DSHS HCLA Social and Health Program Consultant 4

State of Washington•Multiple Locations - Western Washington, WA

7d•Hybrid

About The Position

The WA Cares Fund (WCF) is the first of its kind in the United States, offering affordable long-term care insurance coverage to all working Washingtonians. This is a rare opportunity to become one of the founding team members as we introduce the nation’s first long-term services and supports social insurance program. DSHS’s Home & Community Living Administration (HCLA) WCF is hiring key team members now to assist as we move toward the full implementation of the program. The innovative work that you do now will aid qualified people and their authorized representatives to apply for and access their earned benefits that help pay for daily-living activities. The Provider Network Navigator serves as a designated specialist for the determination of provider eligibility for the delivery of social and medical long term care services to eligible beneficiaries, in addition to the training of staff who conduct client/beneficiary eligibility assessments, advising providers who deliver services to those clients. The position is responsible for the monitoring of Network of Care Providers, and that the staff processes are meeting state and federal policies and regulations. This position will conduct monitoring and quality assurance audits and reviews responses to quality assurance audits, as necessitated by legal, statutory, or legislative requirements. The incumbent will be required to create, present, assist with implementation, and monitor progress of provider corrective action plans.

Requirements

One year of experience as a Social and Health Program Consultant 3 or equivalent.
Two years of experience as a Social and Health Program Consultant 2 or equivalent.
A master’s degree in social work, health or social science, public administration, or a related field AND four years of professional experience planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs.
A bachelor’s degree in social work, health or social science, public administration, or a related field AND five years of professional experience planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs.
A combination of education and professional experience totaling at least nine years.
A degree in social work must be from a program accredited by the Council on Social Work Education.

Responsibilities

Performing outreach to contracted providers to notify them of outstanding compliance issues as a result of monitoring and audits.
Participates in statewide scheduled monthly case management meetings to collaborate with other navigators.
Review provider application materials and determine eligibility
Assists Administrator and Other Staff Interpreting Policies, and Procedures; Obtains Clarification from Policy Staff Regarding the Registration Process as Needed.
Approve provider registration and licensing
Facilitate provider application, contracting, and licensing.
Research and develop connections with regional providers, employers, community-based organizations, agencies, tribes, and other business partners.
Coordinate and deliver training to staff and providers on various subjects (e.g. registration, contracting, ProviderOne, and Quality Assurance Audits/Monitoring)