Care Manager - MED Posting Begin Date: 2025/02/18 Posting End Date: 2025/03/04 Category: Medical Sub Category: Community Services Work Type: Full Time Remote: Flexible Hybrid Location: Boise, ID, United States Minimum Salary: 28.69 Maximum Salary: 28.69 Pay Rate Type: Hourly Description DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS Applications will be accepted through 4:59 PM MST on the posting end date. The Idaho Department of Health and Welfare's Division of Medicaid, Bureau of Developmental Disability Services (BDDS) is seeking a forward-thinking, self-directed, innovative team member to join us as a Medical Program Specialist. The position will report to a BDDS Operations Program Manager and will serve as Care Manager for Traditional or Self-Direction Adult Developmental Disability Services. This position will be responsible for making professional and medical decisions for developmental disability services. This position requires clinical expertise with the developmentally disabled population, and the ability to interpret assessments and review, negotiate, make decisions, and assist with dispute resolutions. We are seeking candidates who have experience providing assistance directly to persons with developmental disabilities and experience with quality processes that review systems and analyze data, specific to participant needs. If you are interested in impacting the lives of people with developmental disabilities in a positive way, this is the job for you! This is a statewide position and will report to their nearest DHW location. This position may be eligible for telework after successful completion of probation and necessary training. The Idaho Department of Health & Welfare is a drug-free workplace. Any applicant offered employment in this position at the Idaho Department of Health and Welfare will be required to pass a pre-employment drug test. In addition, successful candidates will be required to complete a criminal history background investigation. Employment is dependent upon satisfactory results of the investigation. BENEFITS: BEST RETIREMENT AVAILABLE IN THE NATION We have one of the Nation's best state retirement systems (https://www.persi.idaho.gov/members-1/) (PERSI) that offers a lifetime benefit. OTHER EXCELLENT BENEFITS + 11 paid holidays + Generous vacation and sick leave accrual beginning as soon as you start + Paid parental leave (https://dhr.idaho.gov/information-for-state-employees/) + Medical, dental, vision insurance - incredible rates! (full-time/30+ hours per week) + PERSI Choice 401(k) + Deferred compensation plan + Life insurance + Short and long-term disability insurance + Student Loan Forgiveness (https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service) + Wellness programs + Employee Assistance Program (EAP) + Flexible Spending Accounts (FSA) + Wide variety of training opportunities + Some positions offer flexible hours and/or telecommuting Example of Duties + Respond to inquiries from and provide consultation to participants, other department entities, independent assessment providers, and the public. + Review, negotiate, and authorize Individual Service Plans or Support and Spending Plans. + Review and authorize Community Crisis services. + Participate and partner in reconsiderations and hearings. + Participant education. + Provide quality customer service to internal and external customers. MINIMUM QUALIFICATIONS: You must possess all the minimum qualifications below to pass the exam for this position. Please make sure your resume or work history supports your meeting the minimum qualifications for this position. Failure to do this may disqualify you from being considered for this position. It is highly recommended to attach a one-page cover letter to your application to demonstrate how you meet the requirements below. + Good knowledge of medical service delivery systems. Typically gained by completion of at least two college courses in a medical/health services field, public health or health care administration or related field (including but not limited to psychology, special education, RN, LPN, medical office assistant, etc.) AND one year of experience applying the knowledge in a medical service delivery system OR at least two years of experience as described. + Some knowledge of current laws and regulations governing Title XIX Medicaid programs. Typically gained by one year of experience where knowledge and understanding of Title XIX Medicaid laws and regulations was a job responsibility. + Some knowledge of training methods. Typically gained by successful completion of coursework or workshops of 16 hours or more covering communication concepts, learning styles, course design, and presentation skills or experience in presenting formal training sessions to groups. + Experience developing instructional materials. Typically gained by one year of experience actually developing (not just presenting) instructional course content and materials. + Experience evaluating program policies and procedures and recommending changes. Typically gained by one year of job experience which included the opportunity to evaluate the employer’s policies and procedures and provide input and/or recommend changes. Experience comparing employer’s policies and procedures to Medicaid or other governmental regulatory requirements would qualify as experience. Below is preferred experience. It is not required for the position but applicants with this experience may receive consideration over other applicants. + Good knowledge of developmental disabilities. Typically gained by a Bachelor's Degree or higher in a human services field (including but not limited to psychology, nursing, physical therapy, speech therapy); OR at least two years of experience working with individuals with developmental disabilities. If you have additional experience in more than one medical service delivery system, please include this in your resume or detailed work history. + Some knowledge of investigative methods and standards. Typically gained by training or coursework in investigative methodology, conflict management and de-escalation techniques; OR at least one year of experience conducting fact finding investigations. + Experience planning, organizing, monitoring, and evaluating a healthcare related program; analyzing cost effectiveness of methods of health care delivery. Typically gained by at least one year of professional experience performing related work such as a Facility Administrator, RN, Qualified Intellectual Disability Professional, or Developmental Specialist; OR at least one year of experience as part of a Quality Assurance, Quality Improvement, administrative-directed program (please be specific when describing your experience). Learn About a Career with DHW (https://healthandwelfare.idaho.gov/about-dhw/dhw-careers) ***PLEASE NOTE: application assistance is not available after the business hours listed below, on the weekends, or on holidays and you must apply before 4:59 pm on the closing date. When applying, use CHROME as your browser to avoid complications. If you have questions, please contact us at: Email is the quickest way to get an answer to your questions. (answered Monday through Friday during business hours MST) EMAIL: [email protected] PHONE:(208) 334-0681 EEO/ADA/Veteran: The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws. The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email[email protected]. Preference may be given to veterans who qualify under state and federal laws and regulations.