JOB
DSHS HCLA – Social and Health Program Consultant 4 - Provider Network Navigator
Make a meaningful impact in long-term care policy by embracing this thrilling opportunity. The WA Cares Fund is the first of its kind in the United States, showcasing why Washington State leads the nation in long-term care initiatives. Created by the WA State Legislature, the WA Cares Fund (WCF) offers affordable long-term care insurance coverage to all working Washingtonians. This is a rare opportunity to become one of the founding team members as we introduce the nation’s first long-term services and supports social insurance program.
DSHS’s Home & Community Living Administration (HCLA) WCF is hiring key team members now to assist as we move toward the full implementation of the program. The innovative work that you do now will aid qualified people and their authorized representatives to apply for and access their earned benefits that help pay for daily-living activities. Your experience, knowledge, and skills make a difference.
The Provider Network Navigator serves as a designated specialist for the determination of provider eligibility for the delivery of social and medical long term care services to eligible beneficiaries, in addition to the training of staff who conduct client/beneficiary eligibility assessments, advising providers who deliver services to those clients. The position is responsible for the monitoring of Network of Care Providers, and that the staff processes are meeting state and federal policies and regulations.
This position will conduct monitoring and quality assurance audits and reviews responses to quality assurance audits, as necessitated by legal, statutory, or legislative requirements. The incumbent will be required to create, present, assist with implementation, and monitor progress of provider corrective action plans.
Location: The Provider Network Navigator can be located in any of the following counties: Whatcom, Skagit, San Juan, Snohomish, King. This position currently has approval to work a flexible/hybrid schedule, as business needs allow. Travel regionally and statewide is required based on business and training needs.
Snohomish County employees are eligible to receive an Orca Card for transportation needs. King County employees receive 5% premium pay in addition to the advertised salary and are eligible to receive a free ORCA card for transportation use.
Some of what you'll do:
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Performing outreach to contracted providers to notify them of outstanding compliance issues as a result of monitoring and audits.
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Participates in statewide scheduled monthly case management meetings to collaborate with other navigators.
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Participates in statewide scheduled monthly case management meetings to collaborate with other navigators.
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Review provider application materials and determine eligibility
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Assists Administrator and Other Staff Interpreting Policies, and Procedures; Obtains Clarification from Policy Staff Regarding the Registration Process as Needed.
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Approve provider registration and licensing
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Facilitate provider application, contracting, and licensing.
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Research and develop connections with regional providers, employers, community-based organizations, agencies, tribes, and other business partners.
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Coordinate and deliver training to staff and providers on various subjects (e.g. registration, contracting, ProviderOne, and Quality Assurance Audits/Monitoring)
Who should apply?
Professionals who meet one of the following qualifications:
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One year of experience as a Social and Health Program Consultant 3 or equivalent.
OR -
Two years of experience as a Social and Health Program Consultant 2 or equivalent.
OR -
A master’s degree in social work*, health or social science, public administration, or a related field AND four years of professional experience planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs.
OR -
A bachelor’s degree in social work*, health or social science, public administration, or a related field AND five years of professional experience planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs.
OR -
A combination of education and professional experience totaling at least nine years.
- Note: A degree in social work must be from a program accredited by the Council on Social Work Education.
DSHS partners with people to access support, care, and resources.
Interested? Please submit a current resume, contact information for three professional references, and a cover letter explaining how your knowledge, skills, and abilities qualify you for this role.
Questions? Please reach out to DSHS Recruiter Alex Baclaan at
[email protected] and reference job number
04378.
The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security. SUPPLEMENTAL INFORMATION
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
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