
Medical Certification Manager 1
Monroe, LAFull-time$6,838–12,326/moPosted 4 days agoStill listed 1 day ago
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Job overview
Northeast Delta Human Services Authority seeks a Medical Certification Manager 1 to administer regional developmental-disability services and Medicaid waiver programs in northeast Louisiana. The role oversees medical certification determinations and systems for service entry, implements the ACT 421 CMO Program, and manages regional service-program implementation, monitoring, and eligibility in accordance with applicable federal and state rules.
Skills & qualifications
Skills
Qualifications
Full job description
NORTHEAST DELTA HUMAN SERVICES AUTHORITY MISSION: Serve as a catalyst for individuals with mental health, developmental disabilities, and addictive disorders to help them realize their full human potential by offering quality, excellent care with greater accessibility.
Northeast Delta Human Services Authority is seeking a Medical Certification Manager 1 to oversee and deliver a full array of community based services to persons with developmental disabilities residing in Region VIII, a 12 parish region covering the northeast corner of Louisiana. The service system is designed in such a manner that the Director of Developmental Disabilities Services within the local governing entity (civil service Title Medical Certification Manager, MCM) is required to administer and implement 4 moderately complex statewide health care Medicaid Waiver programs in the Department of Health within the region and in accordance with CMS rules and regulations. A current Louisiana license in a health services field, health regulation field, or social services field plus five years of experience as a licensed practitioner in hospital or nursing home administration, health services, health regulation, or social services; OR
A bachelor's degree plus five years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR
A master's degree in a health services field, health regulation field, or a social services field plus four years of experience in hospital or nursing home administration, health services, health regulation, or social services. The official job specifications for this role, as defined by the State Civil Service, can be found here.Job Duties:
- Administration of a complex system of state funded supportive goods and services through the statewide program, Louisiana ACT 378 of 1989 that requires that children and adults to afforded the choice and opportunity to live in typical homes and communities. This position is responsible for ensuring that these Medicaid Waiver Programs and the ACT 378 Program are implemented following all CMS/federal and state rules, regulations, and procedures revising processes as are needed.
- Incumbent serves as administrator of medical certification determinations for applicants seeking admission to nursing facilities and Intermediate Care Facilities for people with Intellectual and/or Developmental Disabilities (ICF/DD) on behalf of the Louisiana Department of Health and Louisiana Medicaid Program. The Director of Developmental Disability Services (Medical Certification Manager) administers the establishment and ongoing system for the Determination Process for Systems Entry as the regional single point of entry for the statewide developmental disability service system.
- MCM is responsible for the implementation of the ACT 421 CMO Program within the LGE by providing determinations of the Request for Medical Eligibility Determination and conducting ACT 421 assessments for child eligibility determinations for this Medicaid program.
- Direct and manage the implementation, monitoring, and eligibility for a variety of service programs located in the region.
Position-Specific Details: Appointment Type: Probational, Promotional, Demotion, Lateral Transfer, or Detail to Special Duty Location: Developmental Disabilities Office (2324 Armand Connector, Monroe, LA 71201)Compensation: NEDHSA is a designated approved National Health Service Corps (NHSC) site. Clinicians who work at NHSC-approved sites are eligible to apply to the NHSC Loan Repayment Program to pay off student loans.
- 2-year Full-Time Clinical Practice: NHSC will pay up to $50,000* for an initial 2 years of full-time clinical practice to clinicians.
(Full-time clinical practice is defined as no less than 40 hours per week, for a minimum of 45 weeks per year.)
How To Apply: No Civil Service test score is required to be considered for this vacancy. To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
*Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
Contact Information:For further information about this vacancy, contact: Ms. Janesia Raybon, MPA Human Resources Director Northeast Delta Human Services Authority 2513 Ferrand Street Monroe, LA 71201 318-362-4237 (office)
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