Medicaid and Long-Term Care Resource Developer

The work we do matters!

Hiring Agency:

Health & Human Services - Agency 25

Location:

Lincoln NE

Hiring Rate:

$19.045

Job Posting:

JR2026- Medicaid and Long-Term Care Resource Developer (Open)

Applications No Longer Accepted On (If no date is displayed job is posted as open until closed):

0

Job Description:

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 lets 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

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:

Minimum 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 Bachelors degree in any of the fields listed above.

Preferred Qualifications:

• 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.

Other: Valid drivers license or ability to provide independent authorized transportation in order to perform work related travel.

Knowledge Skills and Abilities:

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 youre currently employed by the State of Nebraska please dont 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: 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.