthcare setting preferred.
• Strong organizational time-management and prioritization skills.
• Knowledge of medical terminology and basic disease processes.
• Ability to work in consumers homes hospitals and nursing facilities.

• Continued employment is contingent upon the availability of funding for AOoA Long-Term Care Programs.
• Criminal background checks website checks and drug/alcohol screening are required.
• Valid drivers license and proof of automobile insurance required.

Required Experience:

IC