SENIOR PROGRAM SPECIALIST

Job Description

Job Description

The Senior Program Specialist position is responsible for supporting the health, safety, and growth of the individuals in the program, including ISPs, medical requirements, programmatic concerns, individual finances and incident reporting as well as adhering to funder regulations. The Program Specialist oversees the quality of programmatic, health and facilitative services by ensuring that the needs of individuals served are met and necessary services and supports are provided.

Administrative

• Ensures that HIPPA regulations are complied with and that all paperwork and required documentation is completed in a timely, thorough, accurate manner as per regulations.
• Ensures incident reports are complete, accurate and timely with corrective action taken when necessary Input all reportable incidents and follow-up into EIM.
• Participates in audits and ensures all license requirements of the program participant are met and services meet funder and community standards.
• Collaborate with the Quality Assurance Team in the implementation of initiatives supporting the related RHD Strategic Objectives and other corporate wide clinical initiatives.
• Ensure that all consumers have current and appropriate ISP’s or treatment plans in place, that their needs are met, and that they are being enabled to experience the highest level of independence and / or recovery possible.
• Maintains client files that include medical records and annual assessments and Individual Support Plans, as well as any supporting documents as per applicable regulations.
• Develops and maintains a catalog of community resources / activities and coordinates all communication for the consumers with individuals, family members, day programs, Behavior Consultants, SC's and other outside entities, such as the Social Security Administration, Medical Insurance Companies, etc.
• Checks Medicaid eligibility and notifies the Director of any issues that could affect funding and billing.
• Coordinates and distributes all consumer financial matters such as SSI, food stamps, rep-payee­ ship, burial accounts, taxes, SSA Monthly Wage Reports, Room and Board contracts, renewal of annual stipends etc.
• Works with program team, service coordination team, and revenue cycle team to ensure that all individuals supported have current authorizations and that all services and related notes are entered into the electronic health record timely and according to policy. Assists in the resolution of outstanding / unpaid services and claims.

Staff Support

Client Support

Job Qualifications

Indicate the minimum required education and years of experience. Include any required licenses or certificates.

Education and Experience :

Job Competencies

About Company :

Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment.

Apis Services, Inc. and affiliate’s provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy / childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.