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Title:  Long Term Care Specialist I

Application Deadline Date:  04/14/2021
Req ID:  13744
Department:  Vermont Health Access
Location: 

Rutland, VT, US

Position Type:  Permanent
Schedule Type:  Full Time
Hourly Rate:  $22.36

Overview

The Department of Vermont Health Access (DVHA)'s mission is to improve the health and well-being of Vermonters by providing access to quality healthcare cost effectively. We have three priorities that support us in moving our mission forward: Adoption of value-based payments, management of information technology projects, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service. 


DVHA's Long Term Care Unit is seeking a qualified individual to join their dynamic team.

 

The Long Term Care Specialist I positions are trained to maintain effective control of an active LTC Medicaid caseload.  These positions receive training and oversight from mentors and supervisors as they process LTC Medicaid  applications.    LTC Specialists are responsible for making complex LTC Medicaid eligibility determinations consistent with rules and policy and within prescribed time-frames.  Staff at this level initially work with direct oversight and then progress to work with increasing levels of independence as they become able to rely upon their own working knowledge of LTC Medicaid rules and policy.    Over time, these positions will be able to research and interpret rules with a high degree of independence.   LTC Specialist I positions have more frequent review of their cases by mentors and supervisors. They are required to take training as appropriate.   Will also be trained to re-determines program eligibility at prescribed timeframes or when changes in client circumstances dictate review. The specialist must complete work in a timely and efficient manner consistent with federal timelines standards that the department is held to.   As required, will prepare reports, fair hearing requests and fraud referrals. May testify at Fair Hearings. Performs related duties and other assigned duties as required.

Who May Apply

This position, Long Term Care Specialist I (Job Requisition #13744), is open to all State employees and external applicants.
If you would like more information about this position, please contact Debbie.Greeno@vermont.gov.
Resumes will not be accepted via e-mail.  You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.

 

AHS BACKGROUND CHECKS:  Candidates must pass any level of background investigation applicable to the position.  In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Environmental Factors

Duties are performed largely in an office setting. Workload usually heavy with constant need for prompt and accurate decisions. May experience frequent interruptions and shifting of priorities. Incumbents must be able to function independently. Private means of transportation should be available for necessary travel to training, mentoring and/or meetings. Applicants may provide a variety of challenges including but not limited to highly emotional conditions: belligerency, inability to communicate, attempts at falsification and total discouragement. May communicate with private attorneys engaged by applicants to help client with Long Term Care application and eligibility process. May consult with DVHA and/or AAG attorneys regarding fair hearings, extraordinary eligibility issues, rules interpretation or to gain assistance in responding to questions from client’s assistors or outside attorneys.

Minimum Qualifications

Bachelor's Degree
OR
Associates degree AND two (2) years or more of experience in a field related to health care administration, insurance, banking, accounting, para-legal services, auditing or federal grants management.  Other related work environments may be considered if they require: reading, comprehension and application of complex rules, regulations, policies and procedures to perform the work.
OR
High School diploma or equivalent AND four (4) years or more of experience in a field related to health care administration, insurance, banking, accounting, para-legal services, auditingor federal grants management.  Other related work environments may be considered if they require: reading, comprehension and application of complex rules, regulations, policies and procedures to perform the work.

Total Compensation

As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including: 

  • 80% State paid medical premium
  • Dental Plan at no cost for employees and their families
  • Flexible Spending healthcare and childcare reimbursement accounts
  • Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
  • Work/Life balance: 11 paid holidays each year and a generous leave plan; many jobs also allow for a flexible schedule
  • Low cost group life insurance
  • Tuition Reimbursement
  • Incentive-based Wellness Program
  • Qualified Employer for Public Service Student Loan Forgiveness Program

Want the specifics? Explore the Benefits of State Employment on our website.

AHS Affirmative Recruitment

The Vermont Agency of Human Services strives to build a diverse and inclusive community. It is our fundamental belief that in order to create and sustain a healthier Vermont, we as an organization must honor the cultures, beliefs and values of those we serve in order to foster an environment of mutual respect, acceptance and equal opportunity.  We are committed to building and maintaining a multicultural and diverse workforce which reflects the increasing diversity of Vermont. To view the State of Vermont's Equal Employment Opportunity/Affirmative Action Policy, please click here.

Equal Opportunity Employer

The State of Vermont is an Equal Opportunity Employer. Applications from women, individuals with disabilities, veterans, and people from diverse cultural backgrounds are encouraged.


Nearest Major Market: Vermont