IG
Exception Template
IMCS Group Inc
- 🇺🇸 United States
- On-site
- 8 hours ago
- CMS
8 hours ago
Not enough detail in this posting to match
WD Job Code: 800216
This role will be responsible for the development, implementation, resolution and oversight of waiver incident reporting at member level and organizational level. The primary functions will include waiver incident reporting education, incident reporting, incident investigation, incident processing and closure. This position ensures compliance with our CHC Agreement along with the Administrative Code and CMS regulations delegated.
Key Duties and Responsibilities
•Upon receipt of new case assignment, confirm eligibility and validate event qualifies for reporting
•Review historical events and determine if Trend Analysis is required
•Maintain internal documentation regarding investigation process status
•Collaborate and support Service Coordinators with investigation process
•Maintain open case volume and evaluate open cases for potential closure
•Closure of event may be completed when the following criteria are met: Actions taken to secure the health and safety of the participant; Measures taken to prevent or mitigate recurrence of the critical incident, including appropriate referrals; changes made to the Person-Centered Service Plan as a result of the incident
•No further action is required when the following conditions are satisfied: The facts and sequence of events is outlined with sufficient detail; Preventative action is implemented and documented; The participant is not placed at any additional risk
Required for All Jobs
•Performs other duties as assigned
•Complies with all policies and standards
MINIMUM QUALIFICATIONS
Education/Experience
Must have at least two years of experience and knowledge of waiver. Background in the field of Nursing, Social Work, and Case Management is preferred.
Clinical licensure is preferred but is not required. Clinical experience in lieu of licensure will be considered.
Custom Fields:
Name: Which Health Plan, programs or functions will this work support?
Value: Pennsylvania Health & Wellness
Name: Shortlisting Date
Value: None
Name: Field Worker
Value: No
Name: If this request is replacing a previously canceled request, please provide the original Request ID
Value: None
Exception Template · IMCS Group Inc