Service Authorization Consultant Job at Virginia Dept of Behavioral Health & Developmental Sv
Virginia Dept of Behavioral Health & Developmental Sv Richmond, VA
This is a re-advertisement. Previous applicants must reapply to be considered.
The Department of Behavioral Health and Developmental Services (DBHDS) is seeking a highly motivated individual to ensure that the DBHDS Developmental Disabilities waivers’ service authorization system maintains all standards of accountability, proficiency and responsiveness to the users of the system which results in the alignment of needs and resources of all the individuals receiving waiver funded services. Incumbent will be responsible for the review of Individual Support Plans, Individual Service Packages, Planning Calendars, and Service Authorizations for the waivers for individuals with developmental disabilities, assuring that all criteria are met from when the process initiates with the case manager/support coordinator through to the authorization of a service. This includes, but is not limited to, discussing appropriate service alternatives with support coordinators/case managers and their supervisors to include the provision of needed training and technical assistance; problem solving to ensure individuals receive the appropriate services according to their assessed needs; and communicating the results of the review process to CSBs, private providers and the VA Medicaid Management Information System. This is a Richmond Central Office position and while there may be an opportunity to telework the expectation is that the selected candidate will be working in the Richmond Central Office location. This position will support NOVA counties & cities such as: Alexandria, Arlington, Fairfax, Loudoun, & Prince William. This position may require frequent state travel.
The Department of Behavioral Health and Developmental Services (DBHDS) is seeking a highly motivated individual to ensure that the DBHDS Developmental Disabilities waivers’ service authorization system maintains all standards of accountability, proficiency and responsiveness to the users of the system which results in the alignment of needs and resources of all the individuals receiving waiver funded services. Incumbent will be responsible for the review of Individual Support Plans, Individual Service Packages, Planning Calendars, and Service Authorizations for the waivers for individuals with developmental disabilities, assuring that all criteria are met from when the process initiates with the case manager/support coordinator through to the authorization of a service. This includes, but is not limited to, discussing appropriate service alternatives with support coordinators/case managers and their supervisors to include the provision of needed training and technical assistance; problem solving to ensure individuals receive the appropriate services according to their assessed needs; and communicating the results of the review process to CSBs, private providers and the VA Medicaid Management Information System. This is a Richmond Central Office position and while there may be an opportunity to telework the expectation is that the selected candidate will be working in the Richmond Central Office location. This position will support NOVA counties & cities such as: Alexandria, Arlington, Fairfax, Loudoun, & Prince William. This position may require frequent state travel.
Minimum Qualifications
Knowledge of professional standards of supports and services for individuals with developmental disabilities (DD), including knowledge of best practices. Ability to work with electronic information systems. Demonstrated ability to organize and prioritize work assignments and to communicate effectively orally and in writing. Ability to research and identify changes in program requirements and policies and to interpret state and federal regulations. Ability to use a range of computer programs and data base applications such as Word, Excel, and the Internet.
Preferred Qualifications
Knowledge of the support needs of persons with disabilities (physical, cognitive, emotional), health and social service programs and issues, community resources, state and federal DD regulations, negotiation techniques, problem resolution, medical terminology, and medical standards of treatment. An understanding of best practices in developmental disability (DD) services. Bachelor’s degree in a human services field (including, but not limited to, sociology, social work, special education, rehabilitation counseling, or psychology) or demonstrated training/professional experience in the delivery of services to individuals with DD.
Special Requirements
Effective July 5, 2022, all Commonwealth of VA State Employees are required to work onsite. However, this position is currently eligible for one (1) telework day a week. Additional days may be considered. Both options are at the discretion of the Supervisor.
Special Instructions to Applicants
For consideration, interested applicants must apply online, completing the Employment Equity Initiative Application (EEIA) in its entirety. A resume may also be included with your submission. However, emailed, faxed, and hand-delivered applications and/or resumes will not be accepted. This position is open until filled; however, applications/resumes will begin to be reviewed within ten (10) business days of the date of this posting.
DBHDS is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, gender identity, sexual orientation, national origin, political affiliation, disability, genetic information, age, retaliation, parental status, pregnancy, military service/status, or other non-merit factor. We commit to a diverse and inclusive workforce that is reflective of the Commonwealth of Virginia. Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact (804) 482-8797 for assistance.
For any technical assistance with the jobs.virginia.gov website, please contact applicantinquiry@dhrm.virginia.gov.
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