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UTS-Temporary HCBS Waiver Enrollment Analyst - NC DHHS/UNC Chapel Hill

Job Description

Posting Number

PG193325TM

Position Number

48RE93

Position Type

Temporary

Essential Job Duties

The position will ensure the administrative oversight of enrollment in two 1915© HCBS waivers.
Position Overview:
This position will provide administrative support to two 1915 (c ) Home and Community-based Services waivers, known as the Community Alternatives Program for Children (CAP/C) and Disabled Adults (CAP/DA). The CAP waivers are authorized under section1915© of the Social Security Act and comply with 42 CFR § 440.180. These programs provide a cost-effective alternative to institutionalization by supporting a physically disabled Medicaid beneficiary to remain in or return to a home and community-based setting.
This position is critical to ensuring the administrative oversight of enrollment in two 1915© HCBS waivers administered by NC Medicaid. This position will also provide quality assurance oversight in service plan development, health and well-being, and qualified providers assurances. This position will review evaluation for initial and annual eligibility decisions. The position will specifically process referrals, obtain consent forms, coordinate with the physician to establish the level of care requirements and medical needs, evaluate the assessment to identify risk factors, and approve service plans.

Is Time Limited

No

Job City & State

Raleigh, NC

Classification Title

Temporary-Technical/Paraprofessional

Working Title

UTS-Temporary HCBS Waiver Enrollment Analyst - NC DHHS/UNC Chapel Hill

Work Schedule

FT, 40 hours per week

Other Work/Responsibilities

  • Ensuring the initial and annual level of care mandatory requirements are met for all 13,000+ active waiver participants
  • Evaluating the reasonable indication of need from an analysis of a comprehensive assessment to confirm the enrollment in a wraparound home and community-based program
  • Conducting quality assurance reviews on all service plans to confirm the plan of care is developed to meet identified needs of the program participant

Minimum Experience/Education

  • Master’s degree in Public Administration, Public Policy, Public Health, Nursing, Social Work from an appropriately accredited institution and three years of long-term services and support and home and community-based services or related experience; or
  • Bachelor’s degree in Public Administration, Public Policy, Public Health, Nursing, Social Work from an appropriately accredited institution and four years of long-term services and support and home and community-based services; or
  • Licensed to practice as a Nurse in the State of North Carolina and three years of long-term services and support and home and community-based services; or
  • an equivalent combination of education and experience.





Department Required Skills

  • Proven ability to communicate effectively and professionally with employees, managers, and the public (in-person, online, in writing, and on the phone)
  • Proficient in Microsoft Office products, including Word, Excel, and Outlook
  • Ability to establish and maintain effective working relationships with other state agencies, providers of services, advocacy groups, and other organizations
  • Ability to work independently with minimum or no supervision
  • Ability to effectively manage multiple tasks and priorities
  • Proven experience in collecting and analyzing programmatic data
  • Working knowledge of long-term care supports and services and home and community-based care
  • Proven ability to interpret and apply complex Federal and State regulations
  • Demonstrated ability to implement corrective measures to promote continuous quality improvement

Preferred Years Experience, Skills, Training, Education

  • Master’s degree in Public Administration, Public Policy, Public Health, Nursing, Social Work
  • Considerable knowledge of long-term services and supports and community-based services
  • Experience in making utilization decision for medical and non-medical services
  • Experience providing technical assistance and policy interpretation to providers and Medicaid beneficiaries
  • Demonstrated ability to work with a team
  • Considerable knowledge in working with health records

Required License or Certification

N/A

Valid NC Driver's License required?

No

Commercial Driver's License Required?

No

Anticipated Hiring Range

$23.00 -$32.00/hour depending on qualifications

Job Open Date

02/21/2023

Quick Link

https://jobs.ncsu.edu/postings/179482

AA/EEO

NC State University is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, age, sexual orientation, genetic information, status as an individual with a disability, or status as a protected veteran.

If you have general questions about the application process, you may contact Human Resources at (919) 515-2135 or workatncstate@ncsu.edu. Individuals with disabilities requiring disability-related accommodations in the application and interview process, please call 919-515-3148.

Final candidates are subject to criminal & sex offender background checks. Some vacancies also require credit or motor vehicle checks. If highest degree is from an institution outside of the U.S., final candidates are required to have their degree equivalency verified at www.wes.org or equivalent service. Degree(s) must be obtained prior to start date in order to meet qualifications and receive credit.

NC State University participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.

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