The Nebraska Department of Health and Human Services (DHHS) is looking to fill a Program Specialist for ICF/DD Facilities within our Medicaid and Long-term Care Division (MLTC). This position is an integral part of the MLTC Long Term Care and Institutional Services unit which is part of Health Services. The successful candidate will be a Qualified Intellectual Disabilities Professional (QIDP).
Job location is the Nebraska State Office Building, Downtown.
Hours: 8-5, Monday - Friday.
Examples of Work
Completes the Utilization Review (UR) process for all in-state and out of state Nebraska Medicaid recipients in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs). All Medicaid recipients are reviewed for continued funding two times per year. The purpose of the UR process is to provide consistent direction to ensure ICF/IID facilities are (1) compliant with Nebraska and Federal Medicaid requirements in providing services to individuals with intellectual/developmental disabilities (ID/DD) and/or related conditions (RC) and (2) to determine whether Nebraska Medicaid recipients residing in ICF/IID facilities continue to meet ICF/IID level of care. This position requires knowledge and expertise regarding federal and state regulations for ICF/IIDs. This position also requires knowledge and expertise regarding level of care and active treatment for Medicaid recipients receiving this level of funding. Travel is rare but may be required.
Qualifications / Requirements
REQUIREMENTS: Bachelors degree, or equivalent coursework/training, in public administration, social/behavioral sciences, healthcare, human services or other program related field. Professional experience working in a human/social service or health care agency with responsibility for planning or evaluation services, programs or operational policies and practices may substitute in lieu of the educational requirement.
PREFERRED: QIDP (Qualified Intellectual Disabilities Professional); Bachelor's degree in psychology, sociology, human services, special education or related field. One year of experience working as a direct care provider for individuals with intellectual disabilities.
Knowledge, Skills and Abilities
Ability to analyze individual program plans, medical records, etc. in order to determine a resident meets ICF/IID level of care. Ability to work as a team member in a specialized unit within Medicaid. Ability to build relationships with providers and give clear communication and directives. Time management skills.