Appeals Resolution Specialist

San Andreas Regional Center•San Jose, CA

3d•Hybrid

About The Position

While maintaining good public relations and implementing the goals and vision of the Regional Center, this position is responsible for administering and resolving appeal and complaint requests in accordance with the provisions of the Lanterman Developmental Disabilities Services Act, the Regional Center’s contract with the California Department of Developmental Services, and the policies of the Board of Directors. This job requires the individual to have an understanding of the Lanterman Developmental Disabilities Services Act and to apply independent discretion and judgement in all facets of services and appeals.

Requirements

A bachelor’s degree in social work, public administration, or a related field and two years of increasingly responsible social work experience, including experience with Regional Center systems and programs for the developmentally disabled.
Knowledge of regional center systems and procedures, developmental disabilities, and effective quality service delivery.
Possess the ability to independently plan and schedule work, provide oral and written presentations, and adjust to changing situations and priorities.
Knowledge of the principles of effective and authentic professional communication and conflict resolution.
The ability to work effectively, positively, and cooperatively with individuals served, their families and representatives, colleagues, the community, and other agencies.
Creative problem-solving ability.
People management.
Use of an automobile, possession of a valid driver’s license and proof of automobile liability insurance for the minimum amount prescribed by law, or the ability to provide for independent transportation.

Responsibilities

Oversee, support and provide direction to Service Coordinators, including providing critical feedback.
Establish and maintain collaborative, cooperative, and positive working relationships with individuals served, their families and representatives, regional center staff, the Office of Administrative Hearings, and the Department of Developmental Services.
Represent, or assist to represent, the Regional Center in some or all aspects of informal meetings, mediations, and/or appeal hearings in compliance with California Welfare & Institutions Code Section 4700 et al.
Complete required forms and paperwork to set and maintain appeals with the Office of Administrative Hearings, including drafting and submitting appropriate requests, motions, and statements.
Negotiate and mediate with individuals served, their families, and their representatives to resolve disagreements and prepare and draft informal decisions and mediation agreements.
Prepare witnesses and secure and prepare all necessary exhibits for hearing.
Investigate, or assist to investigate, allegations of improper activity or violations of the rights of individuals served by vendor service providers or Regional Center staff and contractors under W&IC § 4731 and the Regional Center Whistleblower Policy, in compliance with the Center’s contract with the Department.
Draft and submit reports to the Executive Director or their designee regarding factual findings and recommended resolution of complaints of individuals served by vendor service providers or Regional Center staff and contractors under W&IC § 4731 and the Regional Center Whistleblower Policy.
Maintain and update appropriate tracking systems and reports to ensure compliance with Regional Center, state, and federal requirements.
Provide technical assistance, as required, in the preparation of notices of action in compliance with Center requirements and policies and with the Lanterman Act.
Provide training to community, stakeholders, or Regional Center staff regarding appeals and complaints as requested.
Assist with the analysis and reporting of appeals, hearings, and complaints to determine trends and recommendation of appropriate proactive changes to policy and procedure.
Uses independent judgement to provide instructions to service coordinators, managers, or other staff regarding appeals, complaints and other essential functions of service coordinators’ day-to-day responsibilities.
Acts as a resource to give direction to service coordinators.