Job Description
Job Description
A-Line Staffing is now hiring a HCBS Case Manager / Service Coordinator
- Pay - $25.00 an hour
- Schedule – M-F 8am-4pm
- Benefits – active after 90 days of employment
Key Responsibilities
- Review electronically submitted critical incident reports to ensure appropriate actions are taken to protect the health, safety, and welfare of HCBS participants.
- Work with Service Coordinators and Managed Care Organizations to obtain additional information, complete investigations, and establish appropriate corrective actions.
- Monitor follow-up activities to ensure critical incidents are investigated, addressed, and closed within required timeframes.
- Analyze complex Excel reports and other data submitted by MCOs to evaluate compliance with CMS requirements.
- Provide feedback and technical assistance regarding performance, compliance, remediation, and incident management.
- Review service plans for participants with complex needs and provide technical guidance to Service Coordinators, participants, caregivers, and service providers.
- Respond to participant concerns, program inquiries, complaints, and other matters involving HCBS programs.
- Investigate complaints and critical incidents and assist in developing appropriate resolutions.
- Prepare written responses to legislative inquiries and other requests for information.
- Interpret established policies, procedures, regulations, and precedent to provide guidance and consultation to stakeholders.
- Identify operational issues that may affect the delivery of appropriate and cost-effective services and recommend potential solutions.
- Assist with the development and revision of OLTL policies, procedures, operational manuals, work plans, regulations, and program directives.
- Analyze trends involving service plans, critical incidents, program performance, and other statistical information.
- Prepare detailed reports, summaries, and analyses to support program administration and management.
- Participate in developing and delivering training to OLTL staff, providers, stakeholders, and other constituents.
- Participate in internal and external workgroups addressing Medicaid waiver amendments, renewals, policies, regulations, system changes, training, and program operations.
- Provide on-site technical assistance, remediation, and problem-solving when necessary.
- Attend team, Division, and Bureau meetings.
- Perform other related duties as assigned.
Required Qualifications & Skills
- Bachelors preferred
- Knowledge of Medicaid Home and Community-Based Services (HCBS) programs, including OLTL Medicaid waivers and the Act 150 Program.
- Knowledge of physical disabilities and associated limitations involving Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).
- Working knowledge of Microsoft Office, HCSIS, SAMS/WellSky, and e-CIS.
INDKS