Program Monitor Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4872747) Apply  Program Monitor Salary $4,387.00 - $8,608.00 Monthly Location Lake Charles, LA Job Type Classified Job Number IMCAL 2025 - 16 Department LDH- Imperial Calcasieu Human Services Authority Opening Date 03/18/2025 Closing Date 3/25/2025 11:59 PM Central + Description + Benefits Supplemental Information This position works in the Developmental Disabilities Division. No Civil Service test score is required in order to be considered for this vacancy. To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. *Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.* A resume upload will NOT populate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit. For further information about this vacancy contact: Leigh Conway, HR Director Leigh.Conway@imcalhsa.org Minimum Qualifications MINIMUM QUALIFICATIONS: Five years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR Six years of full-time work experience in any field plus two years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR A bachelor’s degree plus two years of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services; OR An advanced degree or a Juris Doctorate plus one year of experience in developing, managing, or evaluating health or social service programs; or in public health, public relations, social services, health services, health regulation, or administrative services. EXPERIENCE SUBSTITUTION: Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. Job Concepts Function of Work: To perform research, analysis and policy management activities related to statewide health or social service program(s). Level of Work: Advanced. Supervision Received: Broad from a Program Monitor Supervisor--DHH or higher level. Supervision Exercised: None. Location of Work: Department of Health and Hospitals; Human Service Districts as established; and other social service entities as established by an approved DSCS Allocation Criteria Memorandum. Job Distinctions: Differs from Program Monitor Supervisor--DHH by the absence of supervisory responsibility. Differs from Program Manager 1-A--DHH and Program Manager 1-B--DHH by the absence of responsibility for administering small or less complex statewide program(s). Examples of Work + Develops and maintains an internal system to analyze Developmental Disability (DD) Medicaid Waiver and Community Service Programs for regional Quality Enhancement (QE) activities, to identify any problem areas, and recommend appropriate corrective action. + Regularly reviews data, receives recommendations, and establishes new agency goals with regional management teams. Data includes: compiled data results, complaints, Medicaid Request for Services Registry (RFSR), Corrective Action Plans (CAP), and, any other activity to promote agency quality. Collaborates with Regional Early Steps regarding collection of information/data for the AP Report. + Evaluate Medicaid Waiver Providers, Medicaid Support Coordination Agencies, and Early Steps Single Point of Entry (SPOE) Provider Quality Plans due annually using the Quality Enhancement System and Plan Approval Process. Make determination within timeframes and notify provider. Provide training and technical assistance to providers as they request support. + Monitor monthly the Medicaid Request for Services Registry (RFSR) for timely submission of Statement of Approvals (SOA) for individuals eligible for DD services and programs. + Monitor OCDD Level of Care/Plan of Care (LOC/POC) Quality for identified Medicaid Waiver recipients utilizing the OCDD LOC/POC Interpretive Guidelines. Enter results into data system and transmit to OCDD Central Office. + Develops policies and procedures pertaining to the QE processes for the efficient and effective operation of the region. Oversees the implementation of these policies to assure compliance with Office for Citizens with Developmental Disabilities (OCDD) and Imperial Calcasieu Human Services Authority (ImCal HSA) goals and objectives. Monitors the utilization and performance of the Accountability Plan (AP) to assure that all agency DD programs and initiatives are completing actions according to established timelines and guidelines. + Coordinates and leads monitoring of Medicaid Support Coordination agencies ensuring compliance within the Center for Medicaid/Medicare Services (CMS) guidelines for the region using the OCDD Support Coordination Agency Monitoring policy. Coordinates and trains Medicaid Waiver Unit to perform onsite monitoring visits. Determine levels and findings, and, compile monitoring results using Louisiana Support Coordination Application (LASCA). Develop final report and monitor follow up activities. + Provide weekly Critical Incident Report ticklers to ensure Medicaid timelines are met for submission of the reports involving all Medicaid Waiver recipients. + Lead worker for coordination, facilitation, compliance, training, and monitoring of Settings Rule with Medicaid Home and Community Based Services (HCBS) to ensure HCBS providers meet Center for Medicaid/Medicare Services (CMS) guidelines with Medicaid Waiver providers. + Manages the flow of information and data related to quality enhancement processes. Analyzes trends/patterns in quality improvement findings. Compiles reports and makes recommendations for changes. Provides QE Plan updates on regular basis to Regional Management Teams. Prepares Regional Quarterly and Annual Performance Reports for review and submission. + Gathers stakeholder input through complaint management and questionnaires received by DD Division. Follow Customer Complaint Operational Instructions and timelines for all service delivery areas. Keep staff informed of any policy changes and train new employees on complaint procedures. Manage complaint data in data system. Annually review complaints for trends and patterns. Develop, implement and maintain an ImCal HSA satisfaction questionnaire to gauge stakeholder satisfaction levels with ImCal service delivery. + Monitor the OCDD Participants Services Database for data such as National Voter Registration Act (NVRA), Family Support caseloads, etc. on the Performance Indicator components to ensure data reliability. Provide technical assistance and guidance to support personnel in their collection and submission of reliable data collection. + Manage, coordinate, and direct the regional Data Review Team in conducting internal monitoring of data results, reviewing quality goals and corrective action plans, receiving and evaluating recommendations, and making recommendations to the management team. Directs the quarterly review of the AP report and corrective action plans to the Regional Advisory Committee (RAC) for input and recommendations. + Respond to OCDD audit findings related to DD services and develops corrective action plans of identified programmatic issues. + Level II authority for nursing home certification for Developmental Disabilities population. Approve expenditures of Medicaid funds for services provided in nursing facilities in Region V. Review nursing home admissions involving people with developmental disabilities in compliance with Federal Regulations CFR 42, Part 483 Subpart Preadmission Screening and Annual Review (PASRR) of Mentally Ill and Mentally Retarded Individuals. Receive Level II Screening requests for individuals with developmental disabilities requesting admission