What are the responsibilities and job description for the Service Authorization Consultant position at Dept Behavioral Health/Develop?
Title: Service Authorization Consultant
State Role Title: 49172
Hiring Range: Up to $65,000
Pay Band: 5
Agency: Dept Behavioral Health/Develop
Location: Central Office
Agency Website: www.dbhds.virginia.gov
Recruitment Type: General Public - G
Job Duties
Additional responsibilities include:
- Performing clinical review and/or authorization of waiver and EPSDT services for individuals with developmental disabilities for all new and revised service plans, as appropriate.
- Utilizing knowledge of authorization procedures and interpretation of Medicaid regulations, policies, and procedures.
- Accurately entering service authorization information into the Waiver Management System/Virginia Medicaid Management Information System (VAMMIS).
- Providing service authorization related consultation and training to assigned Community Services Boards/private providers of case management services.
- Analyzing trends and problem areas within localities; providing recommendations and assistance to other DDS staff regarding technical support, training, and the development of guidance materials.
- Abiding by all legal and regulatory standards promulgated by state, federal and professional regulatory organizations and will engage in conduct that is professional and ethical at all times, to the best of my knowledge and understanding.
Minimum Qualifications
- Knowledge of professional standards of supports and services for individuals with developmental disabilities (DD), including knowledge of best practices.
- Knowledge of the health care needs of persons with disabilities (physical, cognitive, emotional), health and social service programs and issues, community resources, state and federal DD regulations, negotiation techniques, problem resolution, medical terminology, and medical standards of treatment.
- Ability to work with electronic information systems.
- Demonstrated ability to organize and prioritize work assignments, and to communicate effectively orally and in writing.
- Ability to research and identify changes in program requirements and policies and to interpret state and federal regulations.
- Ability to use a range of computer programs and data base applications such as Word, Excel, and the Internet.
Additional Considerations
- Experience in social, behavioral science, education, or related human services field.
- Understanding of best practices in developmental disability (DD) services or understanding of how best practices are adopted and ability to translate experiences and training within the DD system.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
This position is eligible for telework opportunities; availability, hours, and duration of telework shall be approved as outlined in the Commonwealth telework policy.
For consideration, interested applicants must apply by completing the online application. A resume may also be included with your submission. However, emailed, faxed, and hand-delivered applications and/or resumes will not be accepted. This position is open until filled; however, applications/resumes will begin to be reviewed within seven (7) business days of the date of this posting. Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act.
DBHDS welcomes all applicants authorized to work in the U.S. For more information on how to seek this authorization, please refer to Working in the United States or contact the U.S. Citizenship and Immigration Services office directly.
For any technical assistance with the jobs.virginia.gov website, please contact applicantinquiry@dhrm.virginia.gov.
Contact Information
Name: ShaKiera Miles
Phone: N/A
Email: shakiera.miles@dbhds.virginia.gov - Inquiries Only/No Submissions, to include resumes.
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer
Salary : $65,000
