SPECIFIC RESPONSIBILITIES Intake, Eligibility, Discharge & Admissions Oversight Manage all incoming requests for OPWDD services and determine preliminary eligibility through review of clinical documentation, psychological evaluations, psychosocial histories, DDP clearance, and psychiatric assessments when required. conduct interviews with the people supported, families, advocates, and CCOs to review applications, entitlement status, and program options. Ensure all applications are completed, documented, and maintained in agency systems; track each applicant’s progress from initial referral through placement. Distribute completed and eligibility-verified applications to the appropriate program departments. Collaborate with department leaders (Residential, Community Habilitation, Day Habilitation, Family Care,) to identify program vacancies and discuss placement opportunities. Maintain and update waitlists for all OPWDD-funded programs, HCBS Waiver services, CCO referrals, residential schools, and agency contracts. Schedule and coordinate screening meetings, ensuring participation from required team members (individual, family/advocate, BIS, RN, Care Manager for IRA, QIDP for ICF, Director of Entitlements, and Program Coordinator). Ensure accurate and timely completion of screening documentation and follow-through on recommendations. Facilitate timely placement of eligible individuals to avoid service delays and support accurate billing and reimbursement. Provide operational and administrative oversight of the discharge process across OPWDD programs. Provide oversight of the DPP (Developmental Disabilities Profile) process, ensuring timely updates, accuracy, and compliance with OPWDD standards. Oversee OPWDD requirements related to intake, eligibility, documentation, and program transitions to ensure agency-wide adherence. Manage and update the Choices system, ensuring accuracy of openings, referrals, program capacity, and required status changes. Provide administrative guidance and training to QIDPs on intake, screening, and discharge procedures. Promote cross-training among QIDPs to strengthen operational continuity and improve understanding of the endâtoâend intake/discharge process. Maintain strong relationships with DDROs and OPWDD Transition/Movement Coordinators to support referral flow, program visibility, and regulatory alignment. Participate in regional and statewide intake committees to ensure compliance with OPWDD documentation standards and best practices. Collaborate with billing and fiscal departments to ensure accurate coding, documentation, and reimbursement for OPWDD-funded services. Other duties as requested by Divisional Director or Designee Program Development & Expansion In Partnership with the IDD administrative leaders Identify opportunities for new programs or expansion of existing services based on community needs and strategic priorities. Assist with RFPs, site selection, and coordination with architects, contractors, and OPWDD for new program development. Lead family and resident engagement meetings to support program planning and transition readiness. In Partnership with SCO Business Operations Team Oversee completion of regulatory documentation including CON-1, Padavan Process, PPA, and OPWDD services requests. Ensure all OPWDD regulations are met prior to pre-opening surveys and program launches in Partnership with the designated Program Director. Provide training and support to intake staff and QIDPs on eligibility, documentation, and the Front Door process. QIDP Supervision & Clinical Oversight Provide direct supervision and clinical support to QIDPs across all programs. Ensure timely review and approval of person-centered program plans, CFAs, and Staff Action Plans. Guide QIDPs in meeting OPWDD and CMS regulatory requirements, including DDP2s, History Books, and service documentation. Coordinate with clinical consultants (OT, PT, Speech) to ensure integrated care planning. Conduct audits of QIDP documentation and provide feedback for continuous improvement. Support QIDPs in MyEvolv documentation and reporting; attend training courses and provide system support as needed. Step in to support program operations in the absence of a QIDP. Design and implement a comprehensive training curriculum for QIDPs covering leadership, communication, clinical supports, regulatory compliance, and person-centered planning. Facilitate ongoing training sessions and maintain up-to-date training materials. Evaluate training effectiveness and adjust content to meet evolving needs and standards. Promote cross-training to enhance QIDP flexibility and ensure continuity of care across programs. Audit Program History books as deemed necessary, to ensure consent are up to date. Respond to Program Survey Audit as deemed necessary. Electronic Health Records (EHR) Oversight Provide strategic and operational oversight of all EHR-related processes, with a focus on MyEvolv. Ensure accurate and timely documentation of clinical and programmatic data in MyEvolv across all OPWDD programs. Serve as the point of contact for troubleshooting EHR issues, coordinating with IT and Internal leaders as deemed necessary. Monitor data integrity, compliance, and reporting accuracy within MyEvolv to ensure adherence to OPWDD and Medicaid standards. Support QIDPs and program staff in navigating MyEvolv, including training, workflow optimization, and documentation standards. Attend MyEvolv training and system enhancement sessions; disseminate updates and best practices to relevant staff. Collaborate with leadership to align EHR usage with agency goals, audit readiness, and quality improvement initiatives.
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Job Type
Full-time
Career Level
Mid Level