JR2024-00011638 Program Accuracy Specialist for Long-Term Care (Open)
Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): 12-16-2024
Job Description:
Are you passionate about ensuring accuracy and excellence? The Nebraska Department of Health and Human Services, Division of Medicaid and Long-Term Care, is seeking a detail-oriented and driven individual to join our team as a Program Accuracy Specialist. If you're ready to make a difference for Nebraskans, this is the perfect opportunity for you!
Examples of Work
Job duties of the Program Accuracy Specialist include but are not limited to the following:
Monitor and track compliance with federal requirements for the State's PASRR program.
Participate in PASRR program development and improvements with the vendor and the contract manager.
Conduct desk reviews of resident charts for nursing facility residents with Level II Pre-Admission Screening and Resident Review (PASRR) evaluations to ensure the recommendations in the PASRR are implemented and ongoing.
There may be limited onsite visits to nursing facilities to meet face to face with residents and care management teams at the facility.
Provide guidance to residents and their care management team who express a desire to move to a community-based setting with supports in place
Take an active part in team discussions towards these goals
Develop and provide training to residents, families, and nursing facility staff regarding the PASRR process and community options.
Requirements/Qualifications
Minimum Qualifications: Two years experience in a health and/or human services field or public service organization with responsibility for determining eligibility, assessing public assistance needs, or case management using program rules and regulations OR 24 semester hours of post high school education in behavioral sciences, social sciences, public/business administration, adult education or closely related field and experience in eligibility determination or assessing needs for public assistance and/or social services programs.
Preferred Qualifications: Experience in nursing facilities which includes interpreting and analyzing laws, rules, regulations, policies, and procedures. Knowledge of: methods and techniques of program planning; federal and state laws, rules, regulations and procedures pertaining to health and human services programs; quality assurance mechanisms; principles and techniques of planning, monitoring and evaluating human services programs and service delivery systems. Experience with technical, security and policy support for program data systems. Knowledge and understanding of the federal requirements for the Pre-Admission Screening and Resident Review (PASRR).
Knowledge / Skills / Abilities
Knowledge of: federal and state program regulations, laws, and case processing; quality assurance and monitoring tools and methods; case management practices including assessment, analyzing critical information, plan development and implementation, adult training theories, principles and practices; statistical data and collection methods.
Skill in: teaching others; monitoring and assessing work performance of others.
Ability to: learn and apply agency policies and procedures; interpret, explain, and apply State and federal laws and regulations; conduct data analysis, quality assurance reviews, and identify trends; communicate with others to receive and relay information; analyze situations and develop an appropriate course of action; effectively interrelate with a wide variety of individuals; formulate conclusions; persuade others; develop, implement and present training programs; conduct root cause analysis and recommend appropriate actions.
Benefits
We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits
Equal Opportunity Statement
The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.
Current employees of the State of Nebraska should NOT apply on this external career. Instead go to Workday and access the Jobs Hub - Internal Apply app from your home landing page.
