Provider Relations Specialist

Summary

Post

The Provider Relations Specialist under the direction of the Department of Community Services Director, is responsible for the coordination of activities related to the Center for Medicaid and Medicare Services (CMS)-the Home and Community Based Services (HCBS) Setting Final Rule (FR) and provide support, monitoring, and training to service providers. 

The responsibilities include but are not limited to the following:

  • Provide outreach and training to existing residential and non-residential services (e.g. day programs employment) regarding the HCBS Final Rule and its implementation.
  • Work collaboratively with providers and Provider Relations Liaisons to identify changes in existing program designs in order to be in compliance with the Final Rule.
  • Provide technical assists to service providers that may need a heightened level of support in the transition.
  • Develops content for training and informational sessions for a wide variety of audiences in order to promote awareness of the HCBS Final Rule.
  • In cooperation with Department of Developmental Disabilities Services (DDS), determine which programs may qualify for “Heightened Scrutiny”.
  • Collect and maintain data regarding all HCBS Final Rule activity.
  • Establish effective communication and teamwork with HRC case management, resource development, vendorization and quality assurance, as well as the ability to network and collaborate with other agencies including regional centers, licensing and DDS.
  • Ensure compliance of proposals by service providers who are seeking funding from DDS to implement program changes.
  • Be aware and report on any unmet service needs or additional service development that may be necessary to supplement existing services affected by the Final Rule.
  • Conducts periodic visits to each assigned service provider.
  • Coordinates the referrals for the opening of new resources including training of administrators and staff.
  • Facilitates problem-solving in complex circumstances.
  • Investigates complaints or client special incidents about services.
  • Identifies and responds to needs of service providers for information, providing advice and guidance with the goal of increasing their knowledge of service standards, philosophies and methods for serving individuals with varied and multiple needs including special health needs and behavioral challenges.

Works with service providers to promote individualized and integrated services to improve/increase client independence, opportunities for choice, meaningful participation in daily living activities and access to the community for work, leisure time, and interpersonal relations.

POSITION REQUIREMENTS

These specifications are general guidelines based on the minimum experience normally considered essential to the satisfactory performance of this job.  Individual abilities may result in some deviation from these guidelines.

To perform effectively in this position, the incumbent must have:

  • A bachelor’s degree in psychology, social work or similar human services discipline. A related master’s degree is preferred.
  • Five or more years of experience in programs providing direct services to individuals with developmental disabilities
  • Experience working with families from diverse cultural, linguistic and socioeconomic backgrounds.
  • A comprehensive working knowledge of the laws and regulations associated with Regional Center clients and services (i.e. Title 22 and Title 17 Regulations governing community care and those with developmental disabilities).
  • An understanding of family systems and human dynamics, and knowledge of developmental disabilities.
  • Working knowledge of community resources to address special needs of clients.
  • Current California driver’s license and State-required insurance required when using personal vehicle on Center business and a driving record acceptable to the organization and/or its insurance carrier.
  • Very effective oral and written communication skills including the ability to write reports that may be interpreted within the legal system.
  • Strong problem-solving skills and demonstrated ability to apply independent judgment in critical situations
  • Ability to be flexible and work in a changing environment.
  • Computer skills sufficient to meet production demands of the job including Microsoft Office and VirtualCHART software for client notes and reports.
  • Ability to work varied hours including occasional evenings, nights and weekends as needed.
  • Knowledge of emergency procedures of the Regional Center
  • Ability to model positive behaviors and Regional Center values.

Other Requirement:

Upon job offer acceptance, candidates will be required to show proof of COVID-19 vaccination and booster if eligible. A reasonable accommodation may be requested for an exemption from the COVID-19 vaccination requirement.

Equal Opportunity Employer

Please submit your resume to HR@harborrc.org.