Coordinates the accreditation process and ensures accreditation standards are met for the Supportive Housing Division; Responsible for writing and maintaining Division standard operating procedures; Internally audits Medicaid billable service documentation to ensure it meets Department of Health and Social Services Division of Behavioral Health Regulations and Medicaid standards; Acts as the Division privacy officer in accordance with the Security Rule under 45 CFR Part 160.
$ Rate is DOE.
ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIES:
- Responsible for drafting self-assessment documents, customer service surveys and other required accreditation documentation.
- Responsible for drafting and updating Division-wide Standard Operating Procedures. Provides technical and program guidance to Supervisors and Managers on compliance issues surrounding these procedures.
- Serves as the designated Privacy Officer for the Division in accordance with the Security Rule under 45 CFR Part 160. In this role is responsible to maintaining the security, release of all electronic client files, and other protected health information.
- Analyzes, reconciles, and produces reports regarding Medicaid billable services.
- Reviews all documentation submitted by RurAL CAP to the third party biller for compliance prior to submission.
- Identifies and reports policy and regulation compliance issues along with suggested mitigation solutions to the Division Director or other appropriate persons.
- Organizes new hire training for Medicaid compliance, confidentiality, and operating procedures. Develops training curriculum as needed.
- Works with Xerox, Division of Behavioral Health, and other community partners in regards to Medicaid, grantee, and accreditation standards.
- Internally audits treatment plans, case plans, assessments, case notes, progress notes, recipient support services notes and other documentation for compliance with Department of Health and Social Services Behavioral Health Service Integrated Regulations. Creates reports of deficiencies for supervisors and managers to correct.
- Works closely with IT and Development departments to improve data tracking and databases for compliance purposes.
- Prepares documentation and attends meeting for annual audits, monitoring’s, or other compliance reviews.
1. Participates in program Supportive Housing Advisory Council meetings.
2. Maintains program measurement data as needed.
3. Prepares quarterly progress reports; assists with preparation of funding applications.
4. Deescalates or assists in dealing with emergency resident situations on a Supportive Housing Division property.
5. Performs other job related duties at the request of Program Manager or Supportive Housing Division Director.
6. Performs other duties as assigned.
- Proficient in business writing and organizes large volumes of information.
- Provides information to site supervisors, volunteers, co-workers and the general public by telephone, in written form, e-mail, or in person.
- Keeps up-to-date with changes in the field, seeks out and participates in continuing education and applies new knowledge to the job.
- Uses relevant information and individual judgment to determine whether events or processes comply with current program standards, laws, or regulations.
COMPETENCIES, SKILLS, AND ABILITIES:
- Communicates effectively orally and in writing as appropriate for the needs of a diverse audience.
- Possesses judgment and decision making abilities to evaluate the relative costs and benefits of potential actions to choose the most appropriate one.
- Skilled in the use of persuasion to change others minds or behavior to bring them together to try to reconcile differences.
- Ability to read, comprehend, and follow established policies and procedures.
- Ability to manage work time well, prioritize and meet deadlines.
- Ability to exercise good judgement, courtesy and tact.
- Ability to establish a good rapport with people of diverse cultures and belief systems.
- Demonstrated ability to work effectively in a team environment.
- Must demonstrate sound judgment, professional boundaries, ethics, and ability to maintain confidentiality.
WORK ENVIRONMENT/JOB CONDITIONS:
- Agency is a mandated tobacco, drug and alcohol free workplace.
- Develops and maintains constructive and cooperative working relationships with others.
- Uses computers and computer programs effectively to enter data, create spreadsheets and process information, and, develop documents, program and training materials.
- Develops specific goals and plans to prioritize, organize, and accomplish work.
- Communicates with others outside the organization, representing the organization to customers, the public, and other external sources in person, in writing, or by telephone or e-mail in keeping with current policies & procedures.
- Capable of maneuvering through the Supportive Housing Division facilities.
- Ability to handle intoxicated residents calmly and proficiency.
- Ability to respond quickly in emergency situations and deescalate hostile, aggressive or threating situations.
- Able to endure and balance work fluctuations, deadlines, and interruptions; must be able to work weekends, and long hours during occasional peak work periods.
- Requires extensive networking, teamwork with other employees, and an ability to share information and speak in open forums and in front of groups.
- Must have the ability to operate the following equipment: desktop computer, telephone, copier, PC printer, and fax machine.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- While performing the duties of this job, the employee is regularly to grasp, type, see, talk, hear, and lift and carry 50 pounds of weight by utilizing proper lifting techniques and working in a safe manner. This position will also be performing physical activities such as climbing, lifting, balancing, walking, stooping, bending, and handling materials.
- Occasionally performs sedentary activities that require sitting for long periods and repetitive use of hands, wrists and arms for handling, positioning, moving materials, and manipulating things.
- Must be in good general health and free from serious physical, mental health and/or substance abuse problems.
POSITION TYPE/EXPECTED HOURS OF WORK:
This is a full-time position. Days and hours of work are Monday through Friday, 8 a.m. to 5 p.m. or hours vary with location. Occasional evening and weekend work may be required as job duties demand.
Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected.
EMPLOYMENT REQUIREMENTS AND REQUIRED EDUCATION:
- Must be at least 18 years of age.
- BA degree in business administration, human services, human resources, or related field plus 1 year, or five years comparable work experience
- Must pass state and federal background checks, including fingerprints.
- Experience providing technical support, supervision, and training.
- Experience with grant regulations, Medicaid, HIPAA, and compliance issues.
- Organizational skills to maintain daily work flow and meet project deadlines.
- Demonstrated ability to successfully interpret and implement company and departmental policies, procedures, and service standards.
- Demonstrated effective oral and written communication skills including expertise in cross-cultural communication.
- Ability to demonstrate cultural competency and have high standards of ethics, confidentiality, and professionalism.
- Responsible work ethic with reliable attendance.
- Proven ability and willingness to be self-directed in problem solving and decision-making and perform basic assignment with little or no direct supervision while also working effectively as a team member.
- Demonstrated intermediate level of computer skills necessary in order to use and create documents and reports, spreadsheets, workshop materials and slide presentations, and to enter data into intricate database programs and proficient use of Microsoft Word, Excel, PowerPoint, Publisher, and Outlook.
- Must keep all matters concerning participants in strictest confidence as required by HIPAA privacy and the 42 CFR, Part II confidentiality regulations.
- Must be able to provide own transportation to meet work schedule requirements.
- Must have a valid driver’s License and maintain a valid driver’s license throughout the course of employment. Must provide a copy of current driving record from the Department of Motor Vehicles annually.
- Must have an insured vehicle, present proof of insurance, and maintain proof of insurance throughout the course of employment.
- Agency recommends annual TB screening and physical as part of employee’s personal wellness plan. (Recommendation – Not a requirement of this position)
PREFERRED EDUCATION AND EXPERIENCE:
1. MA degree in business administration, human services, human resources, or related field plus 2 years comparable work experience.
2. Technical experience in grant management, service delivery, and Medicaid.
3. Experience with the organizational accreditation process.