Weld County Employment Opportunities
Case Management Agency Program Specialist
Weld County Employment Opportunities, Greeley, Colorado, United States, 80631
Job Posting
Compensation Range: $28.73 - $37.35 Job Description Summary
Performs as a resource expert for assigned Case Management Agency (CMA) waivers and programs. Provides training on intake and eligibility, program rules and regulations, and compliance procedures for all new and existing CMA staff. May assign new referrals and approved Long-Term Care (LTC) cases. Audits CMA program, performs case review and monitoring activities for quality assurance, including accuracy, compliance, and timeliness. Primary office location will be in the Greeley office. Work may involve time away from a standard office environment, which may consist of driving to and from home visits. Work may occur in various community settings that are potentially hazardous and may require additional precautions, such as personal protective equipment and/or requesting assistance from emergency medical personnel or law enforcement. Reliable, predictable attendance within department business hours of 8 a.m. to 5 p.m. Monday through Friday. After hours and on-call work situations may occur, on occasion, to provide support to members and families that need services outside of normal business hours. This position is in-person with a possibility for limited telework opportunities when needed. Job Description
Mission Statement: Engaging and partnering with the community to improve safety, health and well-being of individuals and families through the delivery of responsive and collaborative services. Vision Statement: The people of Weld County are connected to the resources needed to thrive in the community and feel safe and empowered. Values: Accountability
Integrity
Service
Communication - Innovation Weld County Department of Human Services' greatest asset is our staff. The Ideal Candidate for the Department of Human Services, (AAA) Home & Community Supports Division will be someone who possesses the following traits: Time management and organizational skills with the ability to prioritize competing obligations Interact and communicate at various organizational levels in order to clearly communicate important information regularly Brings energy to the team projects and is also able to work independently Open Until: July 27, 2025 Essential Duties and Responsibilities: Quality Assurance - 30% Remains informed of and complies with the latest rules, regulations, and legislative issues that may impact the CMA and attends all appropriate local and state meetings, committees, workshops, and conferences. Completes high-level case reviews on all newly approved case files being assigned to case managers to ensure program compliance. Completes case reviews including content and system data entry to determine if accurate, timely case processing occurred based on program regulation and requirements. Ensures due process is respected for people enrolled, including notification of rights, requirements for use of psychotropic medications, restrictive procedures, and safety control procedures, including the Human Rights Committee (HRC). Documents case review findings for review by supervisors. Shadows case management staff completing the Level of Care Screen and other case management duties in accordance with state requirements and documents accordingly. Provides timely and accurate case review feedback to the appropriate staff. Acts as a resource or expert in assigned Case Management Agency services area, providing technical assistance, clarification, and support to other employees in the unit on program policies and procedures. Training and Education - 30% Conducts trainings to optimize employee learning and development using the most effective instructional methods. Develops and facilitates the training program for new employees. Develops, provides, and documents on-going training materials for existing staff members based on identified needs. Maintains and updates all training tools, manuals, and presentations as CMA rules and guidelines are added, changed, or updated. Documents training outcomes and provides feedback to supervisor identifying areas for improvement and tracking trends resulting in additional training needs. Assists supervisor(s) with coordinating and tracking attendance at required trainings. Provides training to other divisions and with community partners as needed. Demonstrates what quality, person-centered, service delivery looks like including interactions, activities, and expectations. Troubleshoots with staff and provides direction on resolution for complicated cases. Program Support - 30% Works with CMA leadership to develop internal policies and procedures for the CMA. Attends meetings, trainings, and conferences related to CMA programs and/or members served. Assists case managers when intake referrals are high or there are uncovered caseloads. May coordinate and/or convene annual Service Plan Meetings, Continued Stay Review/Level of Care Screening and Assessments, quarterly monitoring visits, program transitions, and interdisciplinary team meetings, as needed to assist case managers. Assists members as needed with application and appeals, including Social Security and/or Medicaid benefits. Helps resolve issues related to billing denials. Assists other Program Specialists as needed. May carry a caseload of complex, confidential and/or sensitive cases as assigned. Coordinates all aspects of the intake referral and new case assignment process to ensure an accountable and efficient workflow process. Communicates with referring parties as needed. Assigns all approved cases and transfers to on-going case managers based on caseload and complexity