Intermittent Rehabilitation Program Specialist 2 (PN 20035339)

State of Ohio•Columbus, OH

46d

About The Position

Reviews assessments & makes determinations related to level of care requests submitted by county boards of developmental disabilities (CBDDs) for initial & ongoing enrollment in Medicaid Home & Community-Based Services (HCBS) Waivers & by intermediate care facilities for individuals with intellectual disabilities (ICFs) for initial & continued admission. Conducts face-to-face assessments of individuals prior to denying a level of care request. Prepares correspondence and hearing rights to send to individuals who are denied services or found to no longer meet necessary requirements for services. Prepares hearing summaries and supporting documentation for hearings to submit to the Bureau of State Hearings. Reviews assessments submitted by CBDDs & develops individualized recommendations relative to least restrictive placement options for individuals seeking admission to ICFs. Develops & coordinates pre-admission screens & resident reviews (PASRR) for individuals with developmental disabilities seeking admission to nursing facilities; coordinates program requirements & necessary steps for people with developmental disabilities seeking admission to Medicaid-certified nursing facilities from hospitals, private residences, & community-based programs, ensuring compliance with applicable federal & state requirements & best practices. Performs records/documentation development/maintenance functions (e.g., develops, sends & receives email & phone communications from involved parties); uses the appropriate DODD applications (including, but not limited to. level of care application & PASRR tracking system, HENS, KePro) to record required information. Prepares hearing summaries and supporting documentation for hearings to submit to the Bureau of State Hearings. Reviews assessments & makes determinations related to preadmission counseling (PAC) submitted by CBDDs for long-term admission to ICFs. Advises state & local staff on correct procedures to follow related to submission of level of care assessments, preadmission screens, &/or resident reviews. Collaborates with other department/division staff regarding relationship of level of care & enrollment in HCBS Waiver &/or placement in ICFs. Provides testimony at hearings, if necessary. Procures federal dollars. Provides support to staff throughout the Department who are assigned responsibility for the administration of Medicaid processes & procedures (e.g., reviewing & revising policies & procedures related to level of care, PAC & PASRR to inform policy analysis & development). Monitors & evaluates systems activities of local Department of Job & Family Services (DJFS) case workers through Client Registry Information System Enhanced (CRIS-E) &/or Ohio Benefits System (OBS) (e.g., new applications, Medicaid eligibility determinations, appeals, etc.) Advises state & local staff on correct procedures to follow to assist applicants to obtain Medicaid eligibility, provides technical assistance & assists in problem solving between DJFS case workers or other systems. Implements program policy & procedures that impact waiver eligibility. Provides testimony at hearings, if necessary.

Requirements

Graduate degree in a human service area (i.e., rehabilitation counseling, special education, guidance & counseling, psychology, social work, child & family community services) as required by an accredited college or university
A graduate degree that leads to licensure as a licensed professional counselor by the Ohio Counselor & Social Worker Board.
Completion of graduate degree in other related vocational rehabilitation areas (e.g., rehabilitation management/administration from an accredited college or university).
Completion of graduate field of study in human services area (i.e., same examples as cited previously) as required by accredited college or university AND 12 months' experience as Rehabilitation Program Specialist 1, 69731.
In Ohio Department of Mental Health & Addiction Services only, licensed, certified, or registered clinical professional per OAC 5122-21-03 (E) Personnel Requirements (2).
In Ohio Department of Developmental Disabilities only, 4 years' experience in private or governmental agency responsible for habilitative &/or rehabilitative programs development in developmental disabilities (i.e., working with individuals with developmental disabilities) AND a bachelor's degree in professional human services field (e.g., psychology, education, anthropology) in accordance with provisions of 42 CFR 483.430(b)(5)(x) & interpretive guidelines issued by centers for Medicaid & Medicare services.
Counseling and Rehabilitation
Attention to Detail
Time Management
Confidentiality

Responsibilities

Reviews assessments & makes determinations related to level of care requests submitted by county boards of developmental disabilities (CBDDs) for initial & ongoing enrollment in Medicaid Home & Community-Based Services (HCBS) Waivers & by intermediate care facilities for individuals with intellectual disabilities (ICFs) for initial & continued admission.
Conducts face-to-face assessments of individuals prior to denying a level of care request.
Prepares correspondence and hearing rights to send to individuals who are denied services or found to no longer meet necessary requirements for services.
Prepares hearing summaries and supporting documentation for hearings to submit to the Bureau of State Hearings.
Reviews assessments submitted by CBDDs & develops individualized recommendations relative to least restrictive placement options for individuals seeking admission to ICFs.
Develops & coordinates pre-admission screens & resident reviews (PASRR) for individuals with developmental disabilities seeking admission to nursing facilities; coordinates program requirements & necessary steps for people with developmental disabilities seeking admission to Medicaid-certified nursing facilities from hospitals, private residences, & community-based programs, ensuring compliance with applicable federal & state requirements & best practices.
Performs records/documentation development/maintenance functions (e.g., develops, sends & receives email & phone communications from involved parties); uses the appropriate DODD applications (including, but not limited to. level of care application & PASRR tracking system, HENS, KePro) to record required information.
Reviews assessments & makes determinations related to preadmission counseling (PAC) submitted by CBDDs for long-term admission to ICFs.
Advises state & local staff on correct procedures to follow related to submission of level of care assessments, preadmission screens, &/or resident reviews.
Collaborates with other department/division staff regarding relationship of level of care & enrollment in HCBS Waiver &/or placement in ICFs.
Provides testimony at hearings, if necessary.
Procures federal dollars.
Provides support to staff throughout the Department who are assigned responsibility for the administration of Medicaid processes & procedures (e.g., reviewing & revising policies & procedures related to level of care, PAC & PASRR to inform policy analysis & development).
Monitors & evaluates systems activities of local Department of Job & Family Services (DJFS) case workers through Client Registry Information System Enhanced (CRIS-E) &/or Ohio Benefits System (OBS) (e.g., new applications, Medicaid eligibility determinations, appeals, etc.)
Advises state & local staff on correct procedures to follow to assist applicants to obtain Medicaid eligibility, provides technical assistance & assists in problem solving between DJFS case workers or other systems.
Implements program policy & procedures that impact waiver eligibility.