Minnesota Department of Human Services
State Medical Review Team County Liaison - Human Services Program Specialist 2
Minnesota Department of Human Services, Saint Paul, Minnesota, United States, 55199
State Medical Review Team County Liaison - Human Services Program Specialist 2
Working Title:
State Medical Review Team County Liaison
Job Class:
Human Services Program Specialist 2
Agency:
Human Services Dept
Location:
St. Paul
Telework Eligible:
Yes
Salary:
$26.43 - $38.55 per hour; $55,185 - $80,492 annually
Hiring Agency/Seniority Unit:
Human Services Dept / MAPE DHS Central Office
The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DHS does not participate in E‑Verify.
The work you’ll do is more than just a job. At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well‑being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.
This position exists to fully evaluate, screen, and develop referrals made to the State Medical Review Team (SMRT) in accordance with program policies and procedures, as part of determining eligibility for Minnesota’s Medical Assistance ABD programs; ME‑EPD, MA‑TEFRA, Managed Care Exclusion, Family Support Grant (FSG), Special Needs Basic Care (SNBC), and Home and Community‑Based Waivers (BI, CAC, CADI, DD). Under general supervision, this role plays a critical part in supporting initial referral intake by reviewing cases for completeness, program alignment, and prioritization.
As an SMRT County Liaison, you’ll support clients’ access to critical services, collaborate with counties and providers statewide, and contribute to an engaged, mission‑driven team.
Primary Responsibilities
Assess referrals for expedited status and prioritize those that meet criteria
Develop and review SMRT referrals from county and tribal agencies to ensure that a SMRT determination is needed, that appropriate and necessary forms are requested, and that cases are directed to the appropriate work queue for further processing
Communicate with agency partners to resolve issues involving missing or incorrect information
Provide guidance and clarification about SMRT policies and procedures to clients, providers, and other external partners
Support internal team operations by assisting with special projects as needed, such as system testing, documentation updates, and workflow enhancements
Minimum Qualifications Three (3) different ways to qualify for this position and you must have the required work experiences:
One (1) year of advance‑level working experience determining eligibility for programs that may require a referral to SMRT, including: Medical Assistance ABD, MA‑EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), or Home and Community Based Waivers (BI, CAC, CADI, DD)
along with
the required work experiences listed below.
Three (3) years of working experience involving the programs for which SMRT evaluates disability including Medical Assistance ABD, MA‑EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), and MA‑Home and Community Based Waivers (HCBS)
along with the required work experiences listed below.
A bachelor’s degree in a related field.
Two (2) years of working experience involving the programs for which SMRT evaluates disability including Medical Assistance ABD, MA‑EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), and MA‑Home and Community Based Waivers (HCBS)
along with the required work experiences listed below.
Experience must demonstrate
Ability to provide technical assistance and coaching around the programs for which SMRT evaluates disability.
Experience working in eligibility and financial systems, such as METS, MAXIS, or MnCHOICES.
Experience using and interpreting policy and procedure manuals, such as ONEsource, EPM, CFR, or POMS.
Preferred Qualifications
Systems experience with 2 or more of the following highly preferred: ISDS, MAXIS, MMIS, METS, MnCHOICES Assessment Tool, SSAS, and SMI.
Strong background in MA/Waiver eligibility policy and procedure; Experience working in a supervisory, lead, or trainer role highly preferred.
Medical terminology sufficient to understand common medical and psychological terms used in medical record documentation.
Understanding of the Social Security disability criteria, including compassionate allowances and acceptable medical sources, and medical terminology as it relates to physical and mental health conditions documented in medical records.
Customer service skills sufficient to provide prompt, courteous, and accurate information to a variety of customers over the phone, in person, and via email.
Ability to maintain effective working relationships with internal and external stakeholders.
Ability to coordinate multiple tasks with similar and/or competing deadlines.
Excellent time management, prioritizing, problem solving, analytical skills, and ability to work well under pressure.
Strong organizational skills including the ability to identify and resolve workflow bottlenecks.
