State of Wyoming HSHP08-07755-Participant Support Specialist-Cheyenne in Cheyenne, Wyoming
HSHP08-07755-Participant Support Specialist-Cheyenne
HSHP08-07755-Participant Support Specialist-Cheyenne
$19.93 - $24.91 Hourly
048-Behavioral Health Division - Developmental Disabilities
Description and Functions
Open Until Filled
The Behavioral Health Division Developmental Disabilities Section, is seeking a highly motivated and detail oriented individual to join our team as a Participant Support Specialist. In administering two Medicaid Home and Community Based Services Waiver programs, the Developmental Disabilities Section works to verify waiver participants receive services as outlined in their plan of care and that individuals have access to both non-waiver and waiver services so that their health and welfare needs are being met.
This position will be responsible for supporting the process by which program participants may request additional funding and administrative hearings. The individual in this position will serve as the agency's subject matter expert of participant-directed services. In addition, this position is responsible for reviewing plans of care for 400 waiver participants, participating in special projects as assigned, and completing surveys for the National Core Indicators project.
ESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed in the job level.
Assure participants are receiving the services that help meet their goals and their health and safety needs are being met.
Schedule and track deadlines to move hearings forward and meet procedural requirements of adverse actions including preparing transmittal forms, exhibits and other documentation as required.
Complete the assigned National Core Indicator Survey to ensure that individuals are receiving the services on their plan, those services meet their needs, and plans are revised as needed. Assure areas of concern with service delivery are appropriately addressed. Travel to specified region and state wide locations to perform these functions.
Provide quality customer services to clients, colleagues, providers and stakeholders. Communicate with necessary parties regarding changes in rules, expectations and goals while ensuring compliance with federal and state regulations.
Collect information in order to prepare packets for distribution to the Extraordinary Care Committee.
Collect, maintain and analyze data and information in order to address federal, state, department and Division requirements and to continuously improve service quality.
Schedule and track deadlines of Optum referrals to track program performance.
Perform quality control checks on data entered in EMWS and other electronic systems.
Provide informal training for participants, families, and providers as well as education and best practices.
Become a Subject Matter Expert in Self-Direction Services area to identify issues and develop policy for implementation including drafting of agency rules, policies and procedures. Monitor utilization of services and report underutilization as needed.
Preference may be given to the candidate with a Bachelor's degree in Human Services or a related field.
Excellent verbal and written communication skills
Conflict resolution skills
Ability to multi-task and manage changing workloads and expectations
Knowledge of resources in the state, communities and non-waiver services that may assist participants in obtaining needed services
Ability to analyze rules and procedures in order to make independent judgments
Knowledge of current rules and procedures
Knowledge of current practices in the field of developmental disabilities
Knowledge of community resources for services
Familiarity with other agencies who serve participants with a developmental disability
Schedule and track deadlines to move administrative hearings forward and meet procedural requirements of adverse actions
Knowledge of legal concepts, terminology, principles and procedures
Process and compile documentation for additional funding requests
Track utilization and enrollment for participant-directed services
Knowledge of various computer programs
Ability to troubleshoot in these programs
Ability to analyze data and work with other Division staff to remediate identified problems
Ability to prioritize work in order to meet deadlines
Bachelor's Degree (typically in Healthcare)
0-2 years of progressive work experience (typically in Health Programs)
Education & Experience Substitution:
3-5 years of progressive work experience (typically in Health Programs)
Certificates, Licenses, Registrations:
Necessary Special Requirements
PHYSICAL WORKING CONDITIONS:
- This job is performed in a normal office environment.
All new hires or rehires starting in a non-exempt position on or after January 1, 2018 are required to be paid hourly.
048-Wyoming Department of Health - Behavioral Health Division
Click here to view the State of Wyoming Classification and Pay Structure.
The State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.
Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.
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