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About the Role

GGRC is seeking a Supervisor, Medicaid Waiver to manage the Medicaid Waiver (MW) Program. This role involves determining eligibility, overseeing program requirements, resolving issues, and supervising staff and consultants. The position requires regional travel.

Responsibilities

Administer the Medicaid Waiver Program, including reviewing case records for eligibility and documentation, performing recertifications, and documenting services.
Provide quality assurance for case records to ensure compliance with Medicaid Waiver standards.
Educate and inform case management staff on Medicaid Waiver documentation and changes.
Serve as a resource for case management staff in developing Medicaid Waiver-related goals.
Supervise the Medicaid Waiver Program to ensure enrollment goals are met and secure maximum funding.
Monitor case records to ensure needs are supported by documentation.
Instruct, coach, and monitor staff on Medicaid Waiver documentation requirements.
Coordinate quality assurance and training for case management staff.
Act as the primary liaison with external Medicaid Waiver organizations.
Refer, coordinate, and follow up with Institutional Deeming Referrals.
Ensure diagnostic CDER is updated and accurate.
Participate in ARCA Federal Programs committee meetings.
Develop audit protocols and coordinate file reviews.
Review audit reports and present findings to management.
Coordinate responses to audit cases and develop internal controls and corrective action plans.
Research and develop case materials and strategy for audit appeals.
Represent GGRC on audit appeals cases.
Manage staff, including interviewing, hiring, training, and supervision.
Provide guidance and feedback on staff performance.
Hold staff meetings to disseminate information and gather feedback.
Manage workflow and staff time to meet goals.
Maintain expertise in external regulations through training.
Oversee the development of manuals, policies, and procedures for Medicaid Waiver.
Develop curriculum and conduct staff training on regulations, policies, and procedures.
Advise staff on procedures and assist in resolving program issues.
Conduct regular orientations for new staff.
Participate in special projects and assist with additional duties as assigned.
Maintain confidentiality of information in compliance with HIPAA and the Lanterman Act.

Requirements

Access to reliable transportation permitting travel to and between many different locations throughout the day.

Skills

Strong Leadership skills
Training and facilitation
Ability to understand Agency’s vision and values and implement changes within the unit to support it
Ability to work with all levels within the organization
Knowledge of Medicaid Waiver regulations and GGRC Case Management principles and procedures
Ability to convey complex information and ideas in a clear, concise and professional manner
Proficiency in project management skills
Strong attention to detail and analytical skills
Intermediate knowledge of MS Word®, MS Excel®, MS PowerPoint®, MS Outlook® or similar software applications
Provide team with direction and purpose focused on quality, efficiency and outcomes
Foster environment of customer service
Coach and support staff by making self accessible and providing real-time feedback
Address performance and hold people accountable
Problem identification and analysis; analytical thinking
Successful implementation through follow-up and project management
Self direction and initiative
Demonstrate respect and cultural awareness; effectively manage own reactions
Build partnerships and trust through collaboration, active listening and an openness to new ideas
Understand and effectively react/adapt to multiple and competing priorities on the job; use knowledge and expertise to focus on key job outcomes
Familiarity with Medicaid Waiver Regulations and Case Management Procedure
Experience in multi-cultural settings and/or multi-lingual capacity

Location

San Francisco, San Mateo, Marin, Sacramento, Northern/Central California

Work Type

Regional travel

Experience Level

5+ years professional experience in health care, health administration or social services including one year of direct services to people with developmental disabilities preferred
3+ years professional experience supervising professional staff

Education Level

Bachelor’s Degree in Nursing or other related field

Salary/Compensations

$75,518 - $90,621

Benefits

Medical and Dental benefits with a generous employer contribution
Employer paid Life, Disability and Vision coverage
10% employer contribution to a 403(b) retirement account
13 vacation days
15 sick days
11 paid holidays
6 personal days
Up to 5 paid days for continuing education

About the Company

GGRC values diversity, we believe in creating an environment where people of all backgrounds can collaborate to find solutions to complex problems.
We are community minded and passionate.
GGRC values each person as a full, robust, and unique individual and interacts with each person in a manner that is respectful and responsive.
We endeavor to place each person at the center of his, her or their own life.
We approach each person as an expert on his, her or their own life and identity with a clear and attentive inquiry into what is important to, as well as important for, that one person (whether coworker or person-served, family member or other stakeholder).

Equal Opportunity

Golden Gate Regional Center is an Equal Opportunity Employer.
GGRC values diversity; people of all backgrounds are encouraged to apply.