Clinical Support Specialist

OPEN UNTIL FILLED

JOB SUMMARY:

The Clinical Support Specialist performs administrative, clerical, data entry, evaluation, tracking and support for designated programs under the supervision of Residential Services to ensure compliance including but not limited to applicable agency policies and procedures, licensure regulations, DSS, Home and Community Based Services, and the Virginia Department of Medical Assistance Services (DMAS) provider requirements. Provide assistance/support to program coordinators and collaborate with the Leadership Team on program/division development.

• Provide administrative, clerical, data entry, evaluation, tracking and support for designated programs under the supervision of Residential Services to ensure compliance with Licensure, Medicaid, and Human Rights are met in all programs under the supervision of Residential services. Collaborate with the Leadership Team on program/division development. Provide data entry and resolve issues within WaMs, CRT, ISPs and other DMAS and DBHDS as identified. Work with DBHDS preauthorization specialists and other regulatory staff to identify and resolve issues as needed. Provide backup assistance to the Administrative Service Coordinator when needed.
• Review and manage tracked services to monitor the entry of individual's, including but no limited to, quarterly and annual reviews, . Provide assistance to the Residential Program with the completion of services, as needed, to ensure that the deadlines are met.
• Review the Virginia Waiver Management system (WAMS) to verify approval of service authorizations, including required information is submitted, notify Residential Services and Reimbursement the outcome. Collaborate with Support Coordinators and Residential Services the corrections that may be needed. To assist/enter updates, for WAMS as needed. Assist with customized rate information/submission/tracking and data entry. To complete reports and monitoring of WAMS as assigned.
• Assist with various aspects of the electronic health record for individuals served. Provide WAMS and Credible training for Residential employees on requirement changes. Provide initial WAMS and Credible training to new hires in supervision roles. Collaborate with the Leadership Team any updates.
• Attend the monthly Service Application Team (SAT) meeting to represent residential services. Communicate updates to the residential team, including but not limited to, incorporated CCBHC measures.
• Collect/track data metrics for Residential Services. Run various reports to show percentage collection and submit monthly. Will work with leadership and internal and external agency/programs to meet including but not limited to DOJ, outcomes, benchmarks, department standards. Will assist to develop and build/maintain strong data standards within the programs. Will assist to identify and follow through with resolutions to protect program viability.
• Collateral contacts with Representative Payees to assist in spend downs with individual's accounts. Assist to manage large grant funds and proposals.
• Assist with admission/discharge and onboarding needs of individuals/providers in Residential Services.

QUALIFICATIONS:

Good oral and written communication skills, Knowledge with Electronic Health Records and the Virginia Waiver Management system., Knowledge of computer applications and operations including but not limited to excel, Microsoft, Knowledge of and skill in the principles of management and supervision with critical data analysis, Knowledge of and skill in admission criteria for levels of care, onboarding and comprehensive care, Knowledge of and ability to deal with clients with SMI, ID and SA, Work skills involving independent judgement and planning; time management and organizational ability