Medical Certification Specialist 12

The Imperial Calcasieu Human Services Authority (ImCal HSA) exists to empower citizens with mental health addiction and developmental challenges residing in the parishes of Allen Beauregard Calcasieu Cameron and Jefferson Davis valuing self-determination so that individuals can live satisfying hopeful and contributing lives.

Were seeking a Medical Certification Specialistin our Developmental Disabilities Division. Our Developmental Disabilities Division is committed to ensuring quality services serving as the Single Point of Entry (SPOE) into the developmental disabilities services system.

Job Duties:

Certification Duties:

• Conduct comprehensive reviews of Waiver plans of care and supporting documents for annual program recertification using the Plan of Care Review Tool/protocols. Provide feedback to Support Coordinators and providers on corrections needed.

• Make determination for continuation of Waiver services within 10 business days of receipt of complete plan of care documents as outlined in state and federal Medicaid policy and procedures. Approve annual plan of care 10 days prior to plan of care end date.

• Evaluate overall effectiveness of recipients plan ensuring personal outcomes and person-centered goals are identified appropriately within each plan as well as evaluate how supports will help ensure the individuals health and safety in the community setting.

Entry Duties:

• Determine eligibility for all applicants of ImCal functioning as its SPOE (Single Point of Entry) to receive any DD (Developmental Disability) state services including any of the 4 DD Medicaid Waiver Services (NOW/ New Opportunities Waiver CC/Childrens Choice and SW/Supports Waiver and ROW/Residential Options Waiver) and to include all ImCal ES (Early Steps) participants as they reach 3 years old.

• Send families written documentation of eligibility decisions and assume responsibility that eligible individuals are added to the DD Medicaid Waiver lists by transmitting documentation to the waiver management agency.

• Schedule and conduct face to face interviews with applicants in the office or an alternate location. Determine the applicants legal status for service requests.

Position-Specific Details:
Appointment Type:Job appointment probational or permanent
Career Progression: This position participates in a Career Progression Group and may be filled as a Medical Certification Specialist 1 or 2.
Work Schedule:Work hours are 8:00 AM to 4:30 PM Monday - Friday.
Compensation:The salary offered will be determined based on qualifications and experience.

Louisiana is a State As a Model Employer (SAME) that supports the recruitment hiring and retention of individuals with disabilities.

How To Apply:
No Civil Service test scoreis required in order 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 the position must be included in the application (i.e. relevant detailed experience/education). Resumeswill notbe accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

Contact Information:
For further information about this vacancy contact:
Leigh Conway
HR Director - ImCal HSA