Job Description

Job Details

Job Location
Belton - IDD Mary Jane - Belton, TX

Position Type
Full Time

Education Level
4 Year Degree

Travel Percentage
Up to 10%

Job Shift
Day

Description

Minimum Starting Hourly Rate: $22.30/hr

Maximum Starting Hourly Rate - Dependent on Qualifications

Benefits

• Health
• Dental
• Vision
• Life Insurance
• Generous Paid Time Off - 9.23 hrs per pay period
• 10 Observed Company Paid Holidays
• 8 Hours Annual Volunteer Time Off
• Retirement Plan w/ Employer Match
• Employee Assistance Program
• Flexible Spending Account

GENERAL DESCRIPTION

Performs complex (journey-level) consultative services and technical assistance work. Work involves planning, developing, and implementing an agency program and providing consultative services and technical assistance to program staff, government agencies, community organizations, or the general public. May provide guidance to others. Works under general supervision, with moderate latitude for the use of initiative and independent judgment.

Serves as the Quality Assurance Specialist for all IDD Provider and Authority Services. Assists in the activities of quality planning, assurance, control, and improvement. Serves as a support for all IDD areas in maintaining quality objectives. Conducts regular review of program notes and reports as assigned. Conducts comprehensive chart reviews to ensure compliance across IDD programs. Works closely with Project Manager to identify and address trends, create training material, and assist in training staff. May provide direct feedback to multiple areas. Identifies trends and recommends changes. Provides input on the development of quality control policies, procedures and standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Training
  • Responsible for completing MyAvatar training for all new IDD staff.
  • Participates in the development of new trainings for IDD services.
  • Assesses trainings and makes appropriate recommendations.
  • Trains new staff on note correction process. Available to new staff for questions.
  • Participates in identifying trends and works with Project Manager and IDD Management to develop and deliver trainings on identified needs.
  • Collaborates with IDD Data Manager as needed regarding MyAvatar trainings.
• MyAvatar
  • Collaborates with all staff in the IDD division regarding MyAvatar form and print report needs and issues.
  • Communicates with Application Specialist and team regarding MyAvatar form and print report corrections needed for the IDD division.
  • Serves as MyAvatar form and print report tester for the IDD division.
• Client Trust and Medicaid
  • Oversees the use of RPM (client trust system) for the IDD division. Meets with CFO and Business Office team regularly regarding RPM reconciliation.
  • Maintains a spreadsheet of all staff with access to RPM, what type of access they require, and shares this information with CFO and Business Office team. Trains new staff on RPM.
  • Reviews monthly report provided by Benefits Specialist for waiver clients who have lost Medicaid.
  • Completes missing data to internal spreadsheet (rep payee, actions taken to regain) on a regular basis.
  • Ensures service coordinator is documenting monitoring of activities to regain Medicaid. Assists service coordinator, if needed, in referring clients to Benefits Specialist.
• Audits and Reviews-External and Internal
  • Assists with HCS and LIDDA HHS audits. Locates and prepares needed documentation, assists staff with corrections, and assists with the implementation of Corrective Action Plans.
  • Chart Reviews: Responsible for completing comprehensive chart reviews, using appropriate review tools for the areas being reviewed. Assists in developing audit tools. Will provide appropriate supervisor and/or lead of results of review and will save results on the IDD Share Drive. Will maintain documentation of results and track any additional follow-up that is required. Will provide feedback to IDD Project Manager on trends, systemic issues and potential additional training needs.
  • Note Reviews: Reviews the first quarter of notes for all new staff and tracks corrections. In addition, completes spot checks during random chart reviews.
  • Person Directed Plan Reviews: Reviews Service Coordination PDP's for accuracy and outcome development during the first 6 months and tracks corrections.
• Encounter and Billing
  • Encounter Data: Runs weekly client service reports for each unit. Reviews reports for predetermined outliers and provides reports to appropriate supervisor/team lead. Assists with Progress Note corrections throughout the month. Works with Data Manager and IDD Management to assist in ensuring that IDD data is clean by the Encounter deadline. Runs end of the month reports to assist management in completing review of overall compliance, per unit standards. Tracks IDD staff completion of notes, per division guidelines.
  • Collects, reviews, and disseminates ISS Logs and Progress Notes to contracted providers. Works with Application Specialist to complete provider invoices. Problem solves discrepancies with providers and staff.
• Caseload Management and Service Delivery Management
  • Suspensions:
    • Utilizes TMHP suspension report for HCS and TxHmL clients.
    • Ensures completion of suspension review by service coordinator is completed based on HHS timeframe. If suspension reaches 270 days, follows up with service coordinator to see if discharge has been discussed.
    • Monitors Avatar reports for clients who have not received any services in over 90 days. Ensures accurate documentation is present to support why services have not been provided.
  • Discharges:
    • Reviews possible discharges with service coordination to ensure all attempts to maintain services have been made-HCS, TxHmL and GR.
    • Ensures all documentation is received and correct to proceed with discharge-HCS, TxHmL and GR.
    • Works with IDD Program Specialist for data entry in TMHP. Problem solves with LIDDA SC, providers, HHS and TMHP on issues.
    • Works with IDD-GR Program Specialist for GR discharge process.
  • Caseload Management
    • Tracks completion of Service Coordination Assessments and identifies categories of low, medium and high need for service coordination.
    • Assists with monthly reporting of division productivity goals
• Must stay compliant with all required training.
• Creates and maintains professional working relationships with IDD division staff. Provides constructive feedback. Maintains discretion in terms of performance across the division.
• Works closely with the IDD Project Manager on projects related to quality, such as satisfaction surveys, contract monitoring, utilization/billing monitoring, rules and regulation implementation, and other identified division needs. Adhere to the Work Values and Behavior Addendum and demonstrate the qualities listed of: high ethical values, trustworthiness, integrity, cooperation, personal accountability, cultural sensitivity, conflict resolution and problem solving, appreciation and recognition, and respect and dignity. All of these qualities along with regular attendance, dependability, and promptness are required to provide quality and consistent services to IDD consumers.
• Interact effectively and create and maintain a professional working relationship with all individuals, internally as well as externally. Willing to accept coaching and constructive criticism from others while developing effective working relationships with all team members. Support team concepts and cooperate with others to achieve team objectives. Does not engage in gossip or negative talk, but instead is focused on solutions and ways to improve morale.
• Communication: Responsible for returning calls from the office phone by 5pm the next business day. Responsible for checking emails daily and responding by 5pm the next business day. Must contact Supervisor when out for the day or running more than 15 minutes late. Must indicate on board where they are going and a general time of when they should be returning.
• Demonstrate high ethical standards, trustworthiness, and personal integrity. Regular attendance, dependability, and promptness are required for the 8-5 work day or agreed upon hours 100% of the time, to ensure consistency and completeness of program's processes.
• Professional Development - Successfully complete training required to maintain skill competency and cross training to ensure consistency across program procedures. Complete continuing education as required by professional standards and the Center
• Frequent daily driving within the catchment area is required.

