Medicaid And Long-term Care Resource Developer

State of Nebraska Department of Health and Human Services

Lincoln, NE, US
Hourly: $19.045; benefits: comprehensive pyckage i...
Fully remote (after probationary period)
Post high school coursework in social work or related field
Experience in resource development or contract monitoring
Valid driver's license required for travel
The State of Nebraska Department of Health and Human Services is seeking a Medicaid and Long-Term Care Resource Developer who will be responsible for overseeing provider contracts, evaluating services, and ensuring compliance with regulations. This role requires strong organizational skills, attention to detail, and the ability to work with diverse populations to improve community health outcomes. The position offers remote work options after the probationary period and encourages a compassionate approach to service delivery

Job Summary

  • The State of Nebraska Department of Health and Human Services is seeking a professional to lead resource development and contract monitoring for Medicaid and Long-Term Care programs.
  • Responsibilities include enrolling independent providers, conducting on-site audits, reviewing billing documents, and facilitating complaint resolution to ensure compliance with minimum standards.
  • The position offers a comprehensive benefits package including pay, paid time off, retirement options, and professional development opportunities within a supportive environment.

Matching Summary

Match Score: 75

The State of Nebraska Department of Health and Human Services is seeking a Medicaid and Long-Term Care Resource Developer who will be responsible for overseeing provider contracts, evaluating services, and ensuring compliance with regulations. This role requires strong organizational skills, attention to detail, and the ability to work with diverse populations to improve community health outcomes. The position offers remote work options after the probationary period and encourages a compassionate approach to service delivery.

Salary

Hourly: $19.045; Benefits: Comprehensive package including pay, PTO, retirement, and professional development; Bonus/Equity: Not specified

Skills & Requirements

Must-have

  • Post high school coursework in social work or related field
  • Experience in resource development or contract monitoring
  • Valid driver's license required for travel
  • Ability to perform on-site audits and assessments
  • Knowledge of federal and state service delivery regulations

Nice-to-have

  • Experience working with diverse socio-economic backgrounds
  • Strong written and verbal communication skills
  • Familiarity with NFOCUS, Word, Excel, and On-Base software
  • Experience managing multiple cases in a fast-paced environment
  • Ability to establish working relationships with providers

Key Requirements

  • Bachelor's degree in social work, sociology, counseling, psychology, or child development
  • Experience in eligibility determination or contract monitoring within public service
  • Valid driver's license or ability to provide authorized transportation
  • Knowledge of SSAD, MLTC, and AD Waiver program policies

Work Rights

Not specified

Tailored Resume

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