MEDICAL CERTIFICATION SPECIALIST 1 OR 2 - WAIVERS presso State of Louisiana, LA
State of Louisiana, LA · Alexandria, Stati Uniti d'America · Onsite
- Professional
- Ufficio in Alexandria
About the Department
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Why work for CLHSD?
- Vision: CLHSD excels at making lives better.
- Mission: to increase public awareness of and to provide access for individuals with behavioral health and developmental disabilities.
- Philosophy: to integrate community-based services while promoting wellness, recovery, and independence through education and choice of a broad range of programmatic and community resources.
We’re looking for a Medical Certification Specialist 1 or 2 to use highly developed professional skills to provide technical assistance, consultative services, programmatic oversight and direction to support coordination agencies as well as service agencies and Support & Service Centers regarding quality of services, compliance with Medicaid guidelines for waiver certification, assuring health and safety of HCBWS consumers, and service delivery. The selected candidate must be knowledgeable of and familiar with the region-wide resources in order to recommend/refer individuals and/or service agencies to such for assistance.
Applicants with a Nursing degree and license are encouraged to apply.
Position Duties
A bachelor's degree plus two 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 one year of experience in hospital or nursing home administration, health services, health regulation, or social services.
Minimum Qualifications
Other Qualifications
- Incumbent will review and evaluate overall effectiveness of individuals’ comprehensive plans of care ensuring personal outcomes and person-centered goals are identified appropriately within each plan of care, as well as evaluate how support identified will ensure the individual’s health and safety in the community setting.
- All returns or denials of incomplete plans to Support Coordination Agencies are provided with the incumbent providing communication via written communication through Louisiana Statistical Resources System (LaSRS) to Support Coordination Agencies regarding methods of improving or clarifying requested service support.
- Incumbent identifies, coordinates and communicates with supervisor regarding recurring issues/problems with Support Coordination Agencies regarding methods of improving comprehensive plans of care submitted to Waiver Supports and Services Unit.
- Incumbent receives emergency and non-emergency service plan revisions to review for the appropriateness of changes in services that are requested and necessary for the care of the individual.
- For all denials of home and community-based waiver services requested, incumbent prepares a notification letter to the individual or family detailing the reason for denial based on policy and procedure.
- As assigned by administrative staff, incumbent follows all assigned critical incident reports submitted electronically into the SIMS (Statewide Incident Management System) by the Support Coordination and Provider Agencies.
- High Risk situations require more in-depth involvement by incumbent in planning and may require active participation in the assessment and planning process; including on-going interaction with Interdisciplinary Team Members (IDT) and/or possible on-site home visit with the participant to ensure the health and safety of the participant.
- Completes Level of Care (LOC) assessments and approval/denial of ACT 421 Children’s Medication Option applicants to include reviewing each case annually thereafter for continued eligibility. Associated tasks also include monitoring and managing the ACT 421 email to include correspondence with Central Office and Medicaid as needed and maintaining updated forms/policies, maintaining the information in the share drive, completing quarterly updates to Central office, maintaining billing invoices, and maintaining information in the Participant Database.
Position-Specific Details:
Appointment Type: This position may be filled by a probational appointment.
Location: This vacancy is located at the Central Louisiana Human Services District. This announcement serves to fill vacancies in our Waivers Department in Alexandria.
Compensation: Note regarding the advertised pay range: The advertised maximum amount listed is the maximum salary a person can make while in this title/level over their career and not the maximum amount we are allowed to pay a new hire.
Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.
How To Apply:
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
Contact Information:
For further information about this vacancy, contact:
Central Louisiana Human Services District
5411 Coliseum Blvd.
Alexandria, La 71303
