Program Monitor (754326)

Minimum Qualifications

A bachelor's degree is preferred. A combination of education, experience and training, which may include experience working in a public or private human service program with at least 12 college level credits of education in a social science or human services, education, administrative experience such as case management, service delivery, data collection, or program monitoring/quality assurance experience will be considered in lieu of a bachelor’s degree Intermediate Computer skills to include, but not limited, to Microsoft Office Products.

Role Description:

The employee in this position performs coordination and administration work for the Adult Autism Waiver (AAW). This involves monitoring and providing consultative services to service coordinators, providers, and participants to assure compliance with Federal and State regulations, policies and procedures, and understanding of the goals and initiatives of the Bureau of Supports for Autism and Special Populations.

Reviews, monitors and provides TA to service coordinators, providers, and the participants to assure compliance with applicable regulations, policies, and procedures.

Evaluates and assesses the quality of community programs, services, and supports through on-site visits and the review of records in order to assure that individual’s needs are identified and met.

Works closely with the clinical team for coordination of responsibilities and to resolve any participant or provider identified clinical deficiencies.

Consults and/or provides technical assistance to service coordinators, providers, participants, family members, other departments, and advocacy groups through on-site visits, training, conferences, team meetings and other collaborative activities.

Participates in the development of departmental policies by making recommendations when there are policy gaps or inconsistencies, drafting policy, reviewing policy, and/or presenting policy.

Collaborates with other DHS offices, other non-DHS offices, legislative offices, and community organizations to communicate the philosophy and initiatives of the Bureau of Supports for Autism and Special Populations.

Responsible for oversight of program activities, plan reviews and approvals, administration, and analysis of the AAW program, including on-site reviews, data collection and investigations, monitoring for compliance of both state and federal policies and procedures and preparing reports of the findings.

Directs and/or participates in the development, coordination, implementation and validation of corrective action plans to address any problems identified through annual and ongoing monitoring.

Applies sound principles in collecting information/data, both routinely and on an ad hoc basis, and interprets and analyzes information to assess compliance with contractual, regulatory, and departmental standards.

Assures accurate maintenance of statistical data needed to prepare periodic internal and annual CMS reports.

Provides assistance to providers regarding rates and billing.

Represents the Bureau in Fair Hearing Activities.

Represents the Bureau at meetings, conferences, including committees, work groups, certain advisory boards and councils, and advocacy organizations. Accurately assesses and report community and participant concerns and interests to the Bureau.

Responds to inquiries both in writing and verbally.

Determines continued non-financial participant eligibility for the AAW.

About Us:

TulaRay partners with clients to create staffing solutions that meet unique organizational needs. Our services are designed to reduce administrative burdens, protect your brand, and improve assignment time-to-fill. We believe that mutually successful client relationships are built on lasting quality and exceptional customer service. We pride ourselves on our uncompromising commitment to high-quality emergency management & healthcare personnel, while ensuring that our clients are taken care of with personalized attention. TulaRay manages total compliance and respectfully supports hundreds of professionals and patient-centered programs.

TulaRay is proud to be an affirmative action employer and is committed to providing equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you have a disability or special need that requires accommodation, please let us know by visiting our website at tularay.com