Cma Program Specialist Aaa

Compensation Range

$29.62 - $37.52
- Job Description Summary

Performs as a resource expert for assigned Case Management Agency (CMA) waivers and programs. Provides training on intake and eligibility, program rules and regulations, and compliance procedures for all new and existing CMA staff. May assign new referrals and approved Long-Term Care (LTC) cases. Audits CMA program, performs case review and monitoring activities for quality assurance, including accuracy, compliance, and timeliness.
- Job Description

Mission Statement: Engaging and partnering with the community to improve safety, health and well-being of individuals and families through the delivery of responsive and collaborative services.

Vision Statement: The people of Weld County are connected to the resources needed to thrive in the community and feel safe and empowered.

Values: Accountability - Integrity - Service - Communication - Innovation

Weld County Department of Human Services’ greatest asset is our staff.

1. Time Management and organizational skills with the ability to prioritize completing obligations
2. Strong written and verbal skills
3. Brings energy to the team projects and is also able to work independently

Essential

**Responsibilities**:
The following job duties are established to outline the basic duties and responsibilities of the above captioned position. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Open Until March 2, 2025

Quality Assurance (30%):

- Remains informed of and complies with the latest rules, regulations, and legislative issues that may impact the CMA and attends all appropriate local and state meetings, committees, workshops, and conferences.
- Completes high-level case reviews on all newly approved case files being assigned to case managers to ensure program compliance.
- Completes case reviews including content and system data entry to determine if accurate, timely case processing occurred based on program regulation and requirements.
- Ensures due process is respected for people enrolled, including notification of rights, requirements for use of psychotropic medications, restrictive procedures, and safety control procedures, including the Human Rights Committee (HRC).
- Documents case review findings for review by supervisors.
- Shadows case management staff completing the Level of Care Screen and other case management duties in accordance with state requirements and documents accordingly.
- Provides timely and accurate case review feedback to the appropriate staff.
- Acts as a resource or expert in assigned Case Management Agency services area, providing technical assistance, clarification, and support to other employees in the unit on program policies and procedures.

Training and Education (30%):

- Conducts trainings to optimize employee learning and development using the most effective instructional methods.
- Develops and facilitates the training program for new employees.
- Develops, provides, and documents on-going training materials for existing staff members based on identified needs.
- Maintains and updates all training tools, manuals, and presentations as CMA rules and guidelines are added, changed, or updated.
- Documents training outcomes and provides feedback to supervisor identifying areas for improvement and tracking trends resulting in additional training needs.
- Assists supervisor(s) with coordinating and tracking attendance at required trainings.
- Provides training to other divisions and with community partners as needed.
- Demonstrates what quality, person-centered, service delivery looks like including interactions, activities, and expectations.
- Troubleshoots with staff and provides direction on resolution for complicated cases.

Program Support (30%):

- Works with CMA leadership to develop internal policies and procedures for the CMA.
- Attends meetings, trainings, and conferences related to CMA programs and/or members served.
- Assists case managers when intake referrals are high or there are uncovered caseloads.
- May coordinate and/or convene annual Service Plan Meetings, Continued Stay Review/Level of Care Screening and Assessments, quarterly monitoring visits, program transitions, and interdisciplinary team meetings, as needed to assist case managers.
- Helps resolve issues related to billing denials.
- Assists other Program Specialists as needed.
- May carry a caseload of complex, confidential and/or sensitive cases as assigned.
- Coordinates all aspects of the intake referral and new case assignment process to ensure an accountable and efficient workflow process. Communicates with referring parties as needed.
- Assigns all approved cases and transfers to on-going case managers based on caseload and complexity to ensure equitable, efficient workflow.
- Ensures Member Tracking List is up to date and accurate, including all client information, completes case status change requests from case managers,