Support and Service Coordinator - Children’s Long Term Support Program (CLTS)

Position Summary: The CLTS Waiver Program is one of Wisconsin’s Home and Community Based Services (HCBS) Medicaid Waiver programs, federally authorized under § 1915(c) of the Social Security Act. HCBS waiver programs provide Medicaid funding that may be used to fund allowable support and services that promote individuals in the waiver access and inclusion in their home and community. Eligible participants include youth between the ages of 0-22 with developmental, severe emotional, and/or physical needs, who are also functionally and financially eligible for Medicaid.

The Support and Service Coordinator (SSC) coordinates and facilitates access to all services and support, both formal and informal, which are needed by the child and family to meet their identified needs. Support and service coordination assists a child or youth and his or her family to achieve an inclusive, interdependent, and self-empowered life. The child’s or youth’s SSC uses their knowledge of available programs, resources, and services to create an individualized service plan that best supports the child and family in pursuit of their desired outcomes. This includes connecting families to support throughout the community and promotes family members’ self-determination and involvement in all facets of community life. A primary responsibility of the SSC is promoting the child’s health, safety, and welfare in their home and community.

Essential Functions:

• Coordinates and facilitates services with the child and family to meet the developmental, emotional, and physical needs of the enrolled youth in CLTS.

• Provide family centered, trauma informed, strength based, culturally intelligent services through monthly collateral contact, direct contact with the family a minimum of every three months, face-to-face contact at least every six months (with the child or youth), and at least one of the face-to-face contacts is required annually to take place at the child and family’s place of residence.

• Provide services in the community focused on promoting inclusion and access in the community and youth’s home.

• Assisting to establish and maintain all aspects of program functional and financial eligibility.

• Assessing and periodically reassessing the child’s or youth’s health, safety, and functional capacity.

• Identifying vulnerable and high-risk children and ensuring heightened care coordination, collaborating with other agencies when applicable.

• Providing crisis and critical incident intervention and resolution.

• Mandated reporter responsibilities include making reports of mental health, safety, or well-being of a child or youth to the Wisconsin Department of Health Services.

• Develop and execute family centered service plans to meet the individualized needs of the youth and family.

• Authorizing support and services provided through the CLTS Program.

• Managing the coordination of benefits for the supports and services in the service plan to ensure high quality services/

• Provide advocacy and resources to the child or youth and their family and/or advocates to independently obtain access to services and support, regardless of funding source.

• Provide transitional support for the CLTS Program enrollment and disenrollment.

• Complete all required training including CLTS specific training and shadowing, functional screen training, and mandated reporter training.

• Compiling and maintaining required documentation. Completes all paperwork in a strength based and youth/family centered manner.

• Follow all SSC policies and procedures outlined by Milwaukee County Children Youth and Family Services.

Other Duties and Responsibilities:

• Attend required training and participate in staffing, weekly/monthly meetings, and consultations, as needed.

• Assist with child and family coverage for co-workers as needed or directed.

• Other job-related duties may be necessary to carry out the responsibilities of the position.

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