Service Authorization Consultant

3 weeks ago

Richmond, United States Dept Behavioral HealthDevelop Full time

**Title**: Service Authorization Consultant

**State Role Title**: Health Care Compliance Spec II

**Hiring Range**: $50,000-$60,000

**Pay Band**: 5

**Agency**: Dept Behavioral Health/Develop

**Location**:Central Office

**Recruitment Type**: General Public - G

**Job Duties**
Additional responsibilities include:

- Performing clinical review and/or authorization of waiver and EPSDT services for individuals with developmental disabilities for all new and revised service plans, as appropriate.
- Utilizing knowledge of authorization procedures and interpretation of Medicaid regulations, policies, and procedures.
- Accurately entering service authorization information into the Waiver Management System/Virginia Medicaid Management Information System (VAMMIS).
- Providing service authorization related consultation and training to assigned Community Services Boards/private providers of case management services.
- Analyzing trends and problem areas within localities; providing recommendations and assistance to other DDS staff regarding technical support, training, and the development of guidance materials.
- Abiding by all legal and regulatory standards promulgated by state, federal and professional regulatory organizations and will engage in conduct that is professional and ethical at all times, to the best of my knowledge and understanding.

**Minimum Qualifications**
- Knowledge of professional standards of supports and services for individuals with developmental disabilities (DD), including knowledge of best practices.
- Knowledge of the health care needs of persons with disabilities (physical, cognitive, emotional), health and social service programs and issues, community resources, state and federal DD regulations, negotiation techniques, problem resolution, medical terminology, and medical standards of treatment.
- Ability to work with electronic information systems.
- Demonstrated ability to organize and prioritize work assignments, and to communicate effectively orally and in writing.
- Ability to research and identify changes in program requirements and policies and to interpret state and federal regulations.

**Additional Considerations**
- Experience in social, behavioral science, education, or related human services field.
- Understanding of best practices in developmental disability (DD) services or understanding of how best practices are adopted and ability to translate experiences and training within the DD system.

**Special Instructions**

This position is eligible for telework opportunities; availability, hours, and duration of telework shall be approved as outlined in the Commonwealth telework policy.

DBHDS welcomes all applicants authorized to work in the U.S. For more information on how to seek this authorization, please refer to Working in the United States or contact the U.S. Citizenship and Immigration Services office directly.

**Contact Information**

Name: Keiana Bobbitt

Phone: N/A

Note**: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. **Equal Opportunity Employer

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