Case Review Specialist - Developmental Disabilities

Washington, DC
$30.04 per hour
Dec 02, 2021
Dec 17, 2021
Full Time
Case Review Specialist - Developmental Disabilities

This Monday to Friday position involves providing services to the DC Department of Health, "surveying" individuals with intellectual and/or developmental disabilities that receive services through Medicaid.

You will be a key member of the team that evaluates compliance of Home and Community Based Waiver service provision, provider utilization of waiver services, and provider compliance with waiver rules. Conducts interviews with individuals with intellectual and/or developmental disabilities (IDD) and evaluates provider organizational outcomes.

  • Conducts detailed evaluations of provider performance and the presence of person-centered supports using applicable tools and guidelines.
  • Initiates contact with service providers to establish interviews and review schedules and discuss associated protocols, expectations, and responsibilities.
  • Conducts interviews with individuals with I/DD, family members, providers of services, and/or direct service staff.
  • Administers and makes determinations based upon the information gathered from individual
  • Uses professional judgment and discretion to determine when a report of abuse, neglect, and/or exploitation is warranted or a referral to state staff is necessary to maintain the health and safety of individuals receiving services through the Medicaid Waiver program.
  • Takes immediate action in the case of abuse, neglect, and/or exploitation by reporting directly to required officials and follows established protocols as a mandated reporter.
  • Inputs data into a web-based application, summarizes findings, generates recommendations for quality improvement and completes a written report for submission to the provider/support coordinator/contractor or other entity in accordance with pre-established time-frames.

Job Requirements

  • At least an AA degree, but preferably a BA/BS.
  • A minimum of 3 years of related experience
    • One of the three years would need to be working with people with intellectual and/or developmental disabilities (IDD).
  • Ability to work from home and in the field
  • Ability to conduct record reviews.
  • Ability to conduct face-to-face and virtual interviews of individuals with IDD.
  • Ability to interact with providers and District personnel in a professional manner.
  • Solid Word, Excel, & Outlook skills
  • Training is provided
  • Priority is given to DC residents

Additional Information

NRI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Meet Your Recruiter

Tracy Van Duston
Senior Account Manager

Similar jobs