Disability & Human Services Program Specialist(OLTL Medicaid Waiver)

Job Description

Job Description

Job Type: Contract long-term

Shift Details: 8 am - 4 pm

JOB DESCRIPTION:

• Review electronically submitted critical incident reports to ensure that service coordinators are effectively supporting the health and welfare of participants receiving home and community based services. As necessary, seek additional information and provide technical support to assist Service Coordinators and Managed Care Organizations (MCO) to complete investigations and establish corrective actions.
• Follow-up with Service Coordinators and MCOs to ensure that all components of an incident are investigated and acted upon in a timely manner and that the health, safety, and welfare of the participants are ensured.
• Analyze complex Excel and other reports submitted by MCOs which identify their performance and compliance with CMS' prescribed requirements related to timeliness, completion, investigation, follow up, and closure of critical incident reports. Provide feedback to MCOs on their performance and necessary remediation.
• Participate in the review of service plans for participants with complex needs, providing technical support and guidance to Service Coordinators, participants, caregivers, and service providers as necessary.
• Respond orally and in writing to basic inquiries within a reasonable timeframe regarding home and community based programs, participants concerns, and other related matters. Prepare responses to legislative inquiries for review by supervisor.
• Investigate complaints and critical incident reports reported by participants, service coordinator, or other entities, and provide resolution, seeking supervision when necessary.
• Use established precedent and policy to provide guidance, consultation, technical assistance, to enrollment brokers, service coordinators, participants, and caregivers; advise supervisor of problems and/or unusual issues as appropriate.
• Identify any operational issues which impede the provision of appropriate, cost-efficient services to individuals and recommend remedies/necessary changes to supervisor. As a member of a Team or Division group, participate in developing/revising OLTL home and community-based program policies and procedures.
• Prepare detailed analysis and summary of current issues, service plan and critical incidents trends, or other statistical data both to support projects as well as on-going management of the program.
• Participate in developing and presenting training to Division staff, other OLTL staff, key constituents, and providers.
• Serve on workgroups comprised of staff from within OLTL or stakeholders from outside OLTL. Committee work may include: preparing Medicaid waiver amendments and renewals; evaluating policy recommendations, directives, and regulations.
• Assisting with the development of operational manuals, program directives, work plans, system changes, regulations, training, and policies and procedures to ensure that home and Dec 2023 community-based waiver and community programs are administered accurately, effectively and efficiently and that services meet participant needs.
• As needed, accompany team member(s) on field travel to provide on-site technical support, re-mediation, and problem-solving to participants, families, providers and other key stakeholders.
• Attend and participate in team meetings, Division, and Bureau meetings as scheduled.
• Perform other related duties as required.

Essential Functions

• Have experience in the Human Services field
• Understand OLTL Medicaid Home and Community-Based Services Waivers and Act 150 program, regulations, policies, and procedures.
• Possess strong critical thinking, problem-solving, and decision-making skills
• Be knowledgeable of physical disabilities, associated limitations to Activities of Daily Living (ADLs), Instrumental ADLs, and relevant supports.
• Be technology-savvy and able to work remotely using videoconference and telephonic platforms. OLTL is currently on teleworking status.
• Ability to work remotely and independently, self-initiator.
• Ability to follow instructions.
• Organize and deliver presentations.
• Ability to prioritize tasks.
• Ability to explain programmatic requirements to participants, providers, and other stakeholders.
• Ability to effectively communicate both orally and in writing.
• Understand and interpret local, federal, and state laws as relevant.
• Working knowledge of Microsoft Office, HCSIS, SAMS/WellSky, and e-CIS.
• Travel independently with overnight stays, without available public transportation.

22nd Century Technologies, Inc. (TSCTI) is one of the fastest-growing IT Services Integrators and Workforce Solutions providers in the United States. Founded in 1997, TSCTI is a Certified National Minority Business Enterprise (MBE) with a workforce of 6,000+ professionals, including 600+ Cybersecurity Subject Matter Experts (SMEs), delivering mission-critical solutions across all 50 U.S. states, Canada, and Mexico.

Headquartered in Princeton, NJ, and McLean, VA, with 14 regional offices nationwide, TSCTI provides comprehensive solutions in Digital Transformation, Artificial Intelligence (AI), Cybersecurity, Cloud Computing, IT Infrastructure, Enterprise Modernization, DevSecOps, Managed Services, Workforce Solutions, and Healthcare Staffing. We are a trusted partner to Federal, State, Local, Education (SLED), Healthcare, and Commercial organizations, delivering innovative technology and talent solutions that enable our clients to achieve their strategic objectives.

