Responsibilities include:

• Evaluates child/youth’s case for compliance with applicable regulations.


• Builds and maintains relationships with care managers and providers to provide a high level of customer service.


• Coordinates with care managers to schedule onsite visits and clearly communicates visit requirements and follow up.


• Evaluate documentation against applicable regulations.


• Collects data and documentation from care management sites to support compliance findings.


• Utilizes technology to convert hard copy documentation to electronic and submit via secure file transfer.


• Records and summarizes onsite visit compliance findings for the Children’s Transformation Program.


• Assists in determining trends in non-compliance.


• Makes appropriate and timely recommendations to project management.


• May require travel to complete on-site reviews on an ongoing basis by region within the New York state.

Mandatory Qualifications include:

 

• Experience working with CANS-NY, UAS-NY, Medicaid Health Homes, or equivalent transformational programs.


• Experience working with the Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD), or Office of Children and Families (OCFS).


• Possess an Active New York Registered Nurse License.


• Extensive knowledge of HCBS Waiver programs, including the 1915(c) NYS Children’s Waiver.


• Experience with multiple Electronic Health Record applications.


• Ability to work with and relate to staff and demonstrate active listening skills.


• Process-oriented and results-driven work strategy.


• Ability to foster teamwork with all levels of management and staff.


• Ability to work well independently and within a team.


• Exceptional Customer Service relationship techniques, including superior verbal and written communication skills.


• Excellent accuracy and attention to detail.


• Experience in meeting deadlines and adhering to a strict standard

At Garnet River, we care about our employees. We strongly believe in work/family balance. Our robust employee benefits package includes: a competitive salary, paid vacation, sick time and holidays, company-paid health insurance (including dental and vision), 401(k) and life insurance.

Garnet River LLC is an Equal Employment Opportunity/Affirmative Action (EEO/AA) employer.

Minorities/Female/Disabled/Veteran (M/F/D/V)