Background/Education Required:
Bachelor’s Degree in related field. Master’s preferred. Experience in working with individuals with disabilities, case management, quality assurance, compliance driven and investigative experience a plus.
Physical Requirements for Position:
- Detailed computer work
- Extensive phone contact
- Sits for majority of day
- Normal Office EnvironmentSpecial Requirements for Position:
- Valid driver’s license that meets agency’s and insurance company’s standards (ongoing throughout employment)
- Completion of all mandatory training sessions as required by organization and regulatory agencies.
- Completion of criminal background check, abuse and neglect check and subsequent clearance by OPWDD and agency guidelines.
- Position works flexible hours, including evenings, weekends and holidays as dictated by the particular needs of participants..
- Must be proficient in Microsoft Office applications and have the ability and willingness to learn other agency specified software applications.
- Excellent verbal and written communication skills.
- Customer Service Skills and Professional in all interactions
- Ability to handle large case load and work in a face paced environment.
Duties & Essential Elements (not inclusive)
- Maintains communication with participants, families and other service providers on an ongoing and as needed basis.
- Adheres to all agency, state and federal rules of Confidentiality, Incident Reporting and Management, HIPAA and
Corporate Compliance.
- Participates in service plan meetings and any other necessary meetings to plan and problem solve for participants.
- Reviews all service related documentation for compliance with NYS and Federal Medicaid regulations.
- Performs Quality Assurance functions ensuring invoices, billing documentation and support staff timesheets adhere to
participant’s plan of service following the valued outcomes that are in participant’s ISP.
- Reviews and investigates any concerns identified by participant, family, staff, and or contractors along with Agency assigned
investigator.
- Abides by NYS Code of Conduct and Ethics reporting any allegations of abuse suspected, observed, or discovered per
regulations.
Performs other duties as assigned.