Medical Social Consultant (Home Care Enrollment Specialist)

Position Summary
The Home Care Enrollment Specialist provides services to families potentially eligible for DSCC Home Care Services (waiver and non-waiver) statewide. The Enrollment Specialist utilizes skills and knowledge acquired from academic training and professional experience as a social worker or in social sciences. The Enrollment Specialist coordinates and facilitates the timely discharge of children potentially eligible for the Home Care Program from the inpatient hospital setting and those who are home and require in-home nursing.

Duties & Responsibilities

Under the direction of the Home Care Enrollment Management Team, provides an introduction to care coordination services and facilities the application process for in home nursing:

Obtains documentation to determine potential eligibility for DSCC programs and services. Explains programs, services, enrollment procedures, and care coordination to eligible families.

Assists families in collecting required medical and financial information necessary for Healthcare & Family Services (HFS) to determine eligibility for Home Care Services.

Conducts home assessment to determine the safety of the home environment for the child and determine if home modifications are needed.

Coordinates all available health care benefits.

Assists families as needed as they interview prospective home care providers to assess suitability and monitor provider services.

Works collaboratively with hospital staff and other providers to ensure services are ready at the time of discharge from the inpatient hospital setting. Those services include, but may not be limited to, in-home nursing and medical equipment and supplies, and care coordination.

Collaborates with DSCC Core/Connect Care team during the enrollment process for potential dually enrolled participants.

Elicits health and medical histories; assesses social history and family history of children requesting, or eligible for, DSCC services. Conducts in-person or telephonic comprehensive health assessment. Proceeds with timely data entry to ensure enrollment process compliance.

Participates as a member of the Home Care Enrollment multi-disciplinary team:

Complies with University, Division, Regional Office, and HFS policy and procedures.

Provides discipline-based expertise to the Home Care Enrollment multi-disciplinary team.

Provides discipline-based expertise to other DSCC teams (Core/Connect Care teams) when the enrollment process takes longer due to case complexities such as DCFS involvement or difficult transition.

Complies with state and federal regulations related to children enrolled in the Home Care Program or any subsequent program related to in-home care for children with complex medical needs.

Promotes interagency collaboration and an organized network of integrated services:

Provides community education programs regarding DSCC services.

Participates in developing and/or implementing a networking plan for the Home Care Enrollment team.

Participates in special projects impacting DSCC:

Participates in agency committees/projects on a regional or statewide basis.

Performs other duties as assigned such as presentations or refreshers to other DSCC teams regarding referral and enrollment criteria.

Attends all internal staffing on assigned home care clients, and provides technical assistance Perform other related duties and participate in special projects as assigned.