DHHS Program Accuracy Specialist

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Job Description:

The Program Accuracy Specialist (PAS) validates Nebraska DD and AD waiver providers compliance with CMS and State HCBS rulesincluding the HCBS Final Settings Ruleby conducting desk reviews audits onsite monitoring and National Core Indicators (NCI) participantexperience interviews.

Under general supervision the PAS will:

• Conduct desk reviews audits on-site evaluations and scheduled ad-hoc and unannounced monitoring of DD and AD HCBS waiver providers.

• Conduct NCI participant-experience interviews in-person virtually or by phone (AD only).

• Assess provider performance determine compliance levels and support corrective actions and remediation against CMS and State HCBS requirements.

• Review participant support plans as needed and maintain understanding of behavioral mental and physical health needs.

• Provide real-time feedback and technical assistance to providers and Service Coordination staff.

• Interpret and apply State and Federal regulations in daily work.

• Recognize and report suspected abuse neglect or exploitation per mandated-reporting requirements.

• Prepare monitoring reports correspondence and other documentation; assist in developing QA tools and training.

• Participate in team meetings and collaborate across DHHS on regulatory updates and procedural changes.

• Authority to recommend corrective actions provide technical assistance and escalate compliance or safeguarding concerns per protocol.

• Other duties as assigned.

* Office-based with travel to provider sites; occasional evening or extended hours may be

required. Travel up to 50% may be required.

Requirements/ Qualifications

Minimum Qualifications: Two years 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: A bachelors degree in social work public health psychology or a related field is required along with experience working with HCBS waiver programs CMS regulations or National Core Indicators. The ideal candidate will have a background in human services behavioral health developmental disabilities or elder care as well as experience leading corrective action planning and providing cross-agency technical assistance.

Knowledge Skills & Abilities:

Knowledge

• CMS HCBS Waiver rules HCBS Final Settings Rule and relevant State guidelines.

• DD and AD HCBS waiver services participant support planning and NCI.

Skills

• Analytically assess compliance synthesize review/interview data identify risks.

• Clear report writing and sensitive interview skills.

• Proficiency with electronic documentation and QA tools preferred.

• Manage multiple monitoring activities and meet deadlines.

Abilities

• Strong written and verbal communication attention to detail interview and report writing skills.

• Valid drivers license and ability to travel to provider sites; a state vehicle may be provided depending on office location.

• Ability to recognize and report abuse neglect or exploitation.

• Build and maintain productive relationships across DHHS and with providers.

• Drive continuous improvement through monitoring and corrective action.

• Provide constructive technical assistance to diverse stakeholders.

• Exercise sound judgment when interpreting regulations and escalating concerns.

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