into any nursing facility in Region 5. Review nursing home referral packets which Include Medicaid Forms 148, SMS, M.D. order, Level 1 PASRR, and LOCET for completeness according to federal regulations for acceptance of the packet notifying the Office of Aging and Adult Services (OAAS) for any needed information to proceed with conducting the Level II review. Obtain information from review of social, general medical, specialty medical, psychological, psychiatric information to determine whether the PASRR determination will be individualized or categorical. Conduct the Level II Screening. Complete the written evaluation report to include reference to all documentation considered in the determination decision. Distribute written evaluation reports and notices of determination within an annual average of nine (9) working days from the date of referral of complete packet to the referring OAAS for Medicaid payment to begin. Notify applicant, attending physician, OAAS and OCDD central office of the results of the Level II decision. Identify all persons residing in nursing homes that require specialized services and make those determinations per OCDD policy. Monthly monitoring for children and quarterly monitoring of adults in nursing homes requiring specialized services to ensure services are being provided and submit monitoring findings to central office on a quarterly basis. Prepare information and summary of evidence for nursing home admission appeals. Maintains accounting of time involvement in PASRR-related activities for PASRR billing purposes. + Maintain knowledge of a variety of supports and payment source mechanisms for such in order to professionally communicate with applicants and/or their families to explore alternate living options and services in lieu of nursing facility for people with developmental disabilities. + Verify DD eligibility determinations through OCDD data management system in order to proceed with potential alternate living request in ICF/IID. + Provide specialized support coordination to children (ages 0-21) living in nursing facilities and their families to locate other living options out of the facility. This is specialized due to the health care issues involved in these medically fragile children. Incumbent coordinates specialized services such as educational, medical, social, therapeutic, as recommended by incumbent.to meet the needs of children while in nursing facilities. At least annually, evaluates and reviews situation of children in nursing homes and makes decision if continued certification is approved. + Regional Coordinator for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT). Provide support coordination to assist Medicaid eligible children ages 0-21, which includes Chisholm class members. + Assist with receipt and review of all required components (at a minimum: general and specialized medical information, psychiatric information, social information, Individual Support Plan, and Inventory for Client and Agency Planning service scores) of admission packets for completeness within 5 working days as identified in policy for all ICF/IID admissions following federal and state guidelines. + For Medicaid recipients track critical incidents through a report to identify remediation needs and quality improvement goals and to determine the effectiveness of the strategies employed to assure resolution to the critical incident report. Follow up with Medicaid Support Coordination agencies to ensure proper documentation and recommendations are being adhered to. Provide technical assistance as necessary to support coordination agencies/ providers. + Make timely referrals to other agencies as necessary. Assure that activities occur within required timelines, including closure of the incident within thirty (30) days, unless an extension has been granted. Complete final report and summary then submit documentation to waiver supervisor for review and closure of critical incidents. + Provide technical assistance to Medicaid providers on current residential certification policies and procedures. + Serves as a backup to the DD Director during times incumbent is away from office. Other duties: + Monitor the regional budget to ensure that contract monies and family support monies are being utilized to the fullest and assist the Imperial Calcasieu Human Services Authority (ImCal) Developmental Disabilities Director (DD) with budget planning. + Schedule and chair ImCal DD provider meetings. + Serve as Coordinator and facilitator for the ImCal HSA Regional Advisory Committee (RAC) + Verify eligibility determinations through OCDD data management system in order to proceed with potential alternate living request. + Initiate application process for individuals requesting alternative living services that have not completed the OCDD entry process. + Coordinate and facilitate community organized functions with other state, city and private organizations. + Answer requests for information and/or contact information to any statewide residential providers or other regional offices as requested. + Performs other tasks and duties assigned by direct supervisor and/or administrator of the OCDD Regional Office. + Promote the concept of community based alternative living resources for persons with developmental disabilities within a choice based system. + As assigned by DD Director, will serve as liaison at meetings, conferences and other functions such as participate in Adult Mental Health Court in order to assist with coordination of services and linkage to community resources. + Participates and/or trains on quality processes and initiatives for the DD Division. Plans, and/or conducts committees relating to the development and training for implementation of QE policies. + Quarterly reports AP outcomes at the Provider Meeting and to ImCal HSA RAC. + Attend staff meetings and in-service training to stay abreast of current trends and new developments in the DD field. + Quarterly obtains and submits data for Louisiana Performance Accountability System (LaPAS) reporting. + Adhere to Civil Service, LDH, OCDD, and ImCal HSA policies and procedures. + Attend emergency preparedness training and maintain readiness to assist with state identified emergency situations. Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be found at https://info.groupbenefits.org/ Parental Leave– Up to six weeks paid parental leave More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx Holidays and Leave – State employees receive the following paid holidays each year: + New Year's Day + Martin Luther King, Jr. Day, + Mardi Gras, + Good Friday, + Memorial Day, + Independence Day, + Labor Day, + Veteran's Day, + Thanksgiving Day and Christmas Day. ***** Additional holidays may be proclaimed by the Governor State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase. Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): + Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) to give you more detailed information about their system + Teacher's Retirement System of Louisiana (www.trsl.org), + Louisiana School Employees Retirement System (www.lsers.net), among others Employer State of Louisiana Address For agency contact information, please refer to the supplemental information above. Louisiana State Civil Service, Louisiana, 70802 Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm Apply Please verify your email addressVerify Email