to ensure equitable, efficient workflow. Ensures Member Tracking List is up to date and accurate, including all client information, completes case status change requests from case managers, and monitors provider information is completed by case managers in the CMA Tracking List. Assists Case Managers with their individual client tracking. Maintains the provider resource lists utilized by case managers and provided to members. Professionalism and Teamwork - 5% Participates in a positive and value-added manner with both internal and external professional partners. Stays informed by participating as appropriate in all team, unit, and division meetings, attends or views recordings for department updates and reads county wide messaging. Participates as a team member of the department establishing and maintaining a high degree of cooperation with coworkers. Display a willingness to collaborate and problem solve. Understands how one's day to day work significantly impacts the team's success. Accepts responsibility for own actions and follows through on commitments. Policies and Procedures - 5% Follows policies and procedures, the Weld County Code of Conduct and adheres to strict confidentiality guidelines and appropriate release of information outlined in both. Other duties may be assigned. Any one position may not include all duties listed, nor do the listed examples include all duties which may be found in positions of this class. Required Qualifications
Required Education Bachelor's Degree or 5 years of experience in the field of Long-Term Services and Supports (LTSS), which includes Developmental Disabilities. or A combination of education and relevant experience appropriate to the requirements of the position. Relevant experience is defined as: (a) Experience in one of the following areas: long-term care services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or non-profit administration, or health/medical services, including working directly with persons with physical, intellectual, or developmental disabilities, mental illness, or other vulnerable populations as appropriate to the position being filled and (b) Completed coursework and/or experience related to the type of administrative duties performed by case managers may qualify for up to two (2) years of required relevant experience. Experience Qualifications 1 year experience working with Case Management Agency programs. Preferred Experience Experience working with a diverse population including individuals with disabilities of all ages, older adults, and individuals with behavioral mental health needs. Experience working with or knowledge of community resources and other community-based services for the aging or individuals with disabilities. Experience performing needs assessments and/or support planning for individuals. Experience determining eligibility for program or supportive services. Experience with training and/or quality assurance. Skills and Abilities
Compensation Range: $28.73 - $37.35 Job Description Summary
Performs as a resource expert for assigned Case Management Agency (CMA) waivers and programs. Provides training on intake and eligibility, program rules and regulations, and compliance procedures for all new and existing CMA staff. May assign new referrals and approved Long-Term Care (LTC) cases. Audits CMA program, performs case review and monitoring activities for quality assurance, including accuracy, compliance, and timeliness. Primary office location will be in the Greeley office. Work may involve time away from a standard office environment, which may consist of driving to and from home visits. Work may occur in various community settings that are potentially hazardous and may require additional precautions, such as personal protective equipment and/or requesting assistance from emergency medical personnel or law enforcement. Reliable, predictable attendance within department business hours of 8 a.m. to 5 p.m. Monday through Friday. After hours and on-call work situations may occur, on occasion, to provide support to members and families that need services outside of normal business hours. This position is in-person with a possibility for limited telework opportunities when needed. Job Description
Mission Statement: Engaging and partnering with the community to improve safety, health and well-being of individuals and families through the delivery of responsive and collaborative services. Vision Statement: The people of Weld County are connected to the resources needed to thrive in the community and feel safe and empowered. Values: Accountability
Integrity
Service
Communication - Innovation Weld County Department of Human Services' greatest asset is our staff. The Ideal Candidate for the Department of Human Services, (AAA) Home & Community Supports Division will be someone who possesses the following traits: Time management and organizational skills with the ability to prioritize competing obligations Interact and communicate at various organizational levels in order to clearly communicate important information regularly Brings energy to the team projects and is also able to work independently Open Until: July 27, 2025 Essential Duties and Responsibilities: Quality Assurance - 30% Remains informed of and complies with the latest rules, regulations, and legislative issues that may impact the CMA and attends all appropriate local and state meetings, committees, workshops, and conferences. Completes high-level case reviews on all newly approved case files being assigned to case managers to ensure program compliance. Completes case reviews including content and system data entry to determine if accurate, timely case processing occurred based on program regulation and requirements. Ensures due