This position is responsible for spending the majority of their time supervising, communicating with, motivating, training, and evaluating employees, and planning and directing employees’ work, and has the authority to hire, transfer, suspend, lay off, recall, promote, discharge, assign, reward, or discipline subordinate employees or effectively recommend such action. The incumbent oversees the direct supervision of the Medicaid Waiver Unit for the Region, including but not limited to, providing technical assistance and training to Qualified Organizations (QO), waiver support coordinators (WSCs), Consumer Directed Care Plus (CDC+) Consultants, working with service providers, assisting individuals and families in accessing services, ensuring compliance with Medicaid requirements, conducting WSC case transfers, and other initiative impacting clients serving in the waiver program. Assists the Regional Program Administrator in completing ad hoc reports and other assignments. Directs the work of employees to insure maximum use of time and resources. Participates in planning, development, implementation and evaluation of service programs for persons with developmental disabilities served through the Medicaid Waiver program. Assists in the identification and resolution of specific problems concerning policy implementation and service delivery. Provides technical assistance regarding programmatic and individual issues and assist in interpreting rules, policies and standards. Keeps staff informed of level of achievement on performance indicators and works with other Regional staff to improve performance. Manages oversight of annual medical necessity reviews for all individuals served through the Medicaid waiver program for the Region. Verifies correct iBudget amount for each individual annually. Ensures that assignments are met within required timeframes. Oversees processes by ensuring submissions made to the Regional Operations Manager and Deputy ROM for approval follow the Agency operating procedure and process. Provides technical assistance to staff in the interpretation Medicaid rules, procedures, and requirements. Seeks clarification from the State office as needed regarding new/ongoing policies. Provides feedback on Waiver Support Coordinator and Medicaid Waiver provider scorecards as requested. Ensures current and new information regarding the Medicaid waiver program is provided to waiver support coordinators during monthly meetings. Coordinates Regional specific training and technical assistance for waiver support coordinators. Performs other related duties as assigned.
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Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
Number of Employees
1,001-5,000 employees