Proficiency with Microsoft Office Suite (Outlook, Word, Excel), SharePoint and Adobe Pro.
Typing/Keyboarding and data entry skills to accurately input data into various databases.
Ability to work independently and as part of a team.
Ability to work effectively with diverse communities, groups, and individuals.
Additional Requirements
Minnesota Department of Human Services (DHS) criminal background check will be conducted on all finalists for this position. Finalists must pass the DHS background check.
Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance and contact with the applicant’s former employer(s).
How To Apply Select “Apply for Job” at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651‑259‑3637 or email careers@state.mn.us. For additional information about the application process, visit http://www.mn.gov/careers.
Contact: Nicole Warren at nicole.warren@state.mn.us.
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID# 90024, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Dennis Stevenson at dennis.b.stevenson@state.mn.us.
If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services’ ADA Coordinator at 651‑431‑4945 or DHS_ADA@state.mn.us for assistance.
About Human Services Dept WE MAKE A DIFFERENCE! The Minnesota Department of Human Services impacts the lives of 1.7 million people every year, helping them meet their basic needs so they can achieve their highest potential.
Working together to improve the state we love.
Benefits
Paid vacation and sick leave
12 paid holidays each year
Low‑cost medical, dental, vision, and prescription drug plans
Fertility care, including IVF
Diabetes care
Dental and orthodontic care for adults and children
6 weeks paid leave for parents of newborn or newly adopted children
Pension plan that provides income when you retire (after working at least three years)
Employer paid life insurance to provide support for your family in the event of death
Short‑term and long‑term disability insurance that can provide income if you are unable to work due to illness or injury
Tax‑free expense accounts for health, dental, and dependent care
Resources that provide support and promote physical, emotional, social, and financial well‑being
Support to help you reach your career goals
Training, classes, and professional development
Tuition reimbursement
Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov)
Employee Assistance Program (EAP) for work/life support
A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well‑being, or job performance
Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care
EQUAL OPPORTUNITY EMPLOYERS Minnesota state agencies are equal opportunity, affirmative action, and veteran‑friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.
Applicants With Disabilities Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651‑259‑3637 or email careers@state.mn.us and let us know the support you need.
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State Medical Review Team County Liaison
Job Class:
Human Services Program Specialist 2
Agency:
Human Services Dept
Location:
St. Paul
Telework Eligible:
Yes
Salary:
$26.43 - $38.55 per hour; $55,185 - $80,492 annually
Hiring Agency/Seniority Unit:
Human Services Dept / MAPE DHS Central Office
The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DHS does not participate in E‑Verify.
The work you’ll do is more than just a job. At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well‑being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.
This position exists to fully evaluate, screen, and develop referrals made to the State Medical Review Team (SMRT) in accordance with program policies and procedures, as part of determining eligibility for Minnesota’s Medical Assistance ABD programs; ME‑EPD, MA‑TEFRA, Managed Care Exclusion, Family Support Grant (FSG), Special Needs Basic Care (SNBC), and Home and Community‑Based Waivers (BI, CAC, CADI, DD). Under general supervision, this role plays a critical part in supporting initial referral intake by reviewing cases for completeness, program alignment, and prioritization.
As an SMRT County Liaison, you’ll support clients’ access to critical services, collaborate with counties and providers statewide, and contribute to an engaged, mission‑driven team.
Primary Responsibilities
Assess referrals for expedited status and prioritize those that meet criteria
Develop and review SMRT referrals from county and tribal agencies to ensure that a SMRT determination is needed, that appropriate and necessary forms are requested, and that cases are directed to the appropriate work queue for further processing
Communicate with agency partners to resolve issues involving missing or incorrect information
Provide guidance and clarification about SMRT policies and procedures to clients, providers, and other external partners
Support internal team operations by assisting with special projects as needed, such as system testing, documentation updates, and workflow enhancements
Minimum Qualifications Three (3) different ways to qualify for this position and you must have the required work experiences:
One (1) year of advance‑level working experience determining eligibility for programs that may require a referral to SMRT, including: Medical Assistance ABD, MA‑EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), or Home and Community Based Waivers (BI, CAC, CADI, DD)
along with
the required work experiences listed below.