As one of the nation's leading Healthcare Workforce Solutions providers, TSCTI supports federal healthcare systems, Veterans Affairs (VA) Medical Centers, state and local healthcare agencies, hospitals, clinics, laboratories, long-term care facilities, and commercial healthcare organizations. We recruit and place highly qualified healthcare professionals across a wide range of specialties, including physicians, advanced practice providers, registered nurses, allied health professionals, behavioral health specialists, laboratory personnel, pharmacy professionals, and healthcare administrative staff. Our healthcare solutions ensure continuity of care while maintaining the highest standards of clinical excellence and regulatory compliance.

With a strong commitment to quality and compliance, TSCTI operates through CMMI Level 3 (Development & Services) and ISO 9001, ISO 20000, and ISO 27001 certified processes, ensuring consistent service excellence, operational maturity, and information security. Today, we proudly support 14 of the 15 Federal Executive Departments, 37 Federal agencies, 50 State governments, 115+ Local agencies, 37 School Districts, numerous healthcare organizations, and 80+ Fortune 500 and commercial clients.

TSCTI has earned numerous industry recognitions, including being named among Forbes America's Best Large Employers, Forbes Best Employers for Veterans, Forbes Best Employers for Tech Workers, Newsweek's America's Greatest Workplaces for Diversity, and a 13-time Inc. 5000 honoree. The company has also been recognized by the Washington Business Journal as one of the Best Places to Work and continues to expand its capabilities through strategic innovation, acquisitions, and investments in emerging technologies.

At TSCTI, our people are our greatest strength. We are committed to fostering an inclusive, collaborative, and growth-oriented workplace where innovation thrives and careers flourish. Whether delivering cutting-edge technology solutions or connecting exceptional talent with meaningful careers, we consistently exceed our clients' expectations while empowering our employees to succeed.

Equal Opportunity Employer

22nd Century Technologies, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Company Description

22nd Century Technologies, Inc. (TSCTI) is one of the fastest-growing IT Services Integrators and Workforce Solutions providers in the United States. Founded in 1997, TSCTI is a Certified National Minority Business Enterprise (MBE) with a workforce of 6,000+ professionals, including 600+ Cybersecurity Subject Matter Experts (SMEs), delivering mission-critical solutions across all 50 U.S. states, Canada, and Mexico.\r\n\r\nHeadquartered in Princeton, NJ, and McLean, VA, with 14 regional offices nationwide, TSCTI provides comprehensive solutions in Digital Transformation, Artificial Intelligence (AI), Cybersecurity, Cloud Computing, IT Infrastructure, Enterprise Modernization, DevSecOps, Managed Services, Workforce Solutions, and Healthcare Staffing. We are a trusted partner to Federal, State, Local, Education (SLED), Healthcare, and Commercial organizations, delivering innovative technology and talent solutions that enable our clients to achieve their strategic objectives.\r\n\r\nAs one of the nation's leading Healthcare Workforce Solutions providers, TSCTI supports federal healthcare systems, Veterans Affairs (VA) Medical Centers, state and local healthcare agencies, hospitals, clinics, laboratories, long-term care facilities, and commercial healthcare organizations. We recruit and place highly qualified healthcare professionals across a wide range of specialties, including physicians, advanced practice providers, registered nurses, allied health professionals, behavioral health specialists, laboratory personnel, pharmacy professionals, and healthcare administrative staff. Our healthcare solutions ensure continuity of care while maintaining the highest standards of clinical excellence and regulatory compliance.\r\n\r\nWith a strong commitment to quality and compliance, TSCTI operates through CMMI Level 3 (Development & Services) and ISO 9001, ISO 20000, and ISO 27001 certified processes, ensuring consistent service excellence, operational maturity, and information security. Today, we proudly support 14 of the 15 Federal Executive Departments, 37 Federal agencies, 50 State governments, 115+ Local agencies, 37 School Districts, numerous healthcare organizations, and 80+ Fortune 500 and commercial clients.\r\n\r\nTSCTI has earned numerous industry recognitions, including being named among Forbes America's Best Large Employers, Forbes Best Employers for Veterans, Forbes Best Employers for Tech Workers, Newsweek's America's Greatest Workplaces for Diversity, and a 13-time Inc. 5000 honoree. The company has also been recognized by the Washington Business Journal as one of the Best Places to Work and continues to expand its capabilities through strategic innovation, acquisitions, and investments in emerging technologies.\r\n\r\nAt TSCTI, our people are our greatest strength. We are committed to fostering an inclusive, collaborative, and growth-oriented workplace where innovation thrives and careers flourish. Whether delivering cutting-edge technology solutions or connecting exceptional talent with meaningful careers, we consistently exceed our clients' expectations while empowering our employees to succeed.\r\n\r\nEqual Opportunity Employer\r\n\r\n22nd Century Technologies, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.