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UTS - Temporary Quality Improvement- LTSS Care Access Evaluator (NC DHHS)

North Carolina State University

$35.00 -$45.00/hour depending on qualifications

United States, North Carolina, Raleigh

Feb 05, 2025

Position Information

Posting Number	PG194883TM
Position Number	48CK25
Position Type	Temporary
Essential Job Duties	This position will provide administrative support to two 1915 Home and Community-based Services waivers, known as the Community Alternatives Program for Children ( CAP/C) and Disabled Adults ( CAP/DA). The CAP waivers are authorized under section1915 of the Social Security Act and complies with 42 CFR * 440.180. These programs provide a cost-effective alternative to institutionalization by supporting a physically disabled Medicaid beneficiary to remain in or return to a home and community-based setting. The position will assist in identifying opportunities for all North Carolinians with severe and chronic physical disabilities to access home and community-based services and other medical and non-medical services using 1915 HCBS waivers. This position will also track individuals determined to be dually eligible to evaluate alignment of their Medicare and Medicaid services to ensure access to needed care. This position will use data to evaluate barriers of access to care for LTSS and dually eligible Medicaid beneficiaries. This position will also analyze immunization, preventive services, physician visits, well childhood visits, and hospital admissions follow-up data of participants in 1915 HCBS waivers to compare against similar Medicaid beneficiaries to assist with the development of an annual action plan and goals for improving health equity in the 1915 HCBS programs.
Is Time Limited	No
If Yes, Appointment Length

Department Information

Job City & State	Raleigh, NC
Department

System Information

Classification Title	Temporary-Technical/Paraprofessional
Working Title	UTS - Temporary Quality Improvement- LTSS Care Access Evaluator (NC DHHS)

Requirements and Preferences

Work Schedule	M-F, 40 hours per week, Hybrid
Other Work/Responsibilities	Develop an annual action plan and goals for improving equity in the waiver program Perform analysis on current equity performance using data mining to identify chronically ill/disabled children in underutilized areas across the state to identify a health equity plan for enrollment and management of participant wait time. Develop and circulate a waiver target population guide to educate referral agents and professionals, including social workers, physicians, discharge planners, staff of community-based organization, nurses, and clergy, on identifying candidates who are appropriate for home and community-based services and waiver enrollment
Minimum Experience/Education	Master's degree in business administration, computer science, data science, management information systems, or closely related field from an appropriately accredited institution and three years of work experience in technology, report delivery, and BI strategy; and one year of long-term services and support and home and community-based services; or Bachelor's degree in business administration, computer science, data science, management information systems, or closely related field from an appropriately accredited institution and four years of work experience in technology, report delivery, and BI strategy; and one year of long-term services and support and home and community-based services; or Licensed to practice as a Nurse in the State of North Carolina and three years of long-term services and support and home and community-based services; or an equivalent combination of education and experience.
Department Required Skills	Proven ability to communicate effectively and professionally with employees, managers, and the public (in-person, online, in writing, and on the phone) Proficient in Microsoft Office products, including Word, Excel, and Outlook Ability to establish and maintain effective working relationships with other state agencies, providers of services, advocacy groups, and other organizations Ability to work independently with minimum or no supervision Ability to effectively manage multiple tasks and priorities Proven experience in collecting and analyzing programmatic data Working knowledge of long-term care supports and services and home and community-based care Proven ability to interpret and apply complex Federal and State regulations
Preferred Years Experience, Skills, Training, Education	Master's degree in Public Administration, Public Policy, Public Health, Nursing, Social Work Considerable knowledge of long-term services and supports and community-based services Experience in making utilization decision for medical and non-medical services Experience providing technical assistance and policy interpretation to providers and Medicaid beneficiaries Demonstrated ability to work with a team Considerable knowledge in working with health records
Required License or Certification	N/A
Valid NC Driver's License required?	No
Commercial Driver's License Required?	No

Recruitment Details

Anticipated Hiring Range	$35.00 -$45.00/hour depending on qualifications

Recruitment Dates

Job Open Date	02/04/2025

Applicant Information

Quick Link

https://jobs.ncsu.edu/postings/214693

AA/EEO

NC State University is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, age, sexual orientation, genetic information, status as an individual with a disability, or status as a protected veteran.

If you have general questions about the application process, you may contact Human Resources at (919) 515-2135 or workatncstate@ncsu.edu. Individuals with disabilities requiring disability-related accommodations in the application and interview process, please call 919-515-3148.

Final candidates are subject to criminal & sex offender background checks. Some vacancies also require credit or motor vehicle checks. If highest degree is from an institution outside of the U.S., final candidates are required to have their degree equivalency verified at www.wes.org or equivalent service. Degree(s) must be obtained prior to start date in order to meet qualifications and receive credit.

NC State University participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.