State of Washington
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PASRR Program Manager-Medical Assistance Program Specialist 3 (MAPS3/MPOI)
at State of Washington
Job Status: Full Time
Job Reference #: 2505286
Categories: Management - Mid-Level (Manager, Director), Management - Project / Program, Education - Professional
Overall Job Objective
- PASRR Program Manager-Medical Assistance Program Specialist 3 (MAPS3/MPOI)
*Please Note: This position is open until filled. Application assessment will be ongoing and the hiring authority reserves the right to offer the position at any time during the recruitment process. It is to the applicant's advantage to apply as early as possible.
The ideal candidate for this position will have a passion and experience with health care. If you have experience with health services, social service, Medicaid or social security disability programs, this opportunity may be for you!
This position is responsible for making sure that the Behavioral Health PASRR program is administered in accordance with federal and state rules, regulations, and policies. This position is the subject matter expert concerning Center for Medicare and Medicaid Services (CMS) Preadmission Screening program requirements and is responsible for a variety of technical details and activities, including oversight of contracted PASRR evaluators.
Some of what you will do:
• Monitor, track and report overall program status in all phases of development and ongoing performance of the Preadmission Screening and Resident Review (PASRR) program
• Is the subject matter expert of the federal and state requirements of the PASRR program
• Creates tools and forms that assist case managers and geriatric mental health professional staff in capturing significant social and medical data regarding individuals with serious mental illness prior to admission to a nursing facility that can be analyzed to determine if the individual meets nursing facility level of care and/or behavioral health services if needed are provided by, or arranged for by the State
• Creates a process for data evaluation/analysis after data has been captured that specifically calls out a state determination and legal notice to the individual regarding the State determination
• In collaboration, work with the Health Care Authority, internal staff, and stakeholders on a PASRR workgroup that will together, analyze , streamline, create and develop an effective, efficient PASSR program that will fulfill all federal requirements
• Under the guidance of HCA leadership, provide ongoing consultation, direction and oversight of the PASRR program to contracted evaluators
• Develop statewide PASRR curriculum for evaluators and SNF staff, and set training expectations and execute
• Supervise PASRR administrative staff and PASRR field staff and contractors
• Provide clinical quality assurance review of PASRR Level 2 forms received from PASRR Quality Assurance contractor.
• Sign and approve all associated A19 invoices related to PASRR activities
• Ongoing revision and update to the PASRR Manual and any corresponding PASRR forms etc.
• Develop PASRR statewide monitoring program, data monitoring tools, and tracking matrix
• Assist in the development of a statewide electronic PASRR database and PASRR form system
• Work with the HCA to amend contracts/service agreement that will include any updated language revisions
• Monitor MH PASRR evaluator's contract compliance
• Write, renew, update and revise all mental health PASRR contracts as necessary
• Renew and procure/recruit PASRR contractors as needed
• Review Geriatric Mental Health Specialist (GMHS) documentation as required in Washington Administrative Codes, and complete background checks prior to authorization of HCA PASRR evaluators
• Arrange for, develop or provide training to PASRR evaluators, Hospital and Nursing Facility staff as necessary related to PASRR compliance and updates or revisions to process or documents
• Collect, analyze and report PASRR program data to HCA leadership
• Assure and maintain ongoing accuracy of PASRR webpage as the centralized state resource for behavioral health PASRR information, training materials, forms, and other information
Here is what we are looking for (Required Qualifications):
• A master's degree or other advanced degree in a mental health related field and a minimum of 5 years of experience working in the community mental health system.
• A bachelor's degree in a mental health related field and a minimum of 7 years working in the community mental health system.
Required Skills and Abilities:
• Knowledge of federal and state mental health statutes, including PASRR rules and regulations.
• Knowledge of mental health and programs and models of care for adults and older adults based on recovery, including evidence-based and research based practices.
• Knowledge of mental health managed care principles.
• Knowledge of mental illness and mental disorders in adults and older adults.
• Knowledge of the protocols and processes of the executive and legislative branches of state and local government.
• Knowledge of continuous quality improvement principles.
• Knowledge of state contracting and contract compliance regulations.
• Ability to direct complex mental health programs and to design, implement and evaluate strategic and tactical plans, evaluation tools, and public education campaigns.
• Ability to work collaboratively and communicate effectively with multiple stakeholders including consumers, advocates, providers, local government officials and staff, state staff, legislative staff, and legislators to develop policies and procedures for management of publicly funded mental health services.
• Ability to analyze situations, identify policy needs, develop strategies, promote ideas, develop goals and objectives, set priorities, establish benchmarks and use data for decision making.
• Ability to coordinate and build consensus among internal and external stakeholders toward the development of departmental and legislative initiatives.
• Ability to manage and build consensus with cross system partners toward increased coordination of care for individuals with multiple needs.
• Ability to develop and review complex written materials and provide detailed policy analysis.
• Practicing Nurse with a valid and unrestricted Washington state license.
• Knowledge and application of federal and state mental health care regulations, patient bill of rights regulations, and confidentiality rules and regulations.
• Knowledge and application of standards of community and inpatient mental health practice, medical records structure and content, medical procedures associated with psychiatric work up and/or interventions.
• Ability and skills in using computers (Word, Excel, Outlook, Power Point, Visio) and project management software toward the development of complex data reports, timelines, formal documents, and presentations.
About the HCA:
The Washington State Health Care Authority (HCA) purchases health care for more than 2 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, and, beginning in 2020, the School Employees Benefits Board (SEBB) Program. Our agency is committed to whole person care, integrating physical health and behavioral health services for better results and healthier residents. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.
How to Apply:
Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position you will need to complete your profile and attach:
- A cover letter that specifically addresses how you meet the qualifications for this position.
- Current resume
- Three professional references
Washington State is an equal opportunity employer. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may call the Human Resources Office at 360.725.1761 or email Dennis.Lienemann@hca.wa.gov.
*Prior to a new hire, a background check including criminal record history will 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 position. *