Medicaid Program Manager Jobs in Virginia (NOW HIRING)

Thank you for your interest in working at AccessStar Community Living Services Inc.

ACLS is seeking highly motivated individuals who want to make a positive difference in the lives of others.

OVERVIEW:Manages and provides direct care in the operation of a Group Home Facility providing residential care and programs on a 24/7 basis in service to the medical, physical, psychological and social needs and personal goals for intellectually disabled and developmentally disabled adults. Work is performed under general supervision and is guided by agency policies and procedures, quality assurance, state and federal licensure and accreditation regulations and guidelines and ethical standards related to client interactions.

DUTIES AND RESPONSIBILITIES

• Oversees and participates in the supervision and direct care to residents including interviewing for progress assessments.
• Administers Medicaid Waiver services.
• Schedules, trains, leads and evaluates the work of Group Home staff.
• Assesses the needs of residents through referrals and interviews.
• Monitors compliance to state and local licensure standards.
• Develops, implements and monitors individual service plans in collaboration with the residents, their families, and other service providers.
• Prepares and maintains written and electronic documentation of individual service plans, phone contacts, requirements DBHDS requirements, and other information to meet program, agency, and licensure requirements.
• Prepares and maintains appropriate reports, including needs lists, and monthly service statistics.
• Transports residents.
• Teaches residents basic living skills, including cooking, nutrition, and laundry, cleaning, and budgeting.
• Provides crisis intervention.
• Implements VHDA and HUD requirements and conducts related inspections for the group home.
• Recruits and makes recommendations on hiring, terminations and evaluations.
• Prepares payroll forms and performs other administrative duties related to staff.
• Maintains facilities in compliance with appropriate building and health codes. Initiates building repairs and maintenance.
• Monitors resident medication management and coordinates with group home staff, prescribing physicians and pharmacies.
• Coordinates financial assistance, contact obligations, and other services with other agency staff members and external providers.
• Makes recommendations and proposals regarding program issues, resource needs, policies and procedures.
• Trains and orients staff and care providers.
• Oversees input of service and other documentation to the electronic records system.
• Does related work as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

Thorough knowledge of the theories, principles, practices and techniques related to the care and treatment of individuals with intellectual disabilities; thorough knowledge of the common disabilities of the individual population; thorough knowledge of service plan development, training and evaluation; thorough knowledge of human rights of residents; thorough knowledge of services and programs available to the residents within the agency and by external service providers; thorough knowledge of liability issues; considerable knowledge of case management principles and practices; considerable knowledge of the methods and use of electronic health records; considerable knowledge of the maintenance, security and safety practices and procedures related to the operation of a residential facility; considerable knowledge of state licensure requirements; some knowledge of business and human resource management principles and practices; ability to establish effective working relationships with a variety of others; ability to communicate effectively orally and in writing; ability to operate a vehicle; ability to collect and analyze data from a variety of sources including electronically and prepare recommendations, proposals, reports, etc.; ability to plan, train and supervise the work of others; ability to maintain effective working relationships.

TYPICAL EDUCATION, TRAINING AND WORK EXPERIENCE

Bachelor's Degree in the Behavioral Sciences, and considerable experience in residential treatment programs for intellectually disabled/developmentally disabled adults including some supervisory experience.

LICENSURE AND CERTIFICATIONS

Valid Virginia driver's license. Certification in First Aid/CPR. Training in Therapeutic Options (THEROPS) and Medication Management.

ENVIRONMENTAL AND PHYSICAL EXPOSURE

Work involves considerable exposure to disagreeable environmental conditions such as the requirements to interact with clients having poor hygiene and/or illness or are potentially hostile; drive a vehicle and transport clients in inclement, if not severe weather; regularly physically assisting and/or lifting clients in the course of care and lifting moderate weight objects in connection with the operation of the facility; is frequently interrupted during off-hours with stressful or emergent calls.

RELATIONSHIPS

Relationships require excellent communication and interpersonal skills to represent the program within the department and to community and state partners, organizations and agencies or other stakeholders concerning program initiatives and services and the ability to use appropriate techniques to counsel and manage the behaviors of program participants.

Job Type: Full-time

Benefits:

• Employee assistance program
• Flexible schedule
• Paid time off
• Professional development assistance
• Referral program