Health Advocate/Medicaid Quality Assurance

“This institution is an equal opportunity provider”. HEALTH ADVOCATE/MEDICAID QUALITY ASSURANCE SPECIALIST JOB DESCRIPTION Base Pay Rate: $17.62 Job Summary: Medicaid Quality Assurance Specialist The Quality Assurance Specialist ensures the accuracy, completeness, and compliance of electronic child files and data in the agency’s software system. This position supports the preparation of local, state, and federal reports by conducting regular file reviews and data audits. Collaboration with fellow Quality Assurance Specialists and program managers is essential to maintain consistent data standards and practices. The Specialist also assists with staff training and provides technical support to ensure correct documentation and software use. Coordination with the Systems Administrator is required to manage user setup and access. Strong attention to detail, teamwork, and communication are critical to success in this role. The position must be based at a WCFD site for the entire orientation period, with potential for hybrid work thereafter. Job Summary: Health Advocate This role is responsible for collaborating with the Director of Health Services to implement and oversee key health components within WCFD Early Childhood Programs, including general health, oral health, health education, and nutrition. This position will closely with staff and families to ensure that all children and pregnant women (if applicable) receive optimal healthcare services in compliance with State Statutes and Head Start Performance Standards. All duties will comply with all rules, regulations, and practices of the agency and its regulating authorities. WCFD standards, DFS licensing, NAEYC guidelines, Wyoming Division of Disabilities regulations, and WCFD policies. All employees will adhere to the mission, vision, values, policies, and procedures of WCFD. Duties/Responsibilities Provide emergency care/first aid as needed to students and staff at the worksite. Ensure all children receive the required health services: Health history, physical exams, and necessary follow-up Oral health exams and follow-up care Health, Vision, speech, hearing, and developmental screenings Immunizations including documentation of current status, catch up plans, or exemptions. Proper nutrition, in line with Performance Standards and Wyoming Department of Health guidelines Ensure all Early Head Start pregnant women receive prenatal care, including: Regular medical care Oral health exams Prenatal classes Collaborate with Center Director, Teachers, Family Support Providers, Therapists, and Family Advocates on: Health data tracking (immunization summaries, fluoride, USDA applications) First aid/CPR training for staff Completing Health Safety Checklists Parent contacts and home visits Managing health concerns and overseeing individual care plans Participate in health assessments and screenings, ensuring timely completion in coordination with Family Advocates and Center Directors. Attend Child & Family Staffing for children with health concerns. Assist with nutrition/health education in classrooms and provide training on recognizing childhood illnesses. Act as liaison between the medical community and WCFD, building strong relationships and supporting Health Services Advisory Committee meetings. Assist Center Director with Safety and Emergency Preparedness requirements. Perform periodic file reviews. Promote positive public relations within the work setting and community. Ensure ability to perform job functions safely, with or without reasonable accommodations. Attend all required training sessions and meetings. Perform other duties as assigned by the Board or its designee. Monitor and track all sections of the electronic child files within the agency’s data management system to ensure accuracy and completeness. Conduct regular reviews of child file data entry to verify timeliness, compliance, and alignment with program requirements. Mentor and support new Head Start/Early Head Start staff responsible for child file data entry, ensuring they understand documentation standards and system procedures. Coordinate and deliver training related to electronic child files and data entry protocols, tailoring content to accommodate different learning styles and providing individualized follow-up as needed. Provide ongoing guidance and technical assistance to staff regarding documentation requirements, including service coordination and recordkeeping. Ensure that accurate and complete child records are maintained and generate routine reports to monitor and validate staff data entry performance. Assist in compiling, verifying, and preparing data for submission in local, state, and federal reports. Participate in team meetings to provide input on program evaluation, child progress, and quality improvement efforts. Maintain clear and effective communication with supervisors, staff, and families to support data accuracy and program success. Recruit children for the program in accordance with guidelines from the Department of Health and Human Services and WCFD. Assist with ongoing generation of in‑kind through family and community partnerships. Maintain confidentiality of all program‑related information. Respond appropriately to suspected child abuse in accordance with WCFD policies. Provide emergency care as needed. Participates in child and family outreach and recruitment efforts Ensure ability to perform job functions safely, with or without reasonable accommodations Perform additional tasks assigned by the Board or its designee Adhere to all policies, guidelines, and operational procedures set forth by Wyoming Child and Family Development, Inc. Performs other related duties as assigned. Required Skills/Abilities Must be able to work well with children (birth through 5 years of age), including those with special needs, and their families. Proficient in engaging a diverse range of families, fathers, partners, grandparents, and any significant figures in a child’s education. Skilled in interacting with and engaging both children and adults in a positive manner. Knowledgeable about community resources and services, or able to acquire this knowledge, to provide families with relevant information and referrals to address their needs and challenges. Reliable, organized, and detail oriented. Must possess strong problem‑solving skills. Demonstrated ability to follow both written and verbal instructions accurately. Excellent interpersonal skills are required to collaborate with individuals with diverse ranges of personalities, backgrounds, and knowledge bases. Strong communication skills are essential to interact with staff, children, families, and the broader community. Must have effective stress management strategies and the ability to maintain composure in challenging situations. Flexibility is key; the ability to adapt to changing daily routines is required. Bilingual candidates are preferred. Education and Experience Must have a High School Diploma or a G.E.D. and be 18 years of age (state requirements). Experience in healthcare or as a CNA preferred. Current CNA or degree in healthcare or related field preferred. Must be willing to attain additional training or certifications, which may be required by Wyoming Child and Family Development, Inc. WCFD will only accept college degrees from accredited institutions recognized by the U.S. Department of Education. Physical Requirements Reasonable accommodations can be made for persons with disabilities. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Must possess visual acuity and stamina to read technical material for extended periods of time. Be able to sit, stand or walk for long periods of time without fatigue or discomfort. Must be able to travel to site locations, meetings and trainings, both in and out of state. Must be willing to drive in a variety of weather conditions. Must be able to hear and process ordinary conversation and telephone conversation. Must be able to tolerate air‑conditioned buildings and fluorescent lights. Must be able to climb stairs, stoop, kneel, crouch and/or reach, to retrieve materials and supplies from ground level to a height of at least 5 ft. Must have upper body strength to lift and carry the equivalent of 50 pounds. Must be able to assist a child to safety in case of an emergency. Must be able to work in a variety of temperatures, including hot and cold weather. Ability to travel across a multi‑county region; work in homes, community settings, and office environments; maintain flexible scheduling to meet availability needs. #J-18808-Ljbffr Wyoming Child and Family Development