Service Coordinator jobs at NC.gov

Agency Dept of Health and Human Services Division HEALTH BENEFITS Job Classification Title Administrative Specialist II (S) Number 65006512 Grade NC09 About Us The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. Description of Work The MFP Applications Coordinator reports to the MFP Associate Director and is responsible for receiving, reviewing and processing MFP program applications, determining program eligibility, updating Medicaid beneficiary data in program data systems, and managing and distributing program education and outreach materials. The MFP Applications Coordinator engages directly with Medicaid beneficiaries, family members, facility staff, and others as needed to collect missing information or validate submitted data that is required to process and approve an MFP application as outlined in the MFP Operational Protocol. Job Specific Responsibilities: * Manage the Application Processing function including reviewing and processing applications, determining eligibility, communicating approvals and denials to appropriate individuals including, but not limited to transition coordination entities, facility staff, applicants, and others listed on the application. * Manage the adverse notification process for beneficiaries who are denied eligibility in their application for MFP, or lose eligibility after approval, including the generation, maintenance, and updating of correspondence to ensure that applicants receive the appropriate communication outlining due process rights. * Enter, validate, and manage data in the MFP data management and storage tools including Medicaid data, applications, supporting documents, consent forms, and other related beneficiary information. * Process all withdrawal and transition paperwork received each reporting period, ensuring that submissions meet program accuracy and completeness under contract requirements. * In coordination with MFP program staff, support data and quality efforts by assisting with the review and distribution of transition coordination tracking reports, ensuring case load logs match MFP data, and ensuring consistency with what is required for federal reporting requirements. * In coordination with MFP program staff, support the analysis and of data to measure trends, identify discrepancies, and monitor transition activity of contracted entities. * Develop and generate scheduled and ad hoc reports related to MFP demographic information and transition trends. * Support the MFP Data Coordinator with the aggregation of MFP Participant Critical Incidents through Data Warehouse, eCAP, IRIS, monthly Transition Coordination Workbooks, and other reporting mechanisms. * Support the MFP Data Coordinator with validation of local Division of Health Services Regulation (DHSR) licensure data for MFP use in application processing and outreach records. * Serve as Project Lead in exploring ways to streamline applications and other program process including gathering stakeholder feedback, researching practices from other states, and researching other Medicaid program operations. * Maintain and update all public facing program documents including the MFP application, consent form, and program overviews. Money Follows the Person (MFP) is a state project that helps NC Medicaid-eligible North Carolinians living in inpatient facilities move into their own homes and communities with supports. Services under this demonstration grant will aid the State in moving forward with a long-term care system that provides an even greater array of home and community-based services and supports designed to promote choice and independence for older adults and people physical or developmental disabilities. MFP is a time-limited demonstration project, with activities anticipated to end in September 2027. Knowledge Skills and Abilities/Management Preferences Knowledge Skills and Abilities/Management Preferences Salary Range: $39,671 - $69,426 Recruitment Range: $39,671 - $51,335 Candidates now meet the minimum qualifications of a position if they have the minimum education and experience listed on the vacancy announcement. The following Management Preferences are not required, but applicants that possess these skills are preferred. * Experience communicating effectively with internal and external stakeholders verbally and in writing. * Strong proficiency in Microsoft Office products, such as Excel, Outlook, and Word. * Experience with high volume alphanumeric data entry and data cleaning. Previous work experience with IRIS, Medicaid Enterprise System (MES), NCFAST, NCTRACKS, and/or NC DHHS Data Warehouse. * Previous work experience with SQL, SAS, Python, Tableau, AI, and other data tools. * Position is funded in part through federal funds. * Posting closes at 11:59 p.m. the night before the end date About the NC Department of Health and Human Services (DHHS): The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. About the NC Division of Health Benefits: The Division of Health Benefits (DHB) within NCDHHS is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. DHB manages and oversees North Carolina Medicaid and other programs that provide access to services and supports for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget over $27 billion in state and federal funds per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries. Compensation and Benefits: The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Supplemental Contact Information: The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: ************************ DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. In accordance with the Governor's Executive Order 303, our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified. Application Process Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application. * Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. * Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application to support your answers. * If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 5:00 PM on the closing date. * Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check. * Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks. * Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. * For a list of organizations that perform this specialized service, please visit the NACES membership website at ****************************** Minimum Education and Experience Some state job postings say you can qualify by an "equivalent combination of education and experience." If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. Minimum Education and Experience Some state job postings say you can qualify by an "equivalent combination of education and experience." If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See Education and Experience Equivalency Guide for details. Bachelor's degree from appropriately accredited institution in a discipline related to the area of assignment plus two years of programmatic experience related to the area of assignment, or equivalent combination of training and experience. Degrees must be from appropriately accredited colleges or universities. EEO Statement The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices. Recruiter: Tandrea Jones Email: ***************************** *************************