DSHS HCLA Provider Network Navigator - SHPC 4

Full Job Description

DSHS HCLA Provider Network Navigator

Make a meaningful impact in long-term care policy by embracing this thrilling opportunity.

The WA Cares Fund is the first of its kind in the United States, showcasing why Washington State leads the nation in long-term care initiatives.

Created by the WA State Legislature, the WA Cares Fund (WCF) offers affordable long-term care insurance coverage to all working Washingtonians.

This is a rare opportunity to become one of the founding team members as we introduce the nation’s first long-term services and supports social insurance program.

DSHS’s Home & Community Living Administration (HCLA) WCF is hiring key team members now to assist as we move toward the full implementation of the program.

The innovative work that you do now will aid qualified people and their authorized representatives to apply for and access their earned benefits that help pay for daily-living activities.

Your experience, knowledge, and skills make a difference.

Some of what you will do:

• Oversee the provider’s intake and contract navigation process. Providing feedback, recommendations and information and process provider applications and registrations
• Coordination of provider cases regarding appeals, beneficiary complaints, and the monitoring process to include acting as the liaison with internal DSHS entities and external entities such as Area Agencies on Aging, Office of Administrative Hearings, and community-based social service organizations
• Influencing the ongoing development of statewide Provider Network policies and procedures in response to the evolving needs of the program
• Responsible for the development of regionally and culturally appropriate WA Cares Provider outreach and recruitment strategies
• Prepares preliminary findings reports and Performance Improvement Plans for the provider and upload them to their file
• Assists Administrator and other Staff interpreting policies, and procedures; obtains clarification from Policy Staff regarding contracts and monitoring as needed
• Review provider application materials and determine eligibility
• Facilitate provider application and contracting
• Coordinate and partner with the Training Unit to deliver training to staff and providers on various subjects (e.g. registration, contracting, ProviderOne, and Quality Assurance Audits/Monitoring)
• Research and develop connections with regional providers, employers, community-based organizations, agencies, tribes, and other business partners
• Route providers to internal and external partners including Policy Program Managers for more complex issues and Area Agencies on Aging (AAAs) for local providers

Who should apply: Professionals with…

One year of experience as a Social and Health Program Consultant 3 or equivalent,
OR
Two years of experience as a Social and Health Program Consultant 2 or equivalent,
OR
A master’s degree in social work, a health or social science, public administration or a related field; AND Four years of professional experience in planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs,
OR
A bachelor’s degree in social work, a health or social science, public administration or a related field; AND Five years of professional experience in planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs,
OR
A combination of professional/practical hands-on experience of nine to ten years, in planning, administering, developing, or delivering social, financial, health, or chemical dependency treatment services programs

A degree in Social Work must be from an educational program accredited by the Council on Social Work Education

NOTE: This job is part of the Social and Health Program Consultant 4 job class (SHPC4)

DSHS partners with people to access support, care, and resources.

Interested? Along with your online application, please submit:

• A current resume
• Contact information for three professional references
• Cover letter explaining how their knowledge, skills, and abilities qualify them for this role.

Questions? Please contact sharon.sterling@dshs.wa.gov or call Talent Acquisition main line (360) 725-5810 and reference job number 01036.

The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work.

It is crucial to our agency’s vision that you bring an equity, anti-racism, and social justice commitment to your work with DSHS.

We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.

Additional Information

Prior to a new hire, a background check including criminal record history may be conducted.

Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the job.

This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license.

Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.

Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protect­ed veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information.

Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810.

Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.

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