Long Term Care Specialist I - Temporary
The Department of Vermont Health Access (DVHA)'s mission is to improve the health and well-being of Vermonters by providing access to quality healthcare cost effectively. We have three priorities that support us in moving our mission forward: Adoption of value-based payments, management of information technology projects, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.
DVHA's Long Term Care Unit is seeking a qualified individual to join their dynamic team.
The Long Term Care (LTC) Specialist I position maintains effective control of an active Medicaid caseload and processes new applications. Positions in this class are provided in depth training on a broad range of Medicaid programs for Vermonters who are Aged, Blind, and/or Disabled. These positions will also be trained in LTC/Choices For Care Medicaid including how to conduct a 60 month Look Back Period to determine if there are applicable penalty periods. Work is performed with considerable oversight of LTC Mentors and Supervisors. In this environment, incumbent will be responsible for making complex Medicaid eligibility determinations consistent with rules and policy within prescribed time frames. Incumbent will be expected to conduct independent research and analysis prior to meeting with their mentor or supervisor about a case. All LTC workers are required to take refresher training as appropriate. In addition to determining eligibility for new applications, incumbent also re-determines program eligibility at prescribed time frames or when changes in client circumstances dictate review. Workload levels are assigned commensurate with level of experience. The specialist must complete work in a timely and efficient manner as there are federal timelines standards that the department is held to. Failure to adhere to those standards may result in financial penalties for the department. This position may prepare reports, fair hearing requests, and fraud referrals. This position may testify at Fair Hearings. Performs related duties and other assigned duties as required.