CLTS
Support and Service Coordinator
Job Announcement
Position Summary
The mission of Avenues to Community, Inc. (Avenues) is to ensure people with disabilities and older
adults have the opportunity to lead self-determined lives. Since 2001, Avenues has provided Case
Management and Support Broker services through various Medicaid Waiver funding contracts and
through private pay arrangements.
Under contract with Dane County Department of Human Services, Avenues has multiple full-time
positions available for Support and Service Coordinators serving children with disabilities, ages 0 – 18,
who are eligible for the Children’s Long-Term Support (CLTS) Waiver Program.
Duties and Responsibilities
CLTS Waiver Program support and service coordination is the provision of services to locate, manage,
coordinate and monitor all covered supports and services, other program services, regardless of their
funding source, and informal community supports for eligible children and their families. This service
also includes assisting applicants and participants with establishing Medicaid financial, nonfinancial and
functional eligibility, and all other aspects of an individual’s CLTS Waiver Program eligibility. Support and
service coordination also includes assisting the participant to access Early and Periodic Screening,
Diagnostic and Treatment (EPSDT) benefit (known as HealthCheck in Wisconsin), Medicaid State Plan
services, as well as school-based special education services through the Department of Public Instruction
and rehabilitation or college and career ready services through the Department of Workforce
Development, Division of Rehabilitation.
Beyond the participant’s person-centered plan development and other monthly case management
activities, the Support and Service Coordinator’s role includes the primary responsibility of assuring the
participant’s health, safety and welfare. This service includes coordinating or facilitating access to all
services and supports, both formal and informal, which are needed by the child and family to meet their
identified outcomes. This includes locating, managing, coordinating and monitoring a full range of
services and educational assessments, as well as informal supports, consistent with the child and
family’s assessed needs, in a planned, coordinated, and cost effective manner. The Support and Service
Coordinator assures that services are delivered in accordance with waiver program requirements, and
the child’s assessed needs and outcomes. This service also includes an assessment of the family’s needs
so they may adequately support their child in the home or other community setting. The Support and
Service Coordinator facilitates establishing and maintaining the child and family’s individualized support
system. Services provided to children include assuring effective implementation of the child and family’s
support plan; developing, implementing, and updating the family-centered transition plan, and
coordinating across systems, in order to meet the assessed needs.
579 D’onofrio Drive, Suite #208 Madison, WI 53719 | www.avenuestocommunity.com | (608) 663-8390
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