Transition Specialist Position Description

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					                                                                             Appendix G-1

                        Transition Specialist Position Description
                               And Desired Qualifications

The duties of the transition specialists are as follows:

1) Social Marketing. The regionally based specialist or specialists will be responsible for
raising and maintaining (over the period of the grant) awareness of the option to
transition, and to elicit support and participation from consumers/family members/legal
representatives, providers, and communities at large. The transition specialist will
provide assistance to interested ICFs/MR and community providers in adapting their
operations to new service demands. The regionally based specialists respond to the
differences in service networks from one region to the next, and the need for regional
planning through quarterly statewide meetings with all the transition specialists. The
specialist would be responsible for engaging regional stakeholders in planning and

2) Initial point of contact for consumers and family members/guardians interested in
transition: If the ICF/MR resident expresses a tentative interest in moving to a particular
community, a specialist for that region will be contacted. If the resident has not
expressed a choice, the specialist assigned to the community in which the ICF/MR is
located will be contacted and will initiate transition planning. In the event that a
preference for a particular community outside the region becomes reasonably certain, the
transition specialist will contact his or her counterpart in that region and in an orderly
manner transfer responsibility for the case. The role of the specialist is to provide
information, ensure full consent and meaningful choices, and to initiate and coordinate
the transition planning process.

3) Transition monitoring and case management for the 365 day demonstration period for
each consumer: The specialists will be trained in the requirements of the MFP initiative
and in how to assure a successful, seamless transition, first to community, and then from
the demonstration to standard waiver services in the county system. The transition
specialist will provide full case management services as well as technical assistance to
providers as needed; ensure compliance with key MFP requirements in such areas as
access to services, qualified residence, guardian involvement, etc.; and ensure timely
communications and reporting to IME on transition milestones.

4) Community Development: The specialist should work to build provider interest in
MFP and promote development of services supporting transition of ICF/MR residents to
community living. The specialist must be knowledgeable of both the Medicaid and non-
Medicaid funded supports essential to MFP transitions, including housing assistance,
vocational, social supports, etc. The specialist must assure the individual has the
information needed to make an informed choice between the traditional Medicaid service
model and the Consumer Choices Option, and inform them of their ability to choose non-
traditional providers during the transition planning process.

                                                                             Appendix G-1

IME recognizes that these individuals cannot be expected to have competencies in all
aspects of community development and Medicaid and non-Medicaid service systems.
Individual specialists with particular areas of expertise could be employed across regions
as necessary to assist colleagues in addressing issues. Capacity building facilitated by the
five year grant should result in an expansion of the competencies of targeted case
managers to deal with transitions, which may allow them to assume greater
responsibilities over time.

Recommendations on Transition Specialist Qualifications

   BA human services field, 5 years experience as a case manager, service provider or a
    related field
   Knowledgeable about HCBS system, housing and service options, MR/BI and related
    conditions to empower the individual to understand and solve her/his own problems
   Demonstrates good communication skills, creative problem solving and knowledge of
    sound business practices for community providers, mediation skills to help people
    prioritize their needs and build an options plan
   Enthusiastic, self-starter, positive attitude
   Consumer focus with commitment to consumers making informed choice and finding
    solutions to support them through their choice
   Understands where to go for appropriate information and assistance, interested in life
    long learning opportunities
   Organized and responds in timely manner

Desirable Attributes of the Transition Specialist
 Professional – perceived as competent and knowledgeable about disability supports
   and services
 Trusted – perceived as objective, respectful, unbiased and able to provide support that
   allows consumers to make informed decisions; sensitive and a good listener
 Culturally Competent – provides supports to address culture, ethnicity, primary
   language and disability
 Flexible - has capacity to creatively problem solve and tailor the plan to the
   individual’s situation and range of needs.
 Collaborative - works closely with other programs, families and communities to
   create a circle of support for the individual; skilled in building rapport and developing
 Consumer-Directed – empowering the consumer and caregivers to make informed
   choices, maintain independence and be in control of their lives