Case Management Coordinator, ODP

About the role

Join our team as a Case Management Coordinator, ODP, focusing on the pre-admission process and building key relationships. This role supports our operational team with expertise in ODP and the Pennsylvania waiver system. You will play a strategic part in expanding our community presence and enhancing care management.

Key facts

What you'll do

• Manage a caseload of ODP individuals across Eastern and Central Pennsylvania, ensuring high-quality care.
• Coach and mentor Direct Support Professionals (DSPs) to meet ODP standards, with HR team support.
• Assist the Case Management Team with new Starts of Care within a reasonable geographic area.
• Ensure Individual Support Plans (ISPs) are implemented through updated records, documentation, and quarterly reports.
• Oversee staff schedules for your caseload and ensure timely, accurate electronic documentation.
• Audit schedules weekly for pre-billing teams.
• Educate families on service definitions and compliance.
• Lead provider introduction meetings with families and Support Coordinators (SCs) to present the Abby Care model.
• Act as a pre-admission liaison with intake and HR teams, handling HCSIS and AE communications.
• Manage relationships with SCO leadership and individual Support Coordinators.
• Support market expansion by identifying community opportunities and building relationships with advocacy groups.
• Update the Payroll/Pre-Billing team on documentation and EVV records to meet ODP regulations.
• Train and mentor the Care Coordination team on ODP standards.
• Serve as the primary escalation point for Community Care Coordinators regarding incidents, complex concerns, or billing issues.
• Conduct quarterly reviews of documentation, EVV, and service notes against ODP 6100 regulations.
• Oversee the Enterprise Incident Management (EIM) process, ensuring accurate and timely state reporting.
• Track and manage incoming complaints for record-keeping and AE communications.
• Participate in developing and rolling out Quality Assurance and Incident Management audits and quarterly Quality Management Planning meetings.
• Communicate high-level regional updates, systemic risks, or performance trends to the ODP Lead.
• Work with Community Event Associates to support the regional community event calendar.

Requirements

• At least 2 years of experience in an Office of Developmental Programs (ODP) role (e.g., Support Coordination, Program Management, Residential Director) or 4 years of various ODP field experience.
• Minimum of 2 years of direct experience within the Pennsylvania ODP space.
• Strong understanding of ODP waiver regulations, HCSIS, EVV, PROMISe, and the ISP process.
• Experience with SCO relationships, documentation systems (EMR/EHR), and EVV requirements.
• Valid driver's license and reliable transportation.
• Ability to speak, read, write, and understand English.
• Capable of occasional lifting or pulling up to 20 lbs.
• Ability to perform physical activities required for in-home visits, such as using stairs or standing.

Nice to have

• Experience in Case Management.
• Existing relationships with County MH/ID offices and SCOs in Eastern PA.
• Bilingual skills.
• Availability to work outside standard business hours when necessary.

Skills & tools

• HCSIS
• EVV
• PROMISe
• EMR/EHR
• EIM (Enterprise Incident Management)

Practical notes

This position offers competitive compensation, comprehensive health coverage (including a $0 deductible PPO and company-funded HSA), generous paid time off, 10 paid company holidays, and financial savings benefits like HSA contributions and 401(k) fee coverage. Paid parental leave of up to 10 weeks is also provided. Abby Care uses automated decision tools for initial candidate matching, but all hiring decisions include human review. For questions or alternative processes, contact talent@abbycare.org.