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Hiring Agency:
Health & Human Services - Agency 25
Location:
Hiring Rate:
Job Posting:
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Job Description:
Under general supervision you will:
Use various quality assurance tools to review the quality and compliance of participant service plans eligibility assessments provider billing and other electronic records.
Confers with supervisors and/or quality control teams to discuss findings errors causes of errors and recommended corrective actions to address current and future program errors.
Assists in testing and implementing quality assurance tools by evaluating and providing feedback on the tool.
Provides technical assistance to workers to discuss identified errors causes of errors and to resolve issues of noncompliance.
Attends unit meetings to discuss identified problem areas new regulations and/or changes in procedures.
Coordinates with other Program Accuracy Specialists to develop program training tips develop and present formal training or coordinate with Human Resources and Development training Staff to develop and present formal training. Conducts secondary or second party case reviews.
Will be required to travel to Lincoln or other DHHS Locations occasionally as needed.
Requirements / Qualifications:
Minimum Qualifications: Two years of experience in a health and/or human services field or public service organization with responsibility for determining eligibility assessing public assistance needs or case management using program rules and regulations OR 24 semester hours of post high school education in behavioral sciences social sciences public/business administration adult education or closely related field and experience in eligibility determination or assessing needs for public assistance and/or social services programs
Preferred Qualifications: Knowledge of or experience with HCBS Waiver programs aging and disabilities services and quality assurance/improvement principles and processes.
Knowledge Skills & Abilities:
Knowledge of: federal and state program regulations laws and case processing; quality assurance and monitoring tools and methods; case management practices including assessment analyzing critical information plan development and implementation adult training theories principles and practices; statistical data and collection methods.
Skill in: teaching others; monitoring and assessing work performance of others.
Ability to: learn and apply agency policies and procedures; interpret explain and apply State and federal laws and regulations; conduct data analysis quality assurance reviews and identify trends; communicate with others to receive and relay information analyze situations and develop an appropriate course of action; effectively interrelate with a wide variety of individuals; formulate conclusions; persuade others; develop implement and present training programs; conduct root cause analysis and recommend appropriate actions.
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: 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.
Current employees of the State of Nebraska should NOT apply on this external career. Instead go to Workday and access the Jobs Hub - Internal Apply app from your home landing page.
Required Experience:
Unclear Seniority
Full-Time