Service Coordinator Delivery

Tammy Sparks

Ft. Worth TX ***** • 903-***-**** • ******************@*****.***

Professional Summary

Qualified Intellectual Disability Professional (QIDP) IDD Service Coordinator at PermiaCare - LIDDA, adept in Service Plan Development and fostering productive relationships. Enhanced service delivery by developing personalized care plans, ensuring 100% compliance with Medicaid requirements. Skilled in resource identification and progress monitoring, significantly improving client outcomes through innovative and effective service coordination. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Conscientious professional with experience advocating for social and economic well-being of individuals and families. Skilled at providing guidance, support and assistance. Strong communication and time management skills and committed to helping others.

Skills

Service Plan Development Assessment skills

Resource Identification Progress Monitoring

Work History

IDD Service Coordinator, 05/2023 to Current

PermiaCare - LIDDA – Odessa, TX

Under limited supervision, provides on-going services to assist persons with developmental disabilities or related conditions in developing a PDP, informed choice regarding Provider, and development of the initial Individual Plan of Care (IPC). Use initiative and independent judgment, aggressive intervention in the community, interaction and cooperation with other internal departments of PermiaCare and providers. This job also requires timely completion of state required documentation.

Participate in a discovery process with the person and others identified by the person which results in identification of personal outcomes or personal goals, barriers to achieving the goals, and identifying services and support to meet goals.

Coordinate/facilitate PDP process for each individual served with timelines established in Rules and Handbooks.

Develop narrative results of PDP for each individual served. Assure that all processes and service planning respects the needs, requests, and preferences of the person and occur in a timely manner which are directed towards the achievement of the person's goals and desired outcomes.

Assure when barriers to achieving personal goals are identified, they are communicated to the person and service Provider.

Assist in the coordination and development of the IPC based on the results of the PDP for each individual served and a review/indication of approval or disapproval is noted in the Client Assignment and Registration System (CARE) database as outlines in the HCS/Department of Aging and Disability Services (DADS) Handbook.

Ensure that monitoring, service planning, and assessment is completed as specified in the HCS/SC Best Practice document.

Responsible for identifying community resources or natural supports that meets outcomes before recommending HCS.

Monitor the progress of desired outcomes. Schedule, facilitate planning/linking activities and conferences as needed to address issues and make revisions as indicated by need on the individual's PDP.

Monitor services provided to each individual monthly with how effective and appropriate current services are towards helping to meet his/her goals. On a quarterly basis, complete a review of progress towards achieving each outcome identified in the PDP.

Elicit from each individual and ensure that revisions in the service plan are coordinated as the person's wants/needs change.

Ensure that updates in the PDP are completed in a timely manner and are based on consultation with the person and if appropriate, their family/guardian or provider. Ensure that individuals are monitored with the frequency established by Best Practice or the Program Manager.

Complete all required documentation and ensure it meets Medicaid requirements. Ensure that each individual has a current PDP/IPC. Ensure that all required documentation is in each individual's chart. Ensure timely of all documentation related to Administrative Claiming and Targeted Case Management.

Ensure timely completion/follow-up of all documents/requirements related to transfers and discharges.

Responsible for reviewing the Intellectual and Developmental Disabilities/RC (related condition) and indicating agreement or disagreement with the recommended Level of Need (LON). The SC is responsible for reviewing the Intellectual and Developmental Disabilities/RC according to the DADS Handbook Guidelines.

Build effective relationships with all stakeholders on behalf of the individuals served. Ensure that Provider has a copy of the most current PDP. Ensure that Providers are aware of concerns discovered when monitoring the person. Assist in securing generic resources as needed.

Ensure that pertinent information is reported to the Program Manager/Assistant Director/Director as needed.

Ensure that all necessary/required information is forwarded to Providers in a timely manner. Exhibits willingness to assume additional duties, seeks the guidance of supervisor prior to beginning an unfamiliar assignment.

Knowledge of Laws, Policies/Procedures, Skills, Education and Abilities HCS Principles

Medicaid Administrative Claiming Rules

PermiaCare Policies/Procedures

Targeted Case Management

Demonstrate ability in developing productive relationships and have frequent in-person contact with individuals who have developmental disabilities Creative service implementation skills designed to meet each individual's needs. Conflict resolution/negotiation in difficulty service integration/delivery areas. Strong organizational/time management skills.

Knowledge of local community resources.

Ability to work in a non-judgmental manner with individuals whose values and belief systems may be different from staff.

Insurance Verification Specialist, 10/2014 to 05/2023 AllianceRX Walgreens Specialty Pharmacy – Frisco, TX Enhanced claim processing efficiency by verifying insurance coverage. Reduced errors in billing by accurately maintaining patient records with updated insurance information.

Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.

Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.

Adjudicated claims according to policy and contract requirements. Determined customer claims resolutions within prescribed guidelines. Assured completion of claims adjudication in a timely manner with attention to quality and accuracy.

Met all metrics including turnaround time, individual productivity, quality, and accuracy of work completed

for the purpose of meeting contract requirements.

Researched, problem solved, and when necessary, referred complex issues to the appropriate department.

Education

Master of Arts: Counseling Psychology, 12/2008

Texas A&M University - Texarkana - Texarkana, TX

Bachelor of Arts: Psychology, Sociology, 05/1995

Texas A&M University - Texarkana - Texarkana, TX

Current trainings in:

QIDP, Intellectual Disabilities: Interventions, Supports and Outcomes, Human Rights: Honoring to Advocacy, KnowBe4 CyberSecurity

Training, Active Attacker, Prevention and Management of Aggressive Behavior, Trauma-Informed Care, Person Centered Training, ASK about

Suicide, HCS/TxHmL CFC PAS/HAB Assessment Form 8510, CommunityFirst Choice in HCS and TxHmL Programs, Abuse Neglect and

Exploitation, CPR/First Aid, Fraud and Abuse Compliance, Sexual Harassment, Caring for patients with limited English proficiency, Verbal

deescalation strategies, Cultural competence.

Additional Information

Current Training in:

QIDP, Intellectual Disabilities: Interventions, Supports and Outcomes, Human Rights: Honoring to Advocacy, KnowBe4 CyberSecurity

Training, Active Attacker, Prevention and Management of Aggressive Behavior, Trauma-Informed Care, Person Centered Training, ASK about

Suicide, HCS/TxHmL CFC PAS/HAB Assessment Form 8510, Community First Choice in HCS and TxHmL Programs, Abuse Neglect and

Exploitation, CPR/First Aid, Fraud and Abuse Compliance, Sexual Harassment, Caring for patients with limited English proficiency, Verbal

deescalation strategies, Cultural competence.

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