GENERAL QUALIFICATIONS:

• Experience/Education/Licensing/Certification
  • Experience in social service financial eligibility determination, auditing, or investigating work. Graduation from an accredited four-year college or university with major coursework in social work or a related field is generally preferred. Experience and education may be substituted for one another.
  • Prefer one year of related experience or training.
• Knowledge/Skills/Abilities
  • Central Counties Services incorporates principles of trauma-informed care, which includes cultural sensitivity, in all areas of service delivery. All job descriptions include the responsibility to learn about and implement trauma-informed practices within the scope of work for the position.
  • Ability to interpret and apply TAC codes as it relates to Service Coordination.
  • Ability to interpret and apply information from HHSC.
  • Ability to complete plan documentation and progress note documentation within timeframes set by the division. Documentation must be timely and accurate.
  • Ability to proficiently utilize computer programs, e.g., Microsoft Word and Excel.
  • Ability to see, hear and talk effectively within job requirements.
  • Ability to stand, sit and walk for extended periods.
  • Ability to effectively handle potentially aggressive behavior in a positive manner.
  • Knowledge of Service Coordinator principles, objectives, standards and methods.
  • Ability to decipher information sent from Health and Human Services Commission (HHSC) and apply the information appropriately within the realms of Service Coordination.
• Relationship Skills
  • Ability to communicate effectively, both verbally and in writing.
  • Ability to perform tasks effectively and efficiently.
  • Ability to plan and schedule work and implement directives without constant supervision.
  • Ability to present a professional appearance and conduct when representing the Center.
  • Ability to work cooperatively, productively, and professionally with supervisor, individuals, co-workers, and groups of persons at all levels of activity, contributing to a strong spirit of teamwork.
• Additional Requirements
  • Must have and maintain a valid drivers' license with an acceptable driving record.
  • Regular attendance and reliability is critical to business operations.

EQUAL OPPORTUNITY EMPLOYER

Central Counties Services is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity Employer, making decisions without regard to race, color, ethnicity, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran status, genetic information, or any other characteristic protected by state or federal law.

Job Tags

Hourly pay, Holiday work, Full time, Contract work, Flexible hours, Shift work,

Similar Jobs