Rehabilitation Program Specialist 2 (PN )

Graduate degree in a human service area (i.e. rehabilitation counseling special education guidance & counseling psychology social work child & family community services) as required by an accredited college or university

-Or a graduate degree that leads to licensure as a licensed professional counselor by the Ohio Counselor & Social Worker Board.

-Or completion of graduate degree in other related vocational rehabilitation areas (e.g. rehabilitation management/administration from an accredited college or university).

-Or completion of graduate field of study in human services area (i.e. same examples as cited previously) as required by accredited college or university; 12 mos. exp. as Rehabilitation Program Specialist 1 69731.

-Or in Ohio Department of Mental Health & Addiction Services only licensed certified or registered clinical professional per OAC(E) Personnel Requirements (2).

-Or in Ohio Department of Developmental Disabilities only 4 yrs. private or governmental agency responsible for habilitative &/or rehabilitative programs development in developmental disabilities (i.e. working with individuals with developmental disabilities); bachelors degree in professional human services field (e.g. psychology education anthropology) in accordance with provisions of 42 CFR 483.430(b)(5)(x) & interpretive guidelines issued by centers for Medicaid & Medicare services.

Job Skills: Counseling and Rehabilitation

• Current Department of Developmental Disabilities 1199 employees shall receive first consideration pursuant to Article 17 of the collective bargainingagreement.
• No additional materials will be accepted after the closing date; in addition you must clearly demonstrate how you meet minimum qualifications.
• The final candidate selected for the position will be required to undergo a criminal background check. RuleBackground Investigations for Employment outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities.
• Hourly wage will be paid at step 1 unless otherwise specified bycollective bargaining agreement or rules outlined in the ORC/OAC.

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39) and as outlined in the posting.

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services activities programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

What will you do

• Will work with supervisor for assignments in all the areas within the division that include Prior Authorization (PA) Nursing Tasking Inventory (NTI) State Funded Behavioral Add-on (SFBAO) and perform all duties of the RPS2.

• Reviewing assessments and/request to make determinations related to requests for PA NTI and SFBAO; submitted by county boards of developmental disabilities (CBDDs) for initial & ongoing budget review of Medicaid Home & Community-Based Services (HCBS) Waivers.

• Prepares correspondence and hearing rights to send to individuals who are denied services or found to no longer meet necessary requirements for services.

• Prepares hearing summaries and supporting documentation for hearings to submit to the Bureau of State Hearings.

• Reviews assessments submitted by CBDDs & Develops coordinates monitors reviews & evaluates Medicaid Home and Community-based Services Waiver prior authorization process & procedures.

• Reviews documentation provided by the appropriate county board of developmental disabilities (CB/DD) to determine if approval criteria are met utilizing federal & state regulations.

• Coordinates with department consultants for programmatic support & assistance with questionable cases or for general consultation. Evaluates & makes recommendations of approval of prior authorization state-funded behavior addons and nursing waiver budgets when appropriate. Makes recommendations for action resulting from information gathered through review process & participates in implementation of such action.

• Conducts reviews in accordance with departments polices & procedures; Develop and write reports in accordance with office procedures. Uses the appropriate DODD applications (including but not limited to prior authorizations state-funded behavior add-ons and nursing task inventory processes Medicaid Service System.

• Collaborate with other department/division staff regarding relationship of prior authorization approval to Payment Authorization of Waiver Services (PAWS).

• Provides testimony at hearings if necessary.

• Provides support to staff throughout the Department who have assigned responsibility for the administration of Medicaid processes & procedures.

• Completes professional correspondence reports & complex technical documents requiring the use of Medicaid terminology; proofreads work & makes all appropriate changes to ensure correspondence reports & documents are appropriate & error-free.

• Maintains Home & Community Based Services (HCBS) waiver information & data on DODD applications systems and electronic devices. Cross-references data on spreadsheets & other documents with information in file folders to ensure accuracy of electronically entered data. Distributes receives & compiles information as needed to meet Medicaid waiver requirements. Prepares & maintains electronic file folders for applications for DODD-administered HCBS waivers & all related correspondence sent to ODM & CMS.

• Establishes & maintains a filing system to ensure proposed due dates for daily operations and program implementation are met follows-up & advises supervisor appropriately if problems arise.

• Creates retrieves & re-files (either paper or electronic) materials manuals correspondence & other documentation as requested by immediate supervisor.

• Complete quarterly reports to account for prior authorization requests Nursing Authorization requests State Funded Behavioral add on requests and Hearing determinations within the 10-day requirement to complete the quarterly report.

• Tracks logs and completes data reports and updates as needed after review by manager and Subject Matter Experts. Manually process on and off boarding the completion/processing of nursing requests.

• Complete weekly performance measures and year to date annually for all reviews by RPS2s and # requests from each County Board of DD to ensure timelines are met for business/operational/compliance needs pursuant to applicable OAC rule.

• Assists with and providing ongoing monitoring for state hearing requests for MDA and communication with state hearing liaison. Hearing docket updates goes out every Tuesday.

• Assist with completion dissemination (mailing email and uploading) for Appeal Summary packets and/or letters for Prior Authorization Level of Care Preadmission Screening and Resident Review (PASRR Nursing hearing requests other MDA units summary as applicable and compliance request inquiries through BSH portal and or HATS and monitors the BSH mailbox.

• Responsible for updating two hearing logs with accurate data.

• Assists with providing links for hearing and providing hearing decisions to the appropriate MDA administration.

To request a reasonable accommodation due to disability please contact the ADA Coordinator by email at

At the State of Ohio we take care of the team that cares for Ohioans. We provide a variety of quality competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits visit ourTotal Rewards website! Our benefits package includes:

• Medical Coverage
• Free Dental Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off including vacation personal sick leave and 11 paid holidays per year
• Childbirth Adoption and Foster Care leave
• Education and Development Opportunities (Employee Development Funds Public Service Loan Forgiveness and more)
• Public Retirement Systems (such as OPERS STRS SERS and HPRS)&Optional Deferred Compensation (Ohio Deferred Compensation)

*Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Accepting applications for a Rehabilitation Program Specialist 2

The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life.

Ohio is the heart of opportunity and we envision Ohio as the best place in the nation for people with developmental disabilities to thrive. Our core values reflect our focus on the experience of each person we support:

• Inclusion
• Partnership
• Respect

The Division of Medicaid Development and Administration works with state agency personnel and stakeholders to develop policies related to Medicaid funded services for people with developmental disabilities.