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1501 W. Beauregard, San Angelo, TX 76901
(325) 658-7750
(833) 406-0857
(325) 658-8381 fax
(800) 375-8965
(325) 653-5933
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Caseworker I-PASRR Diversion Service Coordinator/Enhanced Community Coordinator


Caseworker I-PASRR Diversion Service Coordinator/Enhanced Coordinator

Location: San Angelo, Texas

Preadmission Screening and Resident Review (PASRR) is a federally mandated program that is applied to all individuals seeking admission to a Medicaid-Certified nursing facility, regardless of funding source. Assists in administering the PASRR Level 1 (PL1) to all individuals seeking entry into a nursing facility. Requires working with nursing facilities, individual's family members/LARS in educating them on community living options. Identifies available community living options, services, and supports to assist individuals to successfully live in the community Provides information and assists the PASRR service coordinator and other LIDDA staff who are facilitating diversion. Reviews of the individual's admission to ensure that the community living options, services, and supports that could provide an alternative to nursing facility placement have been explored. Reports to HHSC the number of individuals in the target population and provide information about barriers experienced in moving individuals from a nursing facility to the community. Complies with the rules governing service coordination for a person with an intellectual disability.

Enhanced Community Coordination provides intensive and flexible support to achieve success in a community setting. Provides pre-and post-transition services. Monitors the person for one year after transition or diversion. Maintains a caseload of no more than 30 persons. Enhances the person's natural supports and promotes successful community living. Addresses a person's special needs. Coordinates transportation to and from trial visits with community providers. Conducts HCS service planning team (SPT) meetings at least quarterly, or more frequently if there is a change in the person's needs. Conducts monthly face-to-face visits with the person and monitors the delivery of all services and supports. Conducts at least three onsite visits of community service delivery. Ensures the person receives timely assessments of behavioral, medical, nursing, specialized therapies, and nutritional management needs. Monitors all services identified. Monitors critical incidents involving the person and convening the HCS SPT to provide needed prevention or intervention services for the person.

EDUCATION: Bachelor or advanced degree from an accredited college or university with a major in social, behavioral, or human service field including psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human development, gerontology, educational psychology, education, and criminal justice.

EXPERIENCE REQUIRED: Must have at least two years of experience in providing service coordination to individuals with IDD, including those have complex medical needs.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Demonstrated, either through experience or education, ability to work in a rapid pace environment in an organized and professional manner. Has experience in coordinating and/or providing services to individuals with IDD, including those with complex medical needs, in the community. Ability to self-monitor production and quality with minimal assistance. Basic knowledge and familiarity with data systems including business software such as Microsoft Word and Excel. Ability to develop productive relationships with individuals and family members that focus on individual specific outcomes. Ability to recognize and coordinate issues between service systems, and to advocate effectively for individuals served. Organizational and typing skills are a must. The ability to communicate both verbally and in writing. The ability to work as a team member in a diverse environment interfacing with both internal and external customers.

LICENSE/CERTIFICATION:  Valid Texas driver’s license and must be insurable on the Center’s insurance. No more than 3 moving violations in the last 3 years, must have proof of current liability insurance.

Salary: $ 2,917 Monthly
Hours: Monday - Friday, 8am - 5pm (Shift and Pattern may vary)
Benefits: Center pays 100% of employee's health, dental and life insurance. Center contributions to a retirement plan. Paid vacation, holidays, sick, and employee choice days.
Closing Date: Open until filled

Convictions related to any sexual assault, aggravated assault, drug-related offense, murder, theft, battery or any other crime involving personal injury; injury to a child, elderly individual, disabled individual or threat to another person; abandoning or endangering a child; and aiding suicide may make you ineligible for employment in positions in direct contact with consumers of MHMR Services for the Concho Valley.   The names of all prospective employees are cleared through the Texas Department of Public Safety to determine the existence of such records.   Falsification of the application for employment is grounds for dismissal. For insurance purposes driving records will be checked on all employees that are required to drive.

It is the policy of the Center to create and maintain a safe, calm, and secure environment with supportive care, a system-wide understanding of trauma prevalence and impact, recovery and trauma-specific services, and recovery-focused, consumer-driven services that applies to all staff, volunteers, contracted providers, and community partners.


Contact: Susan Daniel
Address: 1501 W. Beauregard
San Angelo, Texas, 76901
Telephone: 325-658-7750
Fax: 325-658-8381
Email: sdaniel@mhmrcv.org