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State of Missouri

Quality Service Manager-4812088

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Job Description

Job Summary - Why you'll love this position
Job Location:
This position will be located at 930 Wildwood, Jefferson City, MO 65102 Why you'll love this position: Are you interested in helping to end the HIV Epidemic? If yes, this position is your opportunity to make impact. The Bureau of HIV, STI, and Hepatitis is seeking a highly qualified individual to work as the Central Region Quality Service Manager and Case Manager Educator within the Ryan White HIV Care System. The salary indicated represents a base pay rate. If the individual selected or the position is eligible for a pay differential (e.g., shift, security, or years of service), it will be added to the total compensation in your paycheck. A pay differential does not raise your base pay. Responsibilities - What you'll do What you'll do: Responsible for administering the day-to-day oversight of the State Plan Personal Care (SPPC)/AIDS Waiver program. Serve as the primary liaison with the Department of Social Services (DSS), Mo Health Net Division (MHD), and the Center for Medicare and Medicaid Services (CMS) for the
SPPC/AIDS
Waiver program. Responsible for being knowledgeable of the Centers for Medicare and Medicaid Serves (CMS) rules, federal, and state laws affecting the
SPPC/AIDS
Waiver program. Provide case managers and case management supervisors with technical assistance, direction, training, and consultation related to the
SPPC/AIDS
Waiver program. Serve as the statewide
SPPC/AIDS
Waiver liaison to establish and maintain an effective working relationship with providers and case managers. Provide technical assistance to providers to ensure compliance with Missouri Medicaid Audit & Compliance (MMAC) requirements to provide
SPPC/AIDS
Waiver services. Reviews and approves service authorizations and communicates with Wipro to ensure timely and correct processing of approved service authorizations. Review and revise the
SPPC/AIDS
Waiver portion of the Missouri 1915(c) Waiver. Research and analyze
SPPC/AIDS
Waiver program reports for trends in client population, enrollment, cost, and data accuracy. Conduct quarterly audits to verify performance measures and program compliance e.g. client eligibility, verification of services provided, and payment accuracy. Coordinate 372 Assurance reports, CMS HCBS Transition Plan, and AIDS Waiver application for submission to CMS. Conduct quarterly audits to verify performance measures and program compliance e.g. client eligibility, verification of services provided, and payment accuracy. Travel throughout the state is required with occasional travel for out-of-state training opportunities. Qualifications - All you need for success
Minimum Qualifications:
Master's Degree in Social Work with 2 or more years of social work experience or Licensure as a Licensed Master Social Worker and 2 or more years of licensed master social work experience. Licensure as a Licensed Clinical Social Worker and 2 or more years of licensed clinical social work experience. Excellent written and oral communication skills. Candidate must be self-motivated and have effective organization and time-management abilities. Ability to speak in front of groups and lead effective meetings and trainings. Lack of post‐secondary education will not be used as the sole basis denying consideration to any applicant. Job Details - More reasons to love this position The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here. Contact Details - If you have questions or require any accommodations to participate in the application or interview process please contact: If you have questions about this position please contact: Jaya Williams, Director of Case Management, via e-mail at Jayashree.

Williams@health.mo.gov or by phone at 573-751-6510. The State of Missouri is an equal opportunity employer and is committed to developing and maintaining a talented workforce. The State of Missouri is an equal opportunity employer and is committed to developing and maintaining a talented workforce.