UTS-Temporary HCBS Waiver Enrollment Analyst in Raleigh, NC
Full Time
North Carolina
Posted
Job description
Posting Information
Department
HR UTS Partnership
Career Area
Health Professional (Physician/Nurse/Other)
Posting Open Date
02/21/2023
Application Deadline
04/30/2023
Position Type
Temporary Staff (SHRA)
Position Title
UTS-Temporary HCBS Waiver Enrollment Analyst in Raleigh, NC
Position Number
Vacancy ID
S020955
Full-time/Part-time
Full-Time Temporary
Hours per week
Work Schedule
FT, 40 hours per week
Position Location
Hiring Range
$23.00-32.00/per hour
Proposed Start Date
Estimated Duration of Appointment
6 months not to exceed 11 months
Position Information
Primary Purpose of Organizational Unit
n/a
Position Summary
The position will ensure the administrative oversight of enrollment in two 1915© HCBS waivers.
Position Overview:
This position will provide administrative support to two 1915 (c ) Home and Community-based Services waivers, known as the Community Alternatives Program for Children (CAP/C) and Disabled Adults (CAP/DA). The CAP waivers are authorized under section1915© of the Social Security Act and comply with 42 CFR § 440.180. These programs provide a cost-effective alternative to institutionalization by supporting a physically disabled Medicaid beneficiary to remain in or return to a home and community-based setting.
This position is critical to ensuring the administrative oversight of enrollment in two 1915© HCBS waivers administered by NC Medicaid. This position will also provide quality assurance oversight in service plan development, health and well-being, and qualified providers assurances. This position will review evaluation for initial and annual eligibility decisions. The position will specifically process referrals, obtain consent forms, coordinate with the physician to establish the level of care requirements and medical needs, evaluate the assessment to identify risk factors, and approve service plans.
Ensuring the initial and annual level of care mandatory requirements are met for all 13,000+ active waiver participants
Ensuring the initial and annual level of care mandatory requirements are met for all 13,000+ active waiver participants
Evaluating the reasonable indication of need from an analysis of a comprehensive assessment to confirm the enrollment in a wraparound home and community-based program
Conducting quality assurance reviews on all service plans to confirm the plan of care is developed to meet identified needs of the program participant
Minimum Education and Experience Requirements
- Master’s degree in Public Administration, Public Policy, Public Health, Nursing, Social Work from an appropriately accredited institution and three years of long-term services and support and home and community-based services or related experience; or
- Bachelor’s degree in Public Administration, Public Policy, Public Health, Nursing, Social Work from an appropriately accredited institution and four years of long-term services and support and home and community-based services; or
- Licensed to practice as a Nurse in the State of North Carolina and three years of long-term services and support and home and community-based services; or
- an equivalent combination of education and experience.
Required Qualifications, Competencies, and Experience
Proven ability to communicate effectively and professionally with employees, managers, and the public (in-person, online, in writing, and on the phone)
Proficient in Microsoft Office products, including Word, Excel, and Outlook
Ability to establish and maintain effective working relationships with other state agencies, providers of services, advocacy groups, and other organizations
Ability to work independently with minimum or no supervision
Ability to effectively manage multiple tasks and priorities
Proven experience in collecting and analyzing programmatic data
Working knowledge of long-term care supports and services and home and community-based care
Proven ability to interpret and apply complex Federal and State regulations
Demonstrated ability to implement corrective measures to promote continuous quality improvement
Preferred Qualifications, Competencies, and Experience
Master’s degree in Public Administration, Public Policy, Public Health, Nursing, Social Work
Considerable knowledge of long-term services and supports and community-based services
Experience in making utilization decision for medical and non-medical services
Experience providing technical assistance and policy interpretation to providers and Medicaid beneficiaries
Demonstrated ability to work with a team
Considerable knowledge in working with health records
Special Physical/Mental Requirements
n/a
Campus Security Authority Responsibilities
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