Rehabilitation Program Specialist 2 (PN 20036282)

The Division of Medicaid Development and Administration works with state agency personnel and stakeholders to develop policies related to Medicaid funded services for people with developmental disabilities.

Who Are We?

The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life.

Ohio is the heart of opportunity, and we envision Ohio as the best place in the nation for people with developmental disabilities to thrive. Our core values reflect our focus on the experience of each person we support:

• Inclusion
• Partnership
• Respect

What You'll Do

• Reviews assessments & makes determinations related to level of care requests submitted by county boards of developmental disabilities (CBDDs) for initial & ongoing enrollment in Medicaid Home & Community-Based Services (HCBS) Waivers & by intermediate care facilities for individuals with intellectual disabilities (ICFs) for initial & continued admission. Conducts face-to-face assessments of individuals prior to denying a level of care request. Prepares correspondence and hearing rights to send to individuals who are denied services or found to no longer meet necessary requirements for services.

• Prepares hearing summaries and supporting documentation for hearings to submit to the Bureau of State Hearings.

• Reviews assessments submitted by CBDDs & develops individualized recommendations relative to least restrictive placement options for individuals seeking admission to ICFs.

• Develops & coordinates pre-admission screens & resident reviews (PASRR) for individuals with developmental disabilities seeking admission to nursing facilities; coordinates pro-gram requirements & necessary steps for people with developmental disabilities seeking admission to Medicaid-certified nursing facilities from hospitals, private residences, & community-based programs, ensuring compliance with applicable federal & state requirements & best practices.

• Performs records/documentation development/maintenance functions (e.g. develops, sends & receives email & phone communications from involved parties); uses the appropriate DODD applications (including, but not limited to. level of care application & PASRR tracking system, HENS, KePro) to record required information.

• Advises state & local staff on correct procedures to follow related to submission of level of care assessments, preadmission screens, &/or resident reviews.

• Collaborates with other department/division staff regarding relation-ship of level of care & enrollment in HCBS Waiver &/or placement in ICFs. Provides testimony at hearings, if necessary. Procures federal dollars.

• Provides support to staff throughout the Department who are assigned responsibility for the administration of Medicaid processes & procedures (e.g., reviewing & revising policies & procedures related to level of care & PASRR to inform policy analysis & development).

• Monitors & evaluates systems activities of local Department of Job & Family Services (DJFS) case workers through Client Registry Information System Enhanced (CRIS-E) &/or Ohio Benefits System (OBS) (e.g., new applications, Medicaid eligibility determinations, appeals, etc.)

• Advises state & local staff on correct procedures to follow to assist applicants to obtain Medicaid eligibility, provides technical assistance & assists in problem solving between DJFS case workers or other systems.

• Implements program policy & procedures that impact waiver eligibility.

• Provides testimony at hearings, if necessary.

Graduate degree in a human service area (i.e., rehabilitation counseling, special education, guidance & counseling, psychology, social work, child & family community services) as required by an accredited college or university

• Or a graduate degree that leads to licensure as a licensed professional counselor by the Ohio Counselor & Social Worker Board.
• Or completion of graduate degree in other related vocational rehabilitation areas (e.g., rehabilitation management/administration from an accredited college or university).
• Or completion of graduate field of study in human services area (i.e., same examples as cited previously) as required by accredited college or university AND 12 months' experience as Rehabilitation Program Specialist 1, 69731.

. -Or in Ohio Department of Developmental Disabilities only, 4 years' experience in private or governmental agency responsible for habilitative &/or rehabilitative programs development in developmental disabilities (i.e., working with individuals with developmental disabilities) AND bachelor's degree in professional human services field (e.g., psychology, education, anthropology) in accordance with provisions of 42 CFR 483.430(b)(5)(x) & interpretive guidelines issued by centers for Medicaid & Medicare services.

Job Skills: Counseling and Rehabilitation, Attention to detail, Critical thinking, Establishing relationships, Ethics and value, Problem solving, Time management