Job Description

Position Summary:
Minds Matter, LLC is seeking a Navigating Home Specialist for the Outreach Department. Successful candidate will assist individuals who have experienced a brain injury to return home following an acute hospitalization, inpatient rehabilitation admission, or long-term care facility stay. The Navigating Home Specialist will help individuals, and their families coordinate with the discharging facility, Managed Care Organization (MCO), Kansas Department of Aging and Disability Services (KDADS), and other community organizations to ensure a safe and effective transition plan is developed prior to returning home in the community. This position will require travel to Kansas hospitals, rehabilitation facilities, long-term care facilities, to/from consumer/family homes to ensure all steps of the transition process are implemented.Specific Duties: * Responsible for learning and implementing all aspects of community works/Minds Matter LLC philosophical principles.

• Facilitate the ongoing eligibility of consumers for services including medical eligibility, knowledge of private insurance benefits, Social Security, Medicare and other funding options.
• Conduct intake process within timeliness outlined by tracking sheet.
• Maintain database for consumer information, referral contacts and service outcomes, maintain a list for Aging & Disability Resources Center (ADRC) referrals, and contact periodically to follow up on progress with connection to needed services and disseminating new referral information to those who need to know.
• Handle incoming calls, emails and other communications and respond appropriately.
• Demonstrate understanding of technical aspects of the Brain Injury (BI) waiver including, but not limited to, electronic plans of care, documentation, paperwork, reviews and forms for communication between consumers, MCO\'s, KDADS and all other agencies.
• Communicate all known needs and service desires of consumers to the VP of Outreach, Director of Rehabilitation Services and other staff as needed.
• Meet all policy and procedure requirements for documentation, including completion of intake forms, history and communication logs, updating of referral tracking spreadsheets, etc.
• Establish and maintain a professional rapport with all consumers, co-workers, referral agents and representatives of other community agencies and services.
• Promote education and relationship with external referral sources.
• Travel required throughout the State of Kansas with primary destinations in Gardner, Overland Park and Kansas City metro.
• Maintains confidentiality of protected health information in accordance with HIPAA regulations
• Performs other duties as assigned.

• Bachelor of Social Work required or Master of Social Work preferred
• 3-5 years of experience in transition planning process
• Proficient in Microsoft Office systems
• Ability to effectively plan, coordinate and assist with intake process and systems
• Ability to make evaluation based on measurable criteria
• Ability to interact professionally with consumers, staff and professional contacts
• Outstanding communication skills both verbal and written
• Strong attention to detail
• Have reliable transportation and valid driver\'s license

Minds Matter