Medical Certification Supervisor

State of Louisiana•Baton Rouge, LA

6d•Onsite

About The Position

CAHS excels at making lives better by delivering caring and responsive services, leading to a better tomorrow. CAHS commits to the philosophy that all individuals are valuable members of the community and exists to help each person(s) served live productively in the location and environment of their choosing and abilities. CAHS staff works as a unified team to provide services and supports that help person(s) served succeed in work, school, life, and other endeavors they pursue. We are seeking a dedicated Medical Certification Supervisor to lead our certification team and ensure accurate, timely, and compliant delivery of Waiver Services. This rewarding role offers the opportunity to make a meaningful difference in the lives of individuals with developmental disabilities and their families throughout our district. As a Medical Certification Supervisor, your will provide leadership, guidance, and oversight to support high-quality services while ensuring compliance with applicable regulations and standards. Your expertise will help individuals access the supports they need to live meaningful and fulfilling lives in their communities. This position offers the chance to create lasting, positive change while continuing to grow and advance your career in the field of Developmental Disabilities services. If you are driven by purpose, committed to excellence, and passionate about helping others, we encourage you to apply and join our team.

Requirements

A current Louisiana license in a health services field, health regulation field, or social services field plus four years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR
A bachelor's degree plus four years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR
A master's degree in a health services field, health regulation field, or a social services field plus three years of experience in hospital or nursing home administration, health services, health regulation, or social services.

Responsibilities

Ensure that Louisiana Legislature-funded Community-Based Waiver Service resources are utilized effectively, efficiently, and in accordance with applicable regulations and program requirements.
Provide leadership, oversight, and direction for certification and monitoring activities within the District Office.
Anticipate programmatic and operational needs; establish goals, priorities, benchmarks, objectives, and performance expectations to support service excellence.
Develop, implement, and maintain work processes, protocols, and quality improvement initiatives to enhance program effectiveness and compliance.
Supervise staff by assigning workloads, scheduling employees, delegating responsibilities, and monitoring performance to ensure timely and accurate completion of duties.
Participate in recruitment activities, including interviewing applicants and making hiring recommendations for prospective employees.
Interpret and apply policies, procedures, and service delivery standards; identify opportunities for improvement and recommend revisions as appropriate.
Oversee the Critical Incident Reporting process through the Statewide Incident Management System (SIMS).
Review, investigate, and coordinate the timely resolution of complaints in accordance with Centers for Medicare & Medicaid Services (CMS) requirements and established organizational procedures.
Monitor complaint resolution activities to ensure compliance with regulatory timeframes, documentation standards, and quality expectations.