Trust Fund Monitor

TX-HHSC-DSHS-DFPS•Abilene, TX

9d•Hybrid

About The Position

The Accountant IV, Trust Fund Monitor (TFM), works under general supervision of the Long-Term Care Regulation Trust Fund Monitoring unit manager. The TFM monitors the activities in Resident Trust Fund accounts at nursing facilities (NF) and Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/IID). NF and ICF/IID residents are allowed to keep limited personal funds on deposit with the facility for personal spending. These funds are held in a pooled account with the facility acting as fiduciary. The TFM conducts routine reviews, Change of Ownership (CHOW)/closure audits and financial complaint investigations in these facilities to assure compliance with the Texas Administrative Code (TAC) as it relates to the management and protection of resident funds. Additionally, the TFM must evaluate the accounting and documentation systems which the facilities have in place for the resident trust fund. TFMs are required to communicate on a complex level with others, both internally and externally, to provide, exchange, and/or verify information and to provide complex technical assistance. The TFM sets their own schedule relative to their caseload and assignments. TFMs are classified as mobile workers and must be available to travel at least 60% of the week, as needed. Overnight travel may occasionally be necessaryTrust Fund Monitor (TFM) works under the general direction of the TF Unit (TFU) Manager. The TFMA has considerable latitude and independent judgement while performing their duties. The TFCA must communicate on a complex level with internal and external stakholders to provide, exchange, or verify information; provide technical assistance; and addresss issues or resolve problems.

Requirements

Knowledge of accounting principles and systems as well as program and eligibility criteria for Medicaid for the Elderly and Permanently Disabled (MEPD).
Knowledge of accounting principles.
Ability to work independently and create concise, complex, and accurate reports.
Ability to interpret rules; regulations; policies and procedures; analyze and evaluate facts and financial data, fiscal data and accounting systems; develop, implement and enforce corrective actions; and communicate findings on a complex level with others.
Ability to solve problems and negotiate for positive outcomes.
Ability to work under stress and meet strict deadlines, using a high level of multi-tasking and organization.
Ability to successfully organize and prioritize workload.
Skill in establishing and maintaining effective working relationships.
Skill in conducting inspections and investigations and determining proper courses of action.
Skill in Microsoft Word and Excel.
Graduation from a 4-year college or university with emphasis in accounting, business administration, or a related field.
Experience with Medicaid eligibility for the Elderly and Permanently Disabled (MEPD)
Experience with Word and Excel
Experience in creating and editing Word and Excel documents
Must have reliable transportation.
Must have valid Texas Driver’s License
All applicants must pass a fingerprint criminal background check.

Nice To Haves

Experience conducting nursing facility or ICF/IID trust fund monitoring and investigations or MEPD experience may substitute for education on a year-by-year basis for a maximum of 4 years.
Willingness to travel 60% of the week with possible overnight stays

Responsibilities

Conduct monitoring visits, confidential complaint investigations and CHOW/Closure audits as scheduled.
Write corrective action plans and follow up to make certain that the corrections have been made by the facility if deficiencies are identified.
Report activities to state office on a weekly basis.
Retain complete hard copy files until contents are uploaded electronically.
Submit fraud referrals, Employee Misconduct Registry (EMR) referrals and Nursing Home Administrator Misconduct referrals, as necessary.
Provide evidence and testimony in court, related to these cases.
Participate in formal and informal appeals and must travel as needed.