Three (3) years of working experience involving the programs for which SMRT evaluates disability including Medical Assistance ABD, MA‑EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), and MA‑Home and Community Based Waivers (HCBS)
along with the required work experiences listed below.
A bachelor’s degree in a related field.
Two (2) years of working experience involving the programs for which SMRT evaluates disability including Medical Assistance ABD, MA‑EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), and MA‑Home and Community Based Waivers (HCBS)
along with the required work experiences listed below.
Experience must demonstrate
Ability to provide technical assistance and coaching around the programs for which SMRT evaluates disability.
Experience working in eligibility and financial systems, such as METS, MAXIS, or MnCHOICES.
Experience using and interpreting policy and procedure manuals, such as ONEsource, EPM, CFR, or POMS.
Preferred Qualifications
Systems experience with 2 or more of the following highly preferred: ISDS, MAXIS, MMIS, METS, MnCHOICES Assessment Tool, SSAS, and SMI.
Strong background in MA/Waiver eligibility policy and procedure; Experience working in a supervisory, lead, or trainer role highly preferred.
Medical terminology sufficient to understand common medical and psychological terms used in medical record documentation.
Understanding of the Social Security disability criteria, including compassionate allowances and acceptable medical sources, and medical terminology as it relates to physical and mental health conditions documented in medical records.
Customer service skills sufficient to provide prompt, courteous, and accurate information to a variety of customers over the phone, in person, and via email.
Ability to maintain effective working relationships with internal and external stakeholders.
Ability to coordinate multiple tasks with similar and/or competing deadlines.
Excellent time management, prioritizing, problem solving, analytical skills, and ability to work well under pressure.
Strong organizational skills including the ability to identify and resolve workflow bottlenecks.
Proficiency with Microsoft Office Suite (Outlook, Word, Excel), SharePoint and Adobe Pro.
Typing/Keyboarding and data entry skills to accurately input data into various databases.
Ability to work independently and as part of a team.
Ability to work effectively with diverse communities, groups, and individuals.
Additional Requirements
Minnesota Department of Human Services (DHS) criminal background check will be conducted on all finalists for this position. Finalists must pass the DHS background check.
Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance and contact with the applicant’s former employer(s).
How To Apply Select “Apply for Job” at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651‑259‑3637 or email careers@state.mn.us. For additional information about the application process, visit http://www.mn.gov/careers.
Contact: Nicole Warren at nicole.warren@state.mn.us.
To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID# 90024, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Dennis Stevenson at dennis.b.stevenson@state.mn.us.
If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services’ ADA Coordinator at 651‑431‑4945 or DHS_ADA@state.mn.us for assistance.
About Human Services Dept WE MAKE A DIFFERENCE! The Minnesota Department of Human Services impacts the lives of 1.7 million people every year, helping them meet their basic needs so they can achieve their highest potential.
Working together to improve the state we love.
Benefits
Paid vacation and sick leave
12 paid holidays each year
Low‑cost medical, dental, vision, and prescription drug plans
Fertility care, including IVF
Diabetes care
Dental and orthodontic care for adults and children
6 weeks paid leave for parents of newborn or newly adopted children
Pension plan that provides income when you retire (after working at least three years)
Employer paid life insurance to provide support for your family in the event of death
Short‑term and long‑term disability insurance that can provide income if you are unable to work due to illness or injury
Tax‑free expense accounts for health, dental, and dependent care
Resources that provide support and promote physical, emotional, social, and financial well‑being
Support to help you reach your career goals
Training, classes, and professional development
Tuition reimbursement
Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov)
Employee Assistance Program (EAP) for work/life support
A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well‑being, or job performance
Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care
EQUAL OPPORTUNITY EMPLOYERS Minnesota state agencies are equal opportunity, affirmative action, and veteran‑friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.
Applicants With Disabilities Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651‑259‑3637 or email careers@state.mn.us and let us know the support you need.
#J-18808-Ljbffr