process is respected for people enrolled, including notification of rights, requirements for use of psychotropic medications, restrictive procedures, and safety control procedures, including the Human Rights Committee (HRC). Documents case review findings for review by supervisors. Shadows case management staff completing the Level of Care Screen and other case management duties in accordance with state requirements and documents accordingly. Provides timely and accurate case review feedback to the appropriate staff. Acts as a resource or expert in assigned Case Management Agency services area, providing technical assistance, clarification, and support to other employees in the unit on program policies and procedures. Training and Education - 30% Conducts trainings to optimize employee learning and development using the most effective instructional methods. Develops and facilitates the training program for new employees. Develops, provides, and documents on-going training materials for existing staff members based on identified needs. Maintains and updates all training tools, manuals, and presentations as CMA rules and guidelines are added, changed, or updated. Documents training outcomes and provides feedback to supervisor identifying areas for improvement and tracking trends resulting in additional training needs. Assists supervisor(s) with coordinating and tracking attendance at required trainings. Provides training to other divisions and with community partners as needed. Demonstrates what quality, person-centered, service delivery looks like including interactions, activities, and expectations. Troubleshoots with staff and provides direction on resolution for complicated cases. Program Support - 30% Works with CMA leadership to develop internal policies and procedures for the CMA. Attends meetings, trainings, and conferences related to CMA programs and/or members served. Assists case managers when intake referrals are high or there are uncovered caseloads. May coordinate and/or convene annual Service Plan Meetings, Continued Stay Review/Level of Care Screening and Assessments, quarterly monitoring visits, program transitions, and interdisciplinary team meetings, as needed to assist case managers. Assists members as needed with application and appeals, including Social Security and/or Medicaid benefits. Helps resolve issues related to billing denials. Assists other Program Specialists as needed. May carry a caseload of complex, confidential and/or sensitive cases as assigned. Coordinates all aspects of the intake referral and new case assignment process to ensure an accountable and efficient workflow process. Communicates with referring parties as needed. Assigns all approved cases and transfers to on-going case managers based on caseload and complexity to ensure equitable, efficient workflow. Ensures Member Tracking List is up to date and accurate, including all client information, completes case status change requests from case managers, and monitors provider information is completed by case managers in the CMA Tracking List. Assists Case Managers with their individual client tracking. Maintains the provider resource lists utilized by case managers and provided to members. Professionalism and Teamwork - 5% Participates in a positive and value-added manner with both internal and external professional partners. Stays informed by participating as appropriate in all team, unit, and division meetings, attends or views recordings for department updates and reads county wide messaging. Participates as a team member of the department establishing and maintaining a high degree of cooperation with coworkers. Display a willingness to collaborate and problem solve. Understands how one's day to day work significantly impacts the team's success. Accepts responsibility for own actions and follows through on commitments. Policies and Procedures - 5% Follows policies and procedures, the Weld County Code of Conduct and adheres to strict confidentiality guidelines and appropriate release of information outlined in both. Other duties may be assigned. Any one position may not include all duties listed, nor do the listed examples include all duties which may be found in positions of this class. Required Qualifications
Required Education Bachelor's Degree or 5 years of experience in the field of Long-Term Services and Supports (LTSS), which includes Developmental Disabilities. or A combination of education and relevant experience appropriate to the requirements of the position. Relevant experience is defined as: (a) Experience in one of the following areas: long-term care services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or non-profit administration, or health/medical services, including working directly with persons with physical, intellectual, or developmental disabilities, mental illness, or other vulnerable populations as appropriate to the position being filled and (b) Completed coursework and/or experience related to the type of administrative duties performed by case managers may qualify for up to two (2) years of required relevant experience. Experience Qualifications 1 year experience working with Case Management Agency programs. Preferred Experience Experience working with a diverse population including individuals with disabilities of all ages, older adults, and individuals with behavioral mental health needs. Experience working with or knowledge of community resources and other community-based services for the aging or individuals with disabilities. Experience performing needs assessments and/or support planning for individuals. Experience determining eligibility for program or supportive services. Experience with training and/or quality assurance. Skills and Abilities