State of Nebraska
Location
Lincoln, Nebraska
Salary
$19 / HOUR
The MLTC Resource Developer monitors provider contracts, performs on-site audits, and manages resource development for Medicaid and Long-Term Care programs. They are responsible for enrolling independent providers and ensuring compliance with minimum standards for home and community-based services.
Requires post-high school coursework or a Bachelor's degree in social work, sociology, psychology, or a related field. Candidates must have experience in resource development, eligibility determination, or contract monitoring within a public service organization and possess a valid driver's license.
Are you a compassionate, results-driven professional with the skills necessary to provide leadership within an organization that helps children and families care for themselves, resulting in healthier families and safer, more prosperous communities? If so, WE NEED YOU! The State of Nebraska Department of Health and Human Services is seeking a highly organized individual with keen attention to detail to join their team as the Medicaid and Long-Term Care (MLTC) Resource Developer. The MLTC Resource Developer works with several programs within DHHS, including Medicaid Long Term Care, Social Services Aged and Disabled, and Aged and Disabled Waiver program. The DHHS Resource Developer, under general supervision, performs a variety of tasks to include performing various contract monitoring activities and resource development activities; researching, gathering and maintaining information on community placement resources; monitoring provider contracts, reviewing provider billing documents, evaluating provider services, performing on-site audits, sharing findings of investigations and providing recommendations concerning service improvement, contract revision, and/or termination; conducting licensing and home studies; developing related community resources and monitoring provider services such as transportation, support services, skills training, and other home based services; and approving service providers to ensure compliance with minimum standards and evaluating provider services, programs and staff to determine appropriateness of client payments and ensure delivery of contract services. “You have the passion; we have the opportunities – let’s make a difference for Nebraskans!” As the MLTC Resource Developer, you will: Enroll independent providers to assist customers with services needed, such as transportation, respite services, chore services, and basic household tasks. Monitor provider contracts. Review provider billing documents. Evaluate provider services. Facilitate complaint resolution. Perform on-site audits. Provide recommendations concerning service improvement, contract revision and/or termination. Train and monitor contracted providers for various home and community-based programs. Do on-site assessments. Travel is required with overnight travel on rare occasions. Hire Rate: $19.045 - non-exempt (Rate increases to $19.473 per hour on July 1st) Work Schedule: Monday – Friday, 8:00 PM – 5:00 PM Dress Attire: Business Casual Location: Lincoln – Nebraska State Office Building Option to work remote after the probationary period Driving is required Requirements / Qualifications:
Post high school coursework/training in social work, sociology, counseling, guidance, psychology, child development or related field and experience in resource development, eligibility determination or contract monitoring within a public service organization OR Bachelor’s degree in any of the fields listed above.
Good communication skills both written and verbally. Experience working with diverse backgrounds and socio-economic levels. Experience engaging with providers to establish a working relationship. Experience in learning and applying the methods and procedures of human services resource development. Understand the importance of protecting confidential information. Apply problem solving techniques to a variety of different circumstances. Experience working with Policy regulations and guidelines concerning service delivery in programs RD contracts including SSAD, MLTC, and/or AD Waiver. Experience managing multiple cases in a fast-paced environment as well as managing multiple files and records. Experience working with NFOCUS, Word, Excel, and On-Base. Ability to work independently from others.
Valid driver's license or ability to provide independent authorized transportation in order to perform work related travel.
Knowledge of: the principles and practices of social work; federal and State laws, regulations and guidelines concerning services delivery; the principles of individual and group behavior; the techniques of counseling; community and service organizations. Skill in: interviewing to collect and elicit essential information; communicating to receive and relay information; listening to and understanding information received; using a keyboard. Ability to: learn and apply the methods and procedures of human services resource development; learn and apply agency policies, procedures, programs and philosophy; protect confidential information; interact with community leaders; apply problem solving techniques to a variety of different circumstances; assess customer needs to provide proper services and financial assistance; manage multiple files and records; collect and maintain data and analyze for trends; prepare written case histories and reports. If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: https://link.nebraska.gov/ Benefits We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits Equal Opportunity Statement The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics. We are seeking talented individuals to join our team in careers that make a difference in the lives of Nebraskans. Once you've had the opportunity to explore our current open positions, apply for those of interest to you. Click here for a video tutorial. Contact state.jobs@nebraska.gov for additional support. Check back on your candidate profile to see the status of your submitted applications, as well as any new postings that might interest you! Thank you for your interest in joining our team! State Government is one of the largest and most diverse employers in Nebraska. Whether it's helping a vulnerable child, advancing public health, making highways safer, or preserving our natural resources, the work we do matters!
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