INTERNAL EEMS Quality Review Specialist (Program Coordinator I) / 61096533 Position Available In Greenville, South Carolina

INTERNAL EEMS

Quality Review Specialist (Program Coordinator I) / 61096533

Salary
$38,985.00•$72,134.00 Annually
Location Statewide, SC
Job Type
FTE•Full-Time
Job Number
174073
Agency
Department of Health and Human Services
Division
Eligibility Quality Assurance
Opening Date
02/28/2025
Closing Date
3/7/2025 11:59 PM Eastern

Class Code:

AH35

Position Number:

61096533

Normal Work Schedule:

Monday•Friday (8:30•5:00)
Pay Band
Band 5
Opening Date
02/28/2025
EEO Statement
Equal Opportunity Employer

Agency Specific Application Procedures:

Failure to provide detailed and complete information may result in your application not being referred.
Veteran Preference Statement
South Carolina is making our Veterans a priority for employment in state agencies and institutions.

DESCRIPTION

BENEFITS
QUESTIONS
Job Responsibilities
This is a South Carolina Department of Health and Human Services Internal Position. Only current South Carolina Department of Health and Human Services employees are eligible for this position.
The Agency’s mission is to be boldly innovative in improving the health and quality of life for South Carolinians.
This is position is located in Eligibility Quality Assurance, Statewide.
Are you the One? We are looking for a EEMS Quality Review Specialist) who evaluates the accuracy of Long-Term Care eligibility determinations made by Eligibility Specialists. Quality Specialists complete quality reviews of eligibility determinations in an accurate and timely manner.
In accordance with the timeliness standards set by the department, completes quality reviews of eligibility determinations. These determinations include, but are not limited to, applications, reviews and changes of circumstances. Ensures that all quality reviews of eligibility determinations are completed accurately using the appropriate error codes. Thoroughly and accurately documents results of quality reviews according to quality assurance team guidelines. Follows appropriate escalation processes for procedural errors.
Maintains a professional demeanor and communication style, ensuring that communication and interactions with internal and external stakeholders is clear, polite and concise. Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with state and federal law as articulated through departmental policies and training. Attends all mandatory meetings, trainings and events as directed by supervisory staff and agency leadership. Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls. Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary. Performs other duties as assigned by supervisory staff and agency leadership.
The South Carolina Department of Health and Human Services offers an exceptional benefits package for FTE and TGE positions that includes:
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
13 paid holidays.
State Retirement Plan and Deferred Compensation Programs.
Minimum and Additional Requirements
A high school diploma and professional experience in social service programs, business administration, general administrative management or relevant program experience.

Preferred:

One (1) year of experience processing Medicaid applications. Must have exceptional attention to detail.

Additional Requirements:

Sitting or standing for long periods of time.
Overtime and/or weekend work with Deputy approval.
Lifting requirements: 20 lbs.
Occasional overnight travel.
Preferred Qualifications
Knowledge of Medicaid laws, regulations, policies and procedures. Ability to interpret and apply laws, regulations, policies and procedures. Ability to learn, retain, and apply information about federal rules and standards for reviewing Medicaid eligibility determinations. Ability to exercise judgment and discretion. Ability to establish and maintain effective working relationships. Ability to communicate effectively in writing and orally. Familiarity with computers, standard Microsoft Office software and internet browsers. Ability to perform basic mathematical computations. Ability to work in a professional office environment with a diverse group of teammates.
Additional Comments
Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail.
The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
Employer
State of South Carolina
Agency
Department of Health and Human Services
Address
1801 Main Street, Suite 224
Columbia, South Carolina, 29201
Phone
803-898-2670
THE

LANGUAGE USED IN THIS DOCUMENT DOES NOT CREATE AN EMPLOYMENT CONTRACT BETWEEN THE EMPLOYEE AND THE AGENCY. THIS DOCUMENT DOES NOT CREATE ANY CONTRACTUAL RIGHTS OR ENTITLEMENTS. THE AGENCY RESERVES THE RIGHT TO REVISE THE CONTENT OF THIS DOCUMENT, IN WHOLE OR IN PART. NO PROMISES OR ASSURANCES, WHETHER WRITTEN OR ORAL, WHICH ARE CONTRARY TO OR INCONSISTENT WITH THE TERMS OF THIS PARAGRAPH CREATE ANY CONTRACT OF EMPLOYMENT.

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