Title: Service Authorization Consultant
State Role Title: Health Care Compliance Spec II
Hiring Range: Up to $65,000
Pay Band: 5
Agency: Dept Behavioral Health/Develop
Location: Central Office
Agency Website: www.dbhds.virginia.gov
Recruitment Type: General Public - G
Job Duties
The Department of Behavioral Health and Developmental Services (DBHDS) is seeking a highly motivated individual to ensure that the DBHDS Developmental Disabilities waivers’ service authorization system maintains all standards of accountability, proficiency and responsiveness to the users of the system which results in the alignment of needs and resources of all the individuals receiving waiver funded services. Incumbent will be responsible for the review of Individual Support Plans, Individual Service Packages, Planning Calendars, and Service Authorizations for the waivers for individuals with developmental disabilities, assuring that all criteria are met from when the process initiates with the case manager/support coordinator through to the authorization of a service. This includes, but is not limited to, discussing appropriate service alternatives with support coordinators/case managers and their supervisors to include the provision of needed training and technical assistance; problem solving to ensure individuals receive the appropriate services according to their assessed needs; and communicating the results of the review process to CSBs, private providers and the VA Medicaid Management Information System. This position is a full-time field/telework position and will serve the Counties of Accomack, Gloucester, Isle of Wight, King & Queen, King William, Lancaster, Matthews, Middlesex, Northampton, Northumberland, Richmond, Southampton, Westmoreland, York and the Cities of Chesapeake, Franklin, Hampton James City, Newport News, Norfolk, Portsmouth, Poquoson, Suffolk, and Virginia Beach. This position is a full-time teleworking opportunity. This position may require frequent state travel.
Minimum Qualifications
• Knowledge of professional standards of supports and services for individuals with developmental disabilities (DD), including knowledge of best practices.
• 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.
• Ability to use a range of computer programs and database applications such as Word, Excel, and the Internet.
Additional Considerations
• Bachelor’s degree in a human services field (including, but not limited to, sociology, social work, special education, rehabilitation counseling, or psychology).
• Demonstrated training/professional experience in the delivery of services to individuals with DD.
• Knowledge of the support 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.
• An understanding of best practices in developmental disability (DD) services.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
For consideration, interested applicants must apply by completing the online application and/or submit a resume. However, emailed, faxed, and hand-delivered applications and/or resumes will not be accepted. Applications must be submitted by 11:55 p.m., on the listed closing date. Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act.
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.
For any technical assistance with the jobs.virginia.gov website, please contact applicantinquiry@dhrm.virginia.gov.
Contact Information
Name: ShaKiera Miles
Phone: N/A
Email: shakiera.miles@dbhds.virginia.gov - Inquiries Only/No Submissions, to include resumes.
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
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.