Program Specialist for Nursing Facilities at State of Nebraska in Lincoln, Nebraska

Job Description:

The work we do matters!




Hiring Agency:

Health & Human Services - Agency 25



Location:

Lincoln, NE



Hiring Rate:




Job Posting:

JR2024-00010095 Program Specialist for Nursing Facilities (Open Date: 09/20/2024)



Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):
09-27-2024



Job Description:

Are you passionate about shaping policies that directly impact the quality of care for residents in nursing facilities? At Nebraska DHHS, we're looking for a dynamic and analytical individual to join us as a Program Specialist in our Medicaid & Long-Term Care Division. In this crucial role, you'll have the opportunity to review and analyze federal and state regulations, formulate impactful policies, and ensure seamless Medicaid reimbursement processes. You'll also conduct high-level analyses to anticipate and plan for future program needs, manage key internal and external operations, and provide essential training and technical assistance to facility administrators.


Become a vital part of our mission to deliver exceptional long-term care services, and help Nebraskans live better lives. Apply today!



Examples of Work



What you will do as the Program Specialist for Nursing Facilities:

• Review and analyze federal regulations, state laws, and administrative requirements to formulate appropriate policies, procedures, and interpretations for coverage and reimbursement services for residents in nursing facilities.


• Determine or recommend program policy by analyzing all pertinent issues and information, assessing the impact of proposed policy on the provision of services.


• Perform high level analyses, including predicting, inferring, envisioning and conceiving; to plan for future events affecting program areas of responsibility.


• Manage internal and external operations necessary to establish, implement and monitor Medicaid reimbursement policies and methodologies, resolve problems, explain proper application of policies, coordinate activities so that goals/objectives are achieved and to facilitate quality service delivery.


• Manage internal and external operations necessary to establish, implement and monitor reimbursement and expenditures for all program areas of responsibility.


• Write reports, position papers, impact summaries and related documents in order to formulate policy material to cover specific areas of long term care service programs.


• Provide training and technical assistance to nursing facility administrators and staff and associations concerning regulations, the assessment transmission process and reimbursement processes.


• Serve as the MLTC Pre-Admission Screening and Resident Review (PASRR) liaison and foster relationships with the vendor and the contract manager for the PASRR contract.

Requirements / Qualifications




Minimum Qualifications: Bachelor's degree, or equivalent coursework/training, in public administration, social/behavioral sciences, healthcare, human services or other program related field. Professional experience working in a human/social service or health care agency with responsibility for planning or evaluation services, programs or operational policies and practices may substitute in lieu of the educational requirement.



Preferred Qualifications: Experience in health care reimbursement which includes interpreting and analyzing laws, rules, regulations, policies, procedures and standards affecting reimbursement. Knowledge of: the principles and practices of public administration; procedure and policy development; methods and techniques of program planning; federal and state laws, rules, regulations and procedures pertaining to health and human services programs; quality assurance mechanisms; principles and techniques of planning, monitoring and evaluating human services programs and service delivery systems. Experience with technical, security and policy support for program data systems.



Other: Must posses a valid driver's license. Position is located on-site at the Nebraska State Office Building in Lincoln.



Knowledge / Skills / Abilities



Knowledge of the MDS assessment process for nursing facility residents.


Knowledge of the Pre-admission Screening and Resident Review requirements for nursing facility residents. Ability to effectively multi task, manage multiple project and initiatives. Understand and interpret complex information from others. Effectively communicate to all levels of management; facilitate meetings and develop and maintain policy and procedures. Ability to manage technical, security and policy support for program data systems. Knowledge of the competitive procurement process.






Benefits



We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.


Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits



Equal Opportunity Statement



The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.



Current employees of the State of Nebraska should NOT apply on this external career. Instead go to Workday and access the Jobs Hub - Internal Apply app from your home landing page